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影响轻微交通相关损伤后康复的生物心理社会障碍:来自维多利亚州的定性研究。

Biopsychosocial barriers affecting recovery after a minor transport-related injury: A qualitative study from Victoria.

机构信息

Department of Epidemiology and Preventive Medicine (DEPM), School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

出版信息

Health Expect. 2019 Oct;22(5):1003-1012. doi: 10.1111/hex.12907. Epub 2019 Jun 3.

Abstract

OBJECTIVE

The aim of the study was to understand the recovery phenomena and to explore participants' perspectives on the biopsychosocial facilitators and barriers affecting their recovery after a minor transport injury.

METHODS

A qualitative method was used involving semi-structured interviews with 23 participants who sustained a minor transport injury. Interviews and analysis were guided by the biopsychosocial model (BPS) of health. The outcomes were themes capturing biopsychosocial barriers to, and personal experiences of, recovery using a previously defined framework.

RESULTS

The themes indicate that recovery is a multifaceted phenomenon affected by comorbidities such as chronic pain, depression and anxiety. A range of subsequent complexities such as the inability to self-care and undertaking daily domestic duties, and incapacity to participate in recreational activities were major barriers to recovery. These barriers were found to be an on-going source of frustration, dissatisfaction and a perceived cause of depressive symptomatology in many participants. Most participants reported mixed feelings of the care received. Other common issues raised included a lack of understanding of the assessment time, regular follow-up, guidance and on-going support.

CONCLUSION

This study revealed that recovery after a minor transport-related injury was a challenging, complex, demanding and a long-term process for the individuals in this study. Findings from this limited cohort suggested that, for participants to return to their pre-accident health status, a more coordinated approach to information and care delivery may be required.

摘要

目的

本研究旨在了解康复现象,并探讨参与者对影响其轻微交通伤后康复的生物-心理-社会促进因素和障碍的看法。

方法

采用半结构式访谈方法,对 23 名遭受轻微交通伤的参与者进行了定性研究。访谈和分析以健康的生物-心理-社会模式(BPS)为指导。研究结果是使用先前定义的框架捕捉到的康复的生物-心理-社会障碍和个人体验的主题。

结果

这些主题表明,康复是一个多方面的现象,受到慢性疼痛、抑郁和焦虑等合并症的影响。一系列后续的复杂性,如无法自我照顾和承担日常家务,以及无法参与娱乐活动,是康复的主要障碍。这些障碍被发现是许多参与者感到沮丧、不满和抑郁症状的持续来源。大多数参与者对所接受的护理有混合的感觉。其他常见的问题包括对评估时间、定期随访、指导和持续支持缺乏了解。

结论

本研究表明,对于本研究中的个体来说,轻微交通相关损伤后的康复是一个具有挑战性、复杂性、高要求和长期的过程。来自这一有限队列的研究结果表明,为了让参与者恢复到受伤前的健康状态,可能需要采取更协调的信息和护理提供方法。

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