Liang Phyllis, Fleming Jennifer, Gustafsson Louise, Griffin Janelle, Liddle Jacki
a Division of Occupational Therapy, School of Health and Rehabilitation Sciences , The University of Queensland , Brisbane , Queensland , Australia.
b Department of Occupational Therapy , Princess Alexandra Hospital , Brisbane , Queensland , Australia.
Brain Inj. 2017;31(4):517-525. doi: 10.1080/02699052.2017.1283058. Epub 2017 Mar 24.
Mixed methods phenomenological research approach.
Semi-structured interviews and health-related quality of life questionnaires were conducted with 15 family members of individuals with ABI (early group: 1-12 months post-injury, n = 6; later group: >1 year post-injury, n = 9).
Two main themes were identified: Different for everyone: how driving disruption affects families, and Making it harder: context of driving disruption. The challenges of driving disruption were reported more frequently and with a more intense focus by family members who were caring for their relative for more than 1 year post-injury. This group also reported higher caregiver strain and poorer health-related quality of life. Reduced satisfaction with life, poor mental health and affected family functioning were reported by both groups.
Driving disruption impacts on family members and has long-lasting consequences. It is important for clinicians to work with family members to manage these challenges even years after ABI and consider individual contextual factors.
1)探究家庭成员在获得性脑损伤(ABI)后康复连续体早期和后期经历驾驶障碍的生活体验。2)描述经历驾驶障碍的ABI患者家庭成员的健康相关生活质量。
混合方法现象学研究方法。
对15名ABI患者的家庭成员进行了半结构化访谈和健康相关生活质量问卷调查(早期组:受伤后1 - 12个月,n = 6;后期组:受伤后>1年,n = 9)。
确定了两个主要主题:因人而异:驾驶障碍如何影响家庭,以及雪上加霜:驾驶障碍的背景。受伤后照顾亲属超过1年的家庭成员更频繁、更集中地报告了驾驶障碍带来的挑战。该组还报告了更高的照顾者压力和更差的健康相关生活质量。两组均报告生活满意度降低、心理健康状况不佳以及家庭功能受影响。
驾驶障碍会影响家庭成员,并产生长期后果。临床医生与家庭成员合作应对这些挑战很重要,即使在ABI多年后也要考虑个体背景因素。