Cogan Alison M, Huang Janice, Philip Joyce
Washington DC VA Medical Center, USA.
Naval Hospital Camp Pendleton, Salt Lake City, UT, USA.
OTJR (Thorofare N J). 2019 Oct;39(4):232-238. doi: 10.1177/1539449218813849. Epub 2018 Nov 22.
The purpose of this study is to describe important features of occupational therapy practice for treatment of military service members with chronic symptoms and a history of mild traumatic brain injury (mTBI) in a military concussion care clinic from service members' perspectives with support from occupational therapy practitioners. Two series of focus groups were conducted with service members with chronic mTBI-related symptoms ( = 6) and practitioners ( = 5). Data were analyzed concurrently with collection. We identified five main themes: therapeutic relationship, consistent inclusion of family members, combat versus noncombat injuries, loss of military identity, and assessment against population norms. The findings of this study suggest that service members' evaluations of occupational therapy are based on the overall experience of the encounter, centered by the therapeutic relationship, rather than specific intervention strategies or technology.
本研究的目的是在职业治疗从业者的支持下,从服役人员的角度描述在军事脑震荡护理诊所中,职业治疗实践针对患有慢性症状和轻度创伤性脑损伤(mTBI)病史的军事服役人员进行治疗的重要特征。对患有慢性mTBI相关症状的服役人员(n = 6)和从业者(n = 5)进行了两轮焦点小组访谈。数据在收集的同时进行分析。我们确定了五个主要主题:治疗关系、家庭成员的持续参与、战斗伤与非战斗伤、军人身份丧失以及对照人群规范进行评估。本研究结果表明,服役人员对职业治疗的评价基于整个诊疗过程的总体体验,以治疗关系为核心,而非特定的干预策略或技术。