A Qualitative Study to Explore Ways to Observe Results of Engaging Activities in Clients with Dementia.

A Qualitative Study to Explore Ways to Observe Results of Engaging Activities in Clients with Dementia.
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DOI:
10.1155/2017/7513875
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发表时间:
2017
影响因子:
1.5
通讯作者:
Shirai H
Shirai H
中科院分区:
医学4区
文献类型:
--
作者:
Ogawa M;Nishida S;Shirai H

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许多职业治疗师面临着帮助痴呆症患者选择和从事有意义的职业的挑战,这可能是由于认知障碍而困难的。了解经验丰富的职业治疗师的隐性知识,可以积极影响职业治疗实践的客户与痴呆症。 探讨经验丰富的职业治疗师在评估痴呆患者活动效果时的观察结果。 十个职业治疗师超过10年的临床经验参加了这项定性研究。进行了深入的访谈,问的问题,“你观察到的痴呆症的客户,当你评估这些客户之间的活动的有效性?”调查结果。从47个案例中,我们发现了5个主主题和18个次主题。主要主题是“参与活动”、“活动中的情感表达”、“活动中的言语表达”、“通过活动进行的社会互动”和“作为活动结果获得的东西”。与临床实践相关。这18个次主题可以作为观察痴呆症患者活动参与的观点。 未来的研究可以检查哪些观点被用于每种类型的活动和/或痴呆的严重程度,因为这在目前的研究中没有调查。
Many occupational therapists face the challenge of helping clients with dementia to select and perform meaningful occupations, which may be difficult due to cognitive impairment. Understanding tacit knowledge of well-experienced occupational therapists could positively affect occupational therapy practice for clients with dementia. To explore the observations of experienced occupational therapists when evaluating the effects of activities in clients with dementia. Ten occupational therapists with over 10 years of clinical experience participated in this qualitative study. In-depth interviews were conducted to ask the question, “What do you observe in clients with dementia when you assess the effectiveness of activities among these clients?” Findings. From 47 cases, we found five major themes and 18 subthemes. Main themes were “engaging activity,” “emotional expression during activity,” “verbal expression during activity,” “social interaction through activity,” and “something obtained as outcome of activity.” Relevance to Clinical Practice. The 18 subthemes could be used as viewpoints to observe engagements of activity in clients with dementia. Future studies could examine which viewpoints were utilized for each type of activity and/or severity of dementia as this was not investigated in the current study.
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