Patients, doctors, and therapists perceptions of professional roles in spinal cord injury rehabilitation: Do they agree?
Patients, doctors, and therapists perceptions of professional roles in spinal cord injury rehabilitation: Do they agree?
复制标题
患者、医生和治疗师对脊髓损伤康复中专业角色的看法：他们同意吗？
DOI：
10.1080/13561820701195567
复制
发表时间：
2007
影响因子：
2.7
通讯作者：
G. Pellatt
中科院分区：
文献类型：
--
作者：
G. Pellatt
脊髓损伤是一种毁灭性的疾病，需要一系列医疗保健专业人员进行广泛的康复治疗。然而，目前尚不清楚患者是否以与专业人士相同的方式看待专业人士对其康复的投入。本文介绍了一项定性研究的结果，病人参与脊髓损伤康复。本研究报告的目的是确定医疗保健专业人员和患者对脊髓损伤康复中专业角色的看法是否一致。结果是从半结构化的采访进行了5名医生，5名物理治疗师，3名职业治疗师和20名患者在脊髓损伤单位在英格兰。研究结果表明，相当大的专业人士和患者之间的协议，这些专业人士在他们的康复中发挥的作用。物理治疗师被认为是康复的关键，职业治疗师专注于手部功能，但物理治疗师和职业治疗师相辅相成。医生协调团队，但减少他们的投入，因为病人走出急性期进入康复。有一些紧张局势，但这些专业人员的早期投入到病人的康复可能有助于发展的角色的理解。患者和专业人员之间的一致性可能意味着患者有现实的期望，并鼓励他们之间建立更平等的关系。
Spinal cord injury is a devastating condition, requiring extensive rehabilitation from a range of health care professionals. However, it is unclear if patients view the professionals' input into their rehabilitation in the same way as those professionals. This paper presents findings from a qualitative study into patient participation in spinal cord injury rehabilitation. The aim of the part of the study reported here was to identify whether there is agreement between health care professionals and patients perceptions of professional roles in spinal cord injury rehabilitation. Results are presented from semi-structured interviews conducted with five doctors, five physiotherapists, three occupational therapists and 20 patients in a spinal cord injury unit in England. Findings suggest considerable agreement between professionals and patients about the role those professionals play in their rehabilitation. Physiotherapists are perceived to be key to rehabilitation, occupational therapists focus on hand function but physiotherapists and occupational therapists complement each other. Doctors coordinate the team yet reduce their input as patients move out of the acute phase into rehabilitation. There are some tensions but the early input of these professionals into patients' rehabilitation may help to develop understanding of roles. Congruence between patients and professionals may mean that patients have realistic expectations and encourage a more equal relationship between them.