The lived experience of older adults' occupational adaptation following a stroke.
The lived experience of older adults' occupational adaptation following a stroke.
复制标题
老年人中风后职业适应的生活经验。
DOI：
10.1111/1440-1630.12004
复制
发表时间：
2013
影响因子：
1.8
通讯作者：
Carolyn M. Murray
中科院分区：
文献类型：
--
作者：
Shoshannah Williams;Carolyn M. Murray
背景/目的
中风后，个人的能力可能与其环境和职业的要求不匹配，导致职业表现受损。适应过程可以调整职业的执行方式，以实现职业掌握。本荣誉研究的目的是调查和描述老年人中风后职业适应的生活经验。
方法
一个解释现象学的方法被使用。社区参与者通过家庭护理服务协调员招募。对三名男性和两名女性进行了深入访谈，年龄在68-78岁之间，在14年前经历过中风。使用Colazzi的方法对数据进行分析，以制定主题。
结果
经历中风最初是“对系统的冲击”，虽然“你的整个生活都改变了”，但仍然有方法“继续努力并做到最好”。“你的整个生活改变”的主题有三个副主题：“忧虑和恐惧”，“解决问题”和“扩展限制”。复原力、动力和努力是中风后适应性反应所需的素质。为促进职业掌握而确定的应对策略包括使用幽默、触摸、表达愤怒、使用自我对话、保持希望、有一种幸运感以及支持的朋友和家人。
结论
这些研究结果支持一个授权的治疗方法，方便客户识别和利用个人适当的应对策略，谈判的负面情绪和忧虑，使职业适应所需的个人素质。
BACKGROUND/AIM
Following a stroke, individuals' abilities may not match the demands of their environment and occupations, resulting in compromised occupational performance. The process of adaptation can enable adjustment of the way occupations are performed to achieve occupational mastery. The purpose of this honours study was to investigate and describe older adults' lived experience of occupational adaptation following a stroke.
METHODS
An interpretative phenomenological approach was used. Participants in the community were recruited through Domiciliary Care service co-ordinators. In-depth interviews were conducted with three men and two women, aged 68-78 years who had experienced a stroke up to 14 years ago. Data were analysed using the Colazzi's method to formulate themes.
RESULTS
Experiencing a stroke is initially a 'shock to the system' and while 'your whole life changes', there are still ways to 'get on and do your best'. The theme 'your whole life changes' had three subthemes: 'apprehension and fear', 'problem solving' and 'stretching the limitations'. Resilience, motivation and effort are the required qualities for adaptive responses after stroke. Coping strategies identified to facilitate occupational mastery include the use of humour, touch, expressing anger, using self-talk, maintaining hope, having a sense of being fortunate and supportive friends and family.
CONCLUSION
These findings support an empowering approach to therapy, facilitating clients to identify and utilise individually appropriate coping strategies to negotiate negative emotions and apprehension and enable the required personal qualities for occupational adaptation.