急性老年病房的物理治疗:什么 (de) 激励患者? 一个基于自决理论的定性研究
Lucie Vancraeynest1, Marie Vermeer2, Marjorie Iacovelli2
1Faculty of Movement and Rehabilitation Sciences, UCLouvain, Louvain-la-Neuve, Belgium. lucie.vancraeynest@gmail.com.
住院的老年患者往往缺乏动力,影响康复. 解决诸如自主性和员工互动等因素可以显著改善他们对物理治疗和日常活动的参与.
科学领域:
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
- 健康心理学 心理健康心理学
背景情况:
- 已知医院住院老年患者 (HOP) 的物理治疗益处,但他们认为缺乏动机阻碍了康复.
- 现有的关于HOP参与度有限的数据主要衡量流动性,而不是动机本身.
- 本研究通过量化HOP对日常生活活动 (ADL) 和物理治疗的动机来解决这一差距.
研究的目的:
- 量化参与ADL和物理治疗的HOP的动机水平.
- 为了识别激励HOP在他们的理疗课程的因素.
- 探索患者动机与医疗保健团队成员 (HTM) 互动之间的关系.
主要方法:
- 在60个HOP中使用Scale of Demotivation Assessment (SDA) 的量化动机.
- 进行了与14名HOP进行的半结构化访谈,以探索激励因素.
- 使用自决理论分析了采访数据,以了解动机机制.
主要成果:
- 动力丧失的发生率在ADL中为47%,在物理治疗中为35%.
- 关键的降低激励因素包括缺乏自主权,依赖和有限的员工可用性.
- 激励因素包括能力,安全,尊重和HTM承诺的感觉.
结论:
- 关系因素显著影响HOP对ADL和物理治疗的动机.
- 优化时间,空间,设备和培养尊重HTM的态度可以增强内在动机.
- 提高动机可以导致HOP更多地参与他们自己的护理计划.
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