İnmeli Bireylerde Serbest Zaman Aktivitelerine Yönelik Ergoterapi Yaklaşımlarının Aktivite Performansına Etkisi

Amaç: Bu çalışma kronik inmesi olan bireylere uygulanan kişi merkezli serbest zaman aktiviteleri temelli ergoterapi müdahalesinin, bireylerin toplumsal katılımları ve yaşam kaliteleri üzerine etkisini araştırmak üzere planlandı. Gereç ve Yöntem: Çalışmaya, en az 1 yıl önce inme geçirmiş 16 birey dahil edildi. Bireylerin tercih ettikleri serbest yaşam aktivitelerinin belirlenmesi için Kanada Aktivite Performans Ölçeği (KAPÖ) kullanıldı. Ayrıca aktivite tercihlerine destek olan ve engel olan etmenlerin belirlenmesi için yüz yüze görüşme yöntemi kullanıldı. Tercih edilen aktiviteler belirlendikten sonra bireylerin kısıtlılık kaynaklarının tespit edilmesi için Dinamik Performans Analizi (DPA) kullanıldı. Problemli alanların belirlenmesi ile her birey için kişiye özel ergoterapi müdahalesi planlandı ve 8 hafta boyunca haftada 2 seans uygulandı. Sonuçlar: Müdahale sonrasında bireylerin KAPÖ, ölçümleri arasında istatistiksel olarak anlamlı fark bulundu (p<0,05) ve algılanan destek ve bariyerlerin olumlu yönde değiştiği bulundu. Tartışma: Serbest zaman aktiviteleri temelli ergoterapi müdahalesi aracılığı ile inmeli bireylerin aktivite performanslarında iyileşmeye neden olmuştur. Aktivite performansına etki eden faktörlerin belirlenmesi ile inmeli bireyler için planlanan kişi merkezli ve bütüncül serbest zaman aktiviteleri temelli ergoterapi müdahalelerinin, inmeli bireylerin aktivite performansını artıracağı düşünülmektedir.

Anahtar Kelimeler:

inme, iş ve uğraşı terapisi, serbest zaman aktiviteleri

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