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Background: Goal setting is a key element in the rehabilitation process of stroke patients. Pa-tient centeredness has not only become an important underlying principle for the delivery of health and rehabilitation services, it has also become an important aspect of the goal-setting process. Current research in the area of stroke rehabilitation suggests that there is a lack of con-sensus concerning best practice for goal-setting. The aim of the study was to determine how rehabilitation team members set rehabilitation goals in patients after stroke, which assessment tools do they use and what obstacles are present during the goal-setting process.Methods: Qualitative semi-structured interviews were conducted with 35 stroke unit rehabili-tation team members at the University Rehabilitation Institute. The interview included questions about clinical experience of goal setting process generally in rehabilitation, the use of assessment tools and problems that arise in setting goals. Results: Most of the team members already used goal setting as a measure of the effectiveness of rehabilitation treatment and perceive goal setting as demanding. Most common mentioned barriers to goal setting were lack of time, and patient characteristics (disease, personality and expectations). Specific improvements were suggested regarding education. Conclusion: This study highlights a number of issues relevant to rehabilitation team members during the goal-setting process in stroke rehabilitation. Rehabilitation process should be patient-centred and goal-directed. In the future, it is important to develop clear guidelines about goal setting in stroke rehabilitation, as well as additional training for healthcare professionals. Izhodišče: Postavljanje ciljev je ključni element rehabilitacijske obravnave bolnikov po možganski kapi. V bolnika usmerjeni pristop ni pomemben le za zdravstvene in rehabilitacijske storitve, ampak ima velik pomen tudi v procesu postavljanja ciljev. Trenutne raziskave na področju rehabilitacijske obravnave bolnikov po možganski kapi še niso dale jasnega odgovora glede najboljše klinične prakse pri postavljanju rehabilitacijskih ciljev. Namen raziskave je bil ugotoviti, na kakšen način člani rehabilitacijskega tima pri bolnikih po možganski kapi postavljajo rehabilitacijske cilje, katera ocenjevalna orodja pri tem uporabljajo in katere ovire so prisotne pri postavljanju ciljev.Metode: Anketni vprašalnik je izpolnilo 35 članov rehabilitacijskega tima na Oddelku za rehabilitacijo bolnikov po možganski kapi Univerzitetnega rehabilitacijskega inštituta Republike Slovenije - Soča. Vprašalnik je vseboval vprašanja glede splošnih kliničnih izkušenj pri postavljanju ciljev v procesu rehabilitacije, uporabi ocenjevalnih orodij in težavah, ki se pojavijo pri postavljanju ciljev. Rezultati: Večina članov rehabilitacijskega tima je že uporabljala postavljanje ciljev kot merilo učinkovitosti rehabilitacijske obravnave in so dojemali postavljanje ciljev kot zahteven proces. Najpogostejše ovire pri postavljanju ciljev so bile pomanjkanje časa in značilnosti bolnika (soobolevnost, osebnostne lastnosti in pričakovanja). Zaključek: Naša raziskava je prikazala številne vidike s strani članov rehabilitacijskega tima, ki so pomembni za postavljanje ciljev v rehabilitaciji bolnikov po možganski kapi. Rehabilitacijski proces se bi moral usmeriti v bolnika in voditi do zastavljenih ciljev. V prihodnje bi bilo smiselno razviti jasne smernice glede postavljanja ciljev v rehabilitaciji bolnikov po možganski kapi kot tudi dodatno izobraževanje zdravstvenega osebja tega področja. |
