Kenah Katrina, Bernhardt Julie, Cumming Toby, Spratt Neil, Luker Julie, Janssen Heidi
a School of Health Sciences, Faculty of Health and Medicine , University of Newcastle , Newcastle , NSW , Australia.
b Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery , The Florey Institute of Neuroscience & Mental Health , Heidelberg , VIC , Australia.
Disabil Rehabil. 2018 Nov;40(22):2713-2722. doi: 10.1080/09638288.2017.1354232. Epub 2017 Aug 1.
Boredom may impede engagement in inpatient rehabilitation following an acquired brain injury. This review aimed to: (1) describe the experience and (2) quantify the incidence of boredom; (3) identify measurement tools used to quantify boredom; (4) summarize factors contributing to boredom, and (5) outline evidence-based interventions shown to reduce boredom during inpatient rehabilitation.
Two researchers independently screened publications retrieved from electronic database searches. Publications presenting patient, carer or staff data relating to boredom in inpatients with acquired brain injuries were included.
Two thousand four hundred and ninety-nine references were retrieved, 88 full texts were reviewed, with 24 studies included. The majority of studies reported qualitative data indicating boredom to be a common experience of patients with acquired brain injuries (n = 14 studies +1 review). The incidence of boredom post acquired brain injury is unknown. Personal and organizational factors and the physical environment may contribute to boredom (n = 11 studies +2 reviews). Qualitative work (n = 9 studies) indicates that use of the creative-arts or exposure to environmental enrichment may help alleviate boredom in patients with acquired brain injuries during inpatient rehabilitation.
Further mixed-methods research is required to establish the incidence of and contributing factors to boredom in patients with acquired brain injuries undergoing rehabilitation. Understanding this will help inform future research aimed at improving patient engagement in inpatient rehabilitation. Implications for rehabilitation Boredom is commonly reported by hospitalised patients with ABI to negatively affect their rehabilitation yet the scope of the problem has not been measured. Boredom is a complex phenomenon, likely influenced by a number of personal and environmental factors that are not fully understood in this population. Through a better understanding of boredom, interventions may be developed to improve patient engagement in inpatient rehabilitation programs.
无聊可能会妨碍后天性脑损伤患者参与住院康复治疗。本综述旨在：（1）描述无聊体验；（2）量化无聊发生率；（3）确定用于量化无聊的测量工具；（4）总结导致无聊的因素；（5）概述已证明可减少住院康复期间无聊感的循证干预措施。
两名研究人员独立筛选从电子数据库检索到的出版物。纳入呈现与后天性脑损伤住院患者无聊相关的患者、护理人员或工作人员数据的出版物。
共检索到2499篇参考文献，审阅了88篇全文，纳入24项研究。大多数研究报告了定性数据，表明无聊是后天性脑损伤患者的常见体验（n = 14项研究 + 1篇综述）。后天性脑损伤后无聊的发生率尚不清楚。个人和组织因素以及物理环境可能导致无聊（n = 11项研究 + 2篇综述）。定性研究（n = 9项研究）表明，在住院康复期间，运用创意艺术或接触丰富的环境可能有助于减轻后天性脑损伤患者的无聊感。
需要进一步开展混合方法研究，以确定接受康复治疗的后天性脑损伤患者无聊感的发生率及其影响因素。了解这些将有助于为未来旨在提高患者住院康复参与度的研究提供信息。对康复的启示 住院的后天性脑损伤患者普遍报告无聊会对其康复产生负面影响，但该问题的范围尚未得到衡量。无聊是一种复杂的现象，可能受到一些个人和环境因素的影响，而在这一人群中对这些因素尚未完全了解。通过更好地理解无聊，可以制定干预措施来提高患者对住院康复计划的参与度。
