Liddle Jacki, Fleming Jennifer, McKenna Kryss, Turpin Merrill, Whitelaw Penny, Allen Shelley
The University of Queensland, School of Health and Rehabilitation Sciences, University of Queensland, Queensland, Australia.
Aust Occup Ther J. 2012 Feb;59(1):79-88. doi: 10.1111/j.1440-1630.2011.00978.x. Epub 2011 Dec 7.
BACKGROUND/AIMS: Community mobility is affected by an interruption to or cessation of driving following traumatic brain injury (TBI). This study aimed to examine loss of the driving role and to explore the outcomes associated with driving cessation from the perspectives of key people involved within the process: people with TBI, their family members and involved health professionals.
A qualitative methodology was used, employing semi-structured interviews with 15 individuals with TBI who had experienced driving cessation, 10 family members and 10 health professionals working with this population.
This article focuses on two themes, each with three subthemes. Being stuck: needs related to driving cessation had subthemes: (i) an emotional time, (ii) being normal and (iii) participation without driving. The second theme, A better way: suggestions to improve outcomes had subthemes: (i) information, (ii) support and trying it out and (iii) their family member's roles and needs.
Driving cessation following TBI is associated with emotional, identity, transport and participation-related needs. An ongoing, individualised approach involving information, support and practical experiences may improve outcomes of driving cessation for people with TBI and their family members.
背景/目的：创伤性脑损伤（TBI）后驾驶中断或停止会影响社区出行能力。本研究旨在探讨驾驶角色的丧失，并从该过程中关键人物的角度，即创伤性脑损伤患者、其家庭成员以及相关医疗专业人员，探索与驾驶停止相关的结果。
采用定性研究方法，对15名经历过驾驶停止的创伤性脑损伤患者、10名家庭成员以及10名从事该人群治疗工作的医疗专业人员进行半结构化访谈。
本文聚焦两个主题，每个主题包含三个子主题。被困住：与驾驶停止相关的需求有以下子主题：（i）一段情绪化的时期，（ii）回归正常，（iii）无驾驶情况下的参与。第二个主题，更好的方式：改善结果的建议有以下子主题：（i）信息，（ii）支持与尝试，（iii）其家庭成员的角色与需求。
创伤性脑损伤后的驾驶停止与情感、身份认同、交通出行及参与相关的需求有关。一种持续的、个性化的方法，包括提供信息、支持和实践体验，可能会改善创伤性脑损伤患者及其家庭成员在驾驶停止方面的结果。
