Department of Epidemiology and Preventive Medicine (DEPM), School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Health Expect. 2019 Oct;22(5):1003-1012. doi: 10.1111/hex.12907. Epub 2019 Jun 3.
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.
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.
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.
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.
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。
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。
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。
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。
