North Wales Brain Injury Service, Colwyn Bay Hospital, Colwyn Bay, UK.
Neuropsychol Rehabil. 2013;23(1):19-44. doi: 10.1080/09602011.2012.713314. Epub 2012 Aug 21.
Many persons with traumatic brain injury (TBI) are young adults who, prior to their TBI, were in paid employment. Psychosocial outcome after TBI, for many, remains poor. This includes low rates of return to pre-injury work or education, among others. This qualitative study explored the experience of return to work (RTW) rehabilitation with 10 individuals who sustained TBI. Data were collected from semi-structured interviews. Transcripts were analysed using interpretative phenomenological analysis (IPA). Some of the main findings from this study included the following: Individuals find the RTW experience difficult and painful. They experience a distinct grief reaction in the process of exploring re-engagement in occupation following TBI. In view of these and other findings, changes to RTW rehabilitation should be considered to facilitate the optimal support for patients with TBI engaging in the RTW rehabilitation process.
许多创伤性脑损伤 (TBI) 患者是年轻人，在 TBI 之前，他们有带薪工作。许多人在 TBI 后的社会心理预后仍然较差。这包括重返受伤前的工作或教育的比例较低等。这项定性研究探索了 10 名 TBI 患者的重返工作 (RTW) 康复体验。数据来自半结构化访谈收集。使用解释现象学分析 (IPA) 对转录本进行分析。这项研究的一些主要发现包括：个人发现 RTW 体验困难和痛苦。他们在探索 TBI 后重新参与职业的过程中经历了明显的悲伤反应。鉴于这些和其他发现，应该考虑对 RTW 康复进行更改，以促进为参与 RTW 康复过程的 TBI 患者提供最佳支持。
