- 期刊
以復能觀點對腦中風患者自我照顧能力之探討－個案報告
Self-care Ability of Patients with Stroke from the Perspective of Reablement: A Case Report
摘要
腦血管疾病為造成生活失能的主要原因之一。長照2.0計畫將復能納入服務項目，相較於傳統以肢體動作功能復原為主的復健模式，復能強調以個案為中心，即使功能受限，仍可在支持性的環境中執行重視的日常生活活動，並將其融入成訓練的一部分，進而提升個案的獨立性及減緩失能。本案例分享亞急性期腦中風個案以復能觀點介入之過程，藉由提供個案復能相關的衛教單張與影片，使個案更了解復能觀點；以個案為中心的討論需求與復能的目標。透過居家訪視給予居家環境調整的建議，給予復能目標的居家活動指導，並定期每2周於治療室進行追蹤與調整。經過6周介入，個案的日常生活功能獨立性與上肢動作功能有所提升，推測復能可能可以幫助提升個案日常生活活動之參與，以及生理功能之表現。
並列摘要
Cerebrovascular accident is one of the leading causes of dysfunction. The long-term care 2.0 includes reablement as one of the service items. In contrast to traditional rehabilitation focussing on motor function recovery, reablement is client-centered. Clients with functional limitations can do important and meaningful activities in a supportive environment, which is considered part of the training that helps reduce dysfunction and improve ADL independence. This case report presents the intervention process for a subacute stroke client. First, we let the client understand more about the reablement perspective by providing related health educational leaflets and videos. Need and reablement targets were discussed with the client as the center. We advised the client on adjusting the home environment and instructed on activities with reablement targets through home visiting. The client was routinely followed-up in the treatment room, and the management plan was revised. After six weeks, the client's ADL independence and upper extremity motor function improved. We deduce that reablement may help the client to involve in daily life and enhance physiological functions.