Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Impact of Individual Centered Intervention Approaches According to the Model of Human Occupation
İnsan Aktivite-Rol Modeline Göre Birey Merkezli Müdahale Yaklaşımlarının Etkisi
Ayşe GÖKTAŞa, Mine UYANIKb
aDepartment of Physiotherapy, Ankara University Kızılcahamam Vocational School of Health Services,
bDepartment of Occupational Therapy, Hacettepe University Faculty of Health Sciences, Ankara, TURKEY
Turkiye Klinikleri J Health Sci. 2019;4(2):132-46
doi: 10.5336/healthsci.2018-62988
Article Language: EN
Full Text
ABSTRACT
 Objective: The study investigated the individual centered benefits of intervention approaches according to the Model of Human Occupation. Material and Methods: Study carried out with the collaboration of Hacettepe University Faculty of Health Sciences Department of Ergotherapy and the Ministry of Family and Social Policies. The study included 17 individuals with mental and spiritual problems staying at Hope House and 17 individuals staying at the Saray Rehabilitation Center (institutional). The evaluation of Activity Role Performance was made through Model of Human Occupation Screening Tool (MOHOST) and Performance Process Model. Results: The average age was obtained being 31.65±5.72 at institutional houses and it was 30.76±5.45 years in Hope Houses. A difference in the motivation for activity, activity role pattern, process skills and environmental components of the individuals living at the institution were found. There is a difference in motivation for activity, activity-role pattern, process skills, communication and interaction skills and environmental components scores of the individuals living in Hope House. Among the individuals at Hope House and the institution, when the difference between the preliminary and post test scores were analyzed, a difference in favor of the individuals living at Hope House was found. There is a difference in motivation for, activity-role pattern, communication and interaction skills and environmental components scores of the individuals living in Hope House. The results of Hope Houses were found to be higher than the institution houses. Conclusion: The impact of Ergotherapy interventions was presented for improving the community involvement of the individuals in Hope Homes.

Keywords: Model of human occupation; intervention; client-centered; hope house
ÖZET
 Amaç: İnsan Aktivite-Rol Modeli'ne (MOHO) göre uygun müdahale yaklaşımlarının, kişi merkezli faydasını incelemektir. Gereç ve Yöntemler: Çalışma Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Ergoterapi Bölümü ile Aile ve Sosyal Politikalar Bakanlığı işbirliği ile yapılmıştır. Çalışmaya Umut Evlerinde kalan 17 zihinsel-ruhsal problemli birey ile Saray Rehabilitasyon Merkezinde kalan 17 zihinsel-ruhsal problemli olan birey dâhil edilmiştir. İnsan Aktivite-Rol Modeli Tarama Aracı (İARMTA) ve Performans Süreç Modeli ile Aktivite-rol performansı değerlendirmesi yapılmıştır. Bulgular: Kurum evlerinde kalanların yaş ortalaması 31,65±5,72 yıl, Umut Evlerinde ise 30.76±5.45 yıl olarak tespit edilmiştir. Kurumda yaşayan bireylerin, aktivite-rol için motivasyon, aktivite rol paterni, süreç becerileri ve çevre komponentlerinde fark bulunmuştur (p<0,01).Umut Evinde yaşayan bireylerin, aktivite-rol için motivasyon, aktivite rol paterni, iletişim ve etkileşim becerileri, süreç becerileri ve çevre komponentlerinde fark bulunmuştur. Umut Evi ile Kurum Evinde yaşayan bireyler arasında, ön ve son test fark puanları incelendiğinde; Umut Evindeki bireyler lehine bir fark bulunmuştur (p<0,05). Umut Evinde yaşayan bireylerin, aktive-rol için motivasyon, aktive rol paterni, iletişim etkileşim becerileri ve çevre kompenentlerinde fark bulunmuştur. Umut Evlerinin sonuçları Kurum Evlerine göre daha yüksek bulunmuştur. Sonuç: Umut Evlerinde yaşayan bireylerin toplumsal katılımlarını artırmak için Ergoterapi müdahalelerinin etkisi ortaya çıkmıştır.

Anahtar Kelimeler: İnsan aktivite rol model; müdahale; birey merkezli; umut evi
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