Monash Epworth Rehabilitation Research Centre (MERRC) and School of Psychological Sciences, Monash University, Clayton, Australia.
Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia.
Neuropsychol Rehabil. 2021 Jul;31(6):889-913. doi: 10.1080/09602011.2020.1744453. Epub 2020 Mar 23.
Given the significant impact of severe traumatic brain injury (TBI), understanding factors influencing recovery is critical to inform prognostication and treatment planning. Previous research has focussed primarily on factors negatively associated with outcome, with less focus on factors facilitating the recovery process. The current qualitative study examined positive factors identified for recovery by individuals who had sustained severe TBI three years earlier. Semi-structured interviews were conducted with nine participants with TBI and 16 close-others. Participants were asked to identify factors about themselves (or the injured individual), those around them, and the care they received that they felt were positive for recovery. Using reflexive thematic analysis, three themes were identified as positive for recovery after a TBI. included social supports such as family and friends, and receiving other funded/non-funded assistance towards improving independence and participation. included being able to participate, being positive, using compensatory strategies, and becoming fit, healthy and happy. included patients perceiving they had a comprehensive and good quality hospital experience, and access to multidisciplinary outpatient services. A focus on enhancing these positive environmental, personal and service factors in service provision may enhance outcomes following severe TBI.
鉴于严重创伤性脑损伤 (TBI) 的重大影响，了解影响康复的因素对于预后和治疗计划至关重要。先前的研究主要集中在与结果负相关的因素上，而对促进康复过程的因素关注较少。本研究采用定性研究方法，对 3 年前发生严重 TBI 的 9 名患者和 16 名亲近的人进行了半结构化访谈，调查了他们认为对康复有积极影响的因素。研究人员询问参与者，他们认为哪些因素对自己（或受伤的个体）、周围的人以及他们所接受的康复治疗有积极影响。使用反思性主题分析方法，确定了三个与 TBI 后康复相关的积极主题。主题 1 包括社会支持，如家庭和朋友，以及获得其他资金/非资金援助，以提高独立性和参与度。主题 2 包括能够参与、积极主动、使用补偿策略以及保持健康和快乐。主题 3 包括患者认为他们有全面和高质量的医院体验，以及获得多学科门诊服务的机会。在服务提供中注重增强这些积极的环境、个人和服务因素，可能会提高严重 TBI 后的康复效果。
