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Everyday occupations prioritised by older adults participating in reablement. A cross-sectional study.

日常职业优先由老年人参与重新培训。横断面研究。

  • 影响因子:1.45
  • DOI:10.1080/11038128.2019.1604800
  • 作者列表:"Tuntland H","Kjeken I","Folkestad B","Førland O","Langeland E
  • 发表时间:2020-05-01
Abstract

:Background: Little knowledge exists regarding which occupations older adults prioritize as rehabilitation goals in reablement and what factors are associated with their preferences.Objectives: To explore which occupations older people with functional decline find important to improve, which of these they prioritize as their rehabilitation goals, and what factors are associated with these priorities.Materials and methods: A cross-sectional study was undertaken with a sample of 738 older adults from a nationwide trial evaluating the effects of reablement in Norway. The nine occupational sub-areas of the Canadian Occupational Performance Measure were used as a framework for analyses.Results: Participants identified a multitude of occupations as challenging. Functional mobility was the most frequently identified and prioritized sub-area. Significant associations were found between prioritized occupations and health condition, sex, living status, education, walking speed and motivation.Conclusions: This study found both abundance and diversity in the occupational problems and prioritized goals of older adults, with mobility being a key priority regardless of health condition.Significance: It is important that reablement continues to be a person-centered intervention embracing the possibility to choose meaningful occupations. Occupational Therapists and other health professionals should address mobility when improving occupational performance in older adults.

摘要

背景: 关于哪些职业是老年人在康复中优先考虑的康复目标以及哪些因素与他们的偏好相关的知识还很少。材料和方法: 对来自挪威的一项全国性试验的738名老年人进行了一项横断面研究,评估了重新消融的效果。加拿大职业表现测量的九个职业子领域被用作分析框架。结果: 参与者认为许多职业具有挑战性。功能移动性是最常识别和优先的子区域。在优先考虑的职业和健康状况、性别、生活状态、教育、步行速度和动机之间发现了显著的关联。结论: 这项研究发现了老年人的职业问题和优先目标的丰富性和多样性,不管健康状况如何,流动是一个关键的优先事项。意义:重要的是,重新启动仍然是一种以人为中心的干预,包括选择有意义的职业的可能性。职业治疗师和其他卫生专业人员在改善老年人的职业表现时应解决流动性问题。

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日常生活活动方向

日常生活活动指一个人为了满足日常生活的需要每天所进行的必要活动和功能性移动。

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