The long-term process of recovering self-leadership in patients with disabilities due to acquired brain injury
The long-term process of recovering self-leadership in patients with disabilities due to acquired brain injury
复制标题
后天性脑损伤致残患者恢复自我领导能力的长期过程
DOI：
10.11336/jjcrs.10.29
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
MD
中科院分区：
文献类型：
--
作者：
Shinichi Wada;MD;MPH;PhD;Miki Hasegawa;MD
Wada S，Hasegawa M.后天性脑损伤所致残疾患者自我领导能力恢复的长期过程。Jpn J Compr Rehabil Sci 2019; 10：29- 36.目的：创建一个模型，使其更容易理解“恢复自我领导的过程”（shutaisei），”这是与长期改善残疾患者的生活，由于后天性脑损伤。方法：我们举办了第18届自我领导（Shutaisei）研究会议，共有18名成员，其中包括患者、正式护理人员、医务人员和研究人员。采用改良的扎根理论方法，定性分析了与后天性脑损伤所致残疾患者的“长期在家恢复日常活动”和“自我领导（shutaisei）”相关的成员的半结构式访谈结果。结果：45个概念后，分析工作表的分析审查。五个恢复轴和五个恢复阶段从个人发展课程的相关概念中产生。了解自己和周围环境的认知因素构成了该模型的基础，支持自我领导的三个要素（动机，自力更生和信心）。研究表明，如果自我领导得到恢复，个人价值观的改变将导致自尊心的增强。结论：该模型被认为是有用的，因为它能够广泛地评估后天残疾患者的阶段，掌握他们的特征，并作为一种可以与他人共享的信息形式。
Wada S, Hasegawa M. The long-term process of recovering self-leadership in patients with disabilities due to acquired brain injury. Jpn J Compr Rehabil Sci 2019; 10: 29-36.Objective: To create a model that makes it easier to understand the “process of recovering self-leadership (shutaisei),” which is linked to long-term improvement in the lives of patients with disabilities due to acquired brain injury.Methods: We held the 18th Self-Leadership (Shutaisei) Research Conference comprising eighteen members that included patients, formal caregivers, medical personnel, and researchers. Results of semi-structured interviews with members related to “long-term recovery of daily activities at home” and “self-leadership (shutaisei)” in patients with disabilities due to acquired brain injury were qualitatively analyzed using a modified grounded theory approach. Results: Forty-five concepts were generated after an analytical review of the analysis worksheet. Five recovery axes and five recovery stages emerged from the concepts related to individuals’ progression courses. The cognitive element of understanding one’s self and one’s surroundings formed the base of the model, supporting the three elements of self-leadership (motivation, self-reliance, and confidence). It was shown that increased self-esteem can be expected to result from changes in personal values if selfleadership is recovered. Conclusion: The model is considered to be useful as it is able to broadly assess the stages of patients with acquired disabilities, to grasp their characteristics, and to serve as a form of information that can be shared with others.