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从原住民视角看脑损伤:长者与传统治疗师的教诲

Brain injury from a first nations' perspective: teachings from elders and traditional healers.

作者信息

Keightley Michelle L, King Grace E, Jang Shu-Hyun, White Randy J, Colantonio Angela, Minore J Bruce, Katt Mae V, Cameron D Anita, Bellavance Alice M, Longboat-White Claudine H

机构信息

Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto Rehabilitation Institute and Holland Bloorview Kids Rehabilitation Hospital, 160-500 University Ave., Toronto, ON, Canada, M5G 1V7.

出版信息

Can J Occup Ther. 2011 Oct;78(4):237-45. doi: 10.2182/cjot.2011.78.4.5.

DOI:10.2182/cjot.2011.78.4.5
PMID:22043555
Abstract

BACKGROUND

There is a lack of knowledge about how cultural ideas affect First Nations peoples' perception of rehabilitation needs and the ability to access services.

PURPOSE

The study explored the perceptions of treating and healing brain injury from First Nations elders and traditional healers in the communities served by Wassay-Gezhig-Na-Nahn-Dah-We-lgamig (Kenora Area Health Access Centre).

METHODS

A participatory action approach was used, leading to a focus group with elders and traditional healers. Findings, established through a framework analysis method, were member checked prior to dissemination.

FINDINGS

Four themes arose from the data: pervasiveness of spirituality, "fixing" illness or injury versus living with wellness, working together in treating brain injury, and financial support needed for traditional healing.

IMPLICATIONS

Funding is required for traditional healing services to provide culturallysafe and responsive occupational therapy services to First Nations individuals with brain injury.

摘要

背景

对于文化观念如何影响原住民对康复需求的认知以及获得服务的能力,人们了解不足。

目的

本研究探讨了在瓦赛 - 格齐格 - 纳 - 纳恩 - 达 - 韦 - 利加米格(肯诺拉地区医疗服务中心)所服务社区中,原住民长者和传统治疗师对脑损伤治疗与康复的看法。

方法

采用参与式行动方法,组织了一次由长者和传统治疗师参加的焦点小组讨论。通过框架分析法得出的研究结果,在传播之前进行了成员核对。

结果

数据产生了四个主题:灵性的普遍性、“治愈”疾病或损伤与健康生活、共同治疗脑损伤以及传统治疗所需的经济支持。

启示

需要为传统治疗服务提供资金,以便为患有脑损伤的原住民个体提供具有文化安全性且响应性良好的职业治疗服务。

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