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创伤性脑损伤后男性在康复与恢复过程中的性别化经历:一项反思性主题分析。

Men's gendered experiences of rehabilitation and recovery following traumatic brain injury: A reflexive thematic analysis.

作者信息

D'Souza Andrea, Fabricius Alexis, Amodio Vanessa, Colquhoun Heather, Lewko John, Haag Halina Lin, Quilico Enrico, Archambault Patrick, Colantonio Angela, Mollayeva Tatyana

机构信息

Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.

Acquired Brain Injury and Society Laboratory, Toronto Rehabilitation Institute-University Health Network, Toronto, Canada.

出版信息

Neuropsychol Rehabil. 2022 Apr;32(3):337-358. doi: 10.1080/09602011.2020.1822882. Epub 2020 Sep 22.

Abstract

Research shows that gender influences men's health-related beliefs and behaviours - including those within the context of traumatic brain injury (TBI) - making it a factor that should be considered when designing and implementing interventions for this population. To incorporate an understanding of such gendered influences in future educational materials for men with TBI, as well as their caregivers and clinicians, this qualitative study was informed by social constructionism, and aimed to explore how gender is related to men's post-TBI perceptions and behaviours in rehabilitation and recovery. Semi-structured interviews were conducted with 22 men with mild and moderate-severe TBI at the acute (≤ 3 months post-TBI) and chronic (> 3 months post-TBI) phases of injury. A reflexive thematic analysis approach was applied to interview data, guided by the concept of hegemonic masculinity as described by Connell, R.W. (2005. [2nd ed.]. Polity). Three key themes were identified: (1) ", (2) ", and (3) ". These findings may be translated into gender-informed therapy strategies and materials.

摘要

研究表明,性别会影响男性与健康相关的信念和行为——包括在创伤性脑损伤(TBI)背景下的那些信念和行为——这使得在为该人群设计和实施干预措施时应将其作为一个需要考虑的因素。为了在未来针对患有创伤性脑损伤的男性及其护理人员和临床医生的教育材料中纳入对这种性别影响的理解,这项定性研究以社会建构主义为指导,旨在探讨性别如何与男性创伤性脑损伤后在康复和恢复过程中的认知及行为相关。对22名患有轻度和中重度创伤性脑损伤的男性在损伤的急性期(创伤性脑损伤后≤3个月)和慢性期(创伤性脑损伤后>3个月)进行了半结构化访谈。采用反思性主题分析方法对访谈数据进行分析,该方法以康奈尔(Connell, R.W.,2005年,[第2版],政体出版社)所描述的霸权男性气质概念为指导。确定了三个关键主题:(1)“……”,(2)“……”,以及(3)“……”。这些研究结果可转化为考虑性别的治疗策略和材料。

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