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“我不想去想它”:加纳道路交通意外幸存者的心理社会经历。

'I don't want to think about it': Psychosocial experiences of road traffic accident survivors in Ghana.

机构信息

Department of Accidents and Emergency, Korle Bu Teaching Hospital, Guggisberg Avenue, P. O. Box 77, Korle Bu, Accra, Ghana.

Department of Adult Health, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, P.O. Box LG43, Legon, Accra, Ghana.

出版信息

Int Emerg Nurs. 2020 Nov;53:100935. doi: 10.1016/j.ienj.2020.100935. Epub 2020 Oct 6.

Abstract

INTRODUCTION

Road traffic injuries are among the top ten traumatic events that affect the psychosocial wellbeing and quality of life of survivors. The aim of this study was to explore the experiences of road traffic accident survivors in Ghana, a low-middle-income country in sub-Saharan Africa.

METHODS

The study adopted an interpretive qualitative research design. Thirteen (13) participants were purposively selected from the Accident Centre of the largest public teaching hospital in Ghana. Data collection employed in-depth face-to-face interviews using a semi-structured guide. Data analysis occurred concurrently using thematic analysis methods. The right to participate or withdraw from study was protected.

FINDINGS

Three major themes deductively generated from the research were cognitive experiences, affective responses and social experiences of Road Traffic Accident survivors. Nearly all survivors of road traffic accidents experience repetitive episodes of intrusive thoughts, nightmares, anxiety and other extreme emotions suggesting post-traumatic stress, which is often unrecognized.

CONCLUSION

Immediate reactions of survivors of road traffic accident are affected by their experiences, accessibility of support, and the responses of the larger community. We propose that a focused assessment and management of accident survivors for post-traumatic disorder be included in existing care modalities to promote a holistic care and recovery for survivors.

摘要

简介

道路交通伤害是影响幸存者的社会心理福祉和生活质量的十大创伤性事件之一。本研究旨在探索加纳(撒哈拉以南非洲的一个中低收入国家)道路交通事故幸存者的经历。

方法

本研究采用解释性定性研究设计。从加纳最大的公立教学医院的事故中心有目的地选择了 13 名(13 名)参与者。数据收集采用半结构化指南进行深入的面对面访谈。使用主题分析方法同时进行数据分析。参与者有权参与或退出研究。

结果

从研究中推导出三个主要主题,分别是道路交通事故幸存者的认知体验、情感反应和社会体验。几乎所有道路交通事故的幸存者都经历过反复出现的侵入性思维、噩梦、焦虑和其他极端情绪,表明存在创伤后应激障碍,但这种障碍往往未被识别。

结论

道路交通事故幸存者的即时反应受到他们的经历、支持的可及性以及更大社区的反应的影响。我们建议在现有的护理模式中纳入对事故幸存者创伤后障碍的集中评估和管理,以促进幸存者的全面护理和康复。

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