提高视力障碍患者的生活质量

Katarina Galof
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摘要

导语:失明被认为是最严重的疾病之一。失明会导致人的心理和情绪问题,是世界上最复杂的健康问题之一。盲人客户的康复侧重于日常活动的独立表现。职业治疗中的Kawa模式是一种促进客户和治疗师之间更好互动的模式,并使其能够在考虑文化因素的情况下指导客户。该模型被用于职业治疗的不同领域,并带来了积极的结果。本研究的目的是了解Kawa模型,并将其应用于盲人客户。方法:采用定性研究、单一历时个案研究的方法。一个病例持续了4个月,其中包括一名自出生以来一直失明的客户。职业治疗过程使用Kawa的逐步模型进行。制作了一张触觉图片和一块触觉磁板来代表这些模型,这是一种创新的职业治疗媒介。结果:由于处理方式不同,Kawa模型很有趣,同时客户也很容易理解。制作的触觉辅助工具也对此做出了贡献。从客户如何在实践中应用理论知识的角度来看,Kawa模型的使用也很有趣。客户对模型本身的易用性表示满意。结论:所用改良介质磁板和触觉图像对治疗有重要贡献。盲人客户康复的职业治疗师用她的知识为这些客户的独立性和生活质量做出贡献。对更大的样本进行进一步研究,并在职业治疗过程中纳入更多其他职业治疗评估,这将是有益的。
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Improve Quality of Life Client with Visual Impairment
Introduction: Blindness is considered one of the most serious diseases. Blindness causes mental and emotional problems in a person and is one of the most complex health problems in the world. Rehabilitation of blind clients focuses on independent performance of daily activities. The Kawa model in occupational therapy is a model that promotes better interaction between the client and the therapist and makes it possible to guide the client taking into account cultural factors. The model is used in different areas of occupational therapy and brings positive results. The purpose of this research is to learn about the Kawa model and apply it to blind clients. Methods: a qualitative research, a singular diachronic single case study was conducted. One case, which lasted 4 months, included a client who has been blind since birth. The occupational therapy process was conducted using Kawa’s step-by-step models. A tactile picture and a tactile magnetic board were made to represent the models, which are an innovative occupational therapy medium. Results: The Kawa model is interesting due to a different way of handling and at the same time very easy for the client to understand. The tactile aids made also contributed to this. The use of the Kawa model is also interesting from the point of view of how the client applies the theoretical knowledge in practice. The client expressed satisfaction with the ease of use of the model itself. Conclusion: The used modified media magnetic board and tactile picture represent an important contribution to the treatment. The occupational therapist in the rehabilitation of blind clients contributes with her knowledge to the independence and quality of life of these clients. It would be useful to conduct further studies on a larger sample and to include more other occupational therapy assessments in the occupational therapy process.
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