康复计划后事故轨迹的配置:在重新整合和社会专业排斥之间的尖边缘上
Carla Ribeiro1, Josiane Mbarga1, Claude Pichonnaz2
1Research & Development Department, HESAV School of Health - University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland.
Disability and rehabilitation
|October 17, 2024
概括
骨科创伤后的患者经历揭示了三种事故轨迹:重新整合,持续的重新整合和排斥. 了解这些因素有助于定制康复,以获得更好的社会和专业成果.
科学领域:
- 整形外伤是指整形外伤的发生.
- 康复医学是康复的医学.
- 患者为中心的护理
背景情况:
- 慢性疼痛和功能限制显著影响患者的骨科创伤后.
- 了解患者的发展轨迹对于有效的长期管理和康复至关重要.
- 现有的研究往往忽略了患者的观点在定义事故轨迹.
研究的目的:
- 从患者的角度分析影响事故轨迹的因素.
- 评估康复在自主管理疼痛和功能限制方面的作用.
- 确定塑造患者在骨科创伤后恢复途径的关键决定因素.
主要方法:
- 定性,纵向,跨学科的研究设计.
- 两次综合采访间隔一年,对经历慢性疼痛和功能限制的患者进行了全面采访.
- 使用MaxQDA软件对采访数据进行主题分析.
主要成果:
- 确定了三种不同的事故轨迹:社会-专业重新整合,持续的重新整合和排斥.
- 影响因素包括身体/心理健康,职业地位,社会背景和保险/治疗方面.
- 患者的感知和社会人口特征在塑造轨迹特异性方面具有重要意义.
结论:
- 了解事故轨迹将个人和社会维度整合在一起,以获得整体的患者视角.
- 在康复中考虑影响轨迹的因素有助于促进社会和专业的重返社会.
- 基于患者特定轨迹的有针对性的干预措施可以改善长期结果.
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