[应对残疾--应对方式的分类]。

Harefuah Pub Date : 2024-11-01
David Kuzari, Julia Gouzman
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引用次数: 0

摘要

导言:应对疾病或身体残疾及其后果(包括日常功能下降)是一种压力,会给个人和家庭带来各种挑战。康复是一个复杂的持续过程,目的是帮助患者尽可能恢复到患病前的功能状态。应对疾病/残疾的方式各有不同,这影响到康复过程及其成功与否:本文旨在为肢体残疾患者的应对方式提供概念和框架,以帮助康复团队为这些患者提供护理:方法:在马卡比中心区的康复诊所进行临床观察,以了解肢体残疾患者的应对方式。在 2020 年 2 月至 2022 年 7 月期间,对 240 名适合本次研究的患者进行了检查。样本包括处于亚急性阶段的患者,即在诊断阶段和导致功能下降的疾病治疗结束后的患者:临床观察结果表明,最有效的应对方式是灵活应对,这种方式可以让患者接受康复计划提供的帮助,并根据当前的功能状态调整自己的生活方式:专业人士必须熟悉各种应对方式,以帮助患者在这些方式之间进行转换。接纳与承诺疗法(ACT)可以帮助患者提高心理灵活性。建议将其作为多专业康复治疗的一部分,以最大限度地提高康复效果。
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[COPING WITH A DISABILITY - A CLASSIFICATION OF COPING STYLES].

Introduction: Coping with illness or physical disability and its consequences, including a decrease in daily function, is a stressful situation that poses various challenges for the person and the family. Rehabilitation is a complex ongoing process targeting to help return to functioning as close as possible to the status prior to the illness. There are different styles of coping with disease/disability, which affect the rehabilitation process and its success.

Objectives: This article aims to conceptualize and prepare a framework for coping of patients with physical disabilities in order to assist rehabilitative teams in providing care for these patients.

Methods: Clinical observations were conducted at the rehabilitation clinic in the central district of Maccabi, for mapping styles of coping with physical disability. Between February 2020 and July 2022, 240 patients who were suitable for the current study were examined. The sample included patients in the sub-acute phase, after the end of the diagnostic phase and the curative treatment of a medical condition, which caused a functional decline.

Results: Clinical observations indicate that the most effective coping style is flexibility, which allows a person to receive the assistance provided under the rehabilitation program and to adjust his or her lifestyle to the current functional status.

Conclusions: It is important for professionals to be familiar with coping styles to help patients move between them. Acceptance and Commitment Therapy (ACT) may help increase a person's psychological flexibility. It is recommended to combine it as part of the multi-professional rehabilitation to maximize the results of the rehabilitation.

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