In a qualitative study, 22 stroke patients undergoing rehabilitation in three nursing homes were interviewed about constraints on and improvements in their autonomy and about approaches of health professionals regarding autonomy. The data were analysed using grounded theory, with a particular focus on the process of regaining autonomy. An approach by the health professionals that was responsive to changes in the patients' autonomy was found to be helpful for restoration of their autonomy. Two patterns in health professionals' approach appeared to be facilitatory: (1) from full support on admission through moderate support and supervision, to reduced supervision at discharge; and (2) from paternalism on admission through partial paternalism (regarding treatment) to shared decision making at discharge. The approach experienced by the patients did not always match their desires regarding their autonomy. Support and supervision were reduced over time, but paternalism was often continued too long. Additionally, the patients experienced a lack of information. Tailoring interventions to patients' progress in autonomy would stimulate their active participation in rehabilitation and in decision making, and would improve patients' preparation for autonomous living after discharge.

译文

在一项定性研究中,采访了在三个疗养院接受康复治疗的22名中风患者,他们的自主权受到限制和改善,以及卫生专业人员在自主权方面的方法。使用扎根理论对数据进行了分析,特别关注恢复自治的过程。发现卫生专业人员对患者自主权变化做出反应的方法有助于恢复其自主权。卫生专业人员的方法似乎有两种模式是有利的 :( 1) 从入院时的全力支持到适度的支持和监督,到出院时的监督减少; (2) 从入院时的家长制到部分家长制 (关于治疗) 到出院时的共同决策。患者所经历的方法并不总是符合他们对自主性的渴望。随着时间的推移,支持和监督减少了,但家长式作风往往持续太久。此外,患者缺乏信息。根据患者的自主性进展量身定制干预措施将刺激他们积极参与康复和决策,并改善患者出院后自主生活的准备。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录