The importance of embracing complexity in rehabilitation
The importance of embracing complexity in rehabilitation
复制标题
拥抱康复中的复杂性的重要性
DOI：
10.1111/jep.13715
复制
发表时间：
2022
影响因子：
2.4
通讯作者：
Stockley R
中科院分区：
文献类型：
--
作者：
Stockley R
在实践中，临床医生认识到康复干预的有效性将受到一系列不可控的、相互关联的因素的影响至少40年来，一种整体的、“全人”的方法已经承认，尽管是含蓄地承认，许多因素将影响干预的成功这些影响是众多的，涉及社会、个人、政治和文化变量：这些因素共同构成了发生康复的复杂背景。3,4“复杂性”一词经常用于整个康复过程；诸如实践的复杂性、复杂的病人和复杂的问题等概念都是非常熟悉的。为了理解我们所说的复杂性，一个对比可能会有所帮助：我们认为复杂的系统有许多复杂的元素，虽然它们可以以几种方式相互作用，但它们是以线性和可预测的方式相互作用的；然而，在一个复杂的系统中，这些错综复杂的元素以不容易理解或预测的方式相互作用因此，预测一个复杂系统的行为很简单，但不可能对一个复杂系统执行同样的壮举。
In practice, clinicians recognize that the effectiveness of a rehabilitative intervention will be influenced by a range of uncontrollable, interrelated factors.1 For at least 40 years, a holistic, ‘whole person’ approach has acknowledged, albeit implicitly, that many factors will affect the success of an intervention.2 These influences are numerous and relate to social, personal, political and cultural variables: the very elements which together form the complex context in which rehabilitation occurs.3, 4 The term ‘complexity’ is often used throughout rehabilitation; notions such as complexity in practice, complex patients and complex problems are all familiar enough.1, 5, 6 To understand what we mean by complexity, a contrast may be helpful: a system we think of as complicated has many intricate elements that, whilst they can interact with one another in several ways, do so in a linear and predictable fashion; within a complex system, however, these intricate elements interact in ways that cannot be easily understood or predicted.4 Consequently, it is simple enough to foretell the behaviour of a complicated system, but impossible to perform the same feat with a complex one.