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医护人员是否会评估轻度创伤性脑损伤(mTBI)后患者的风险因素并与其讨论恢复驾驶问题?来自 2020 年 DocStyles 调查的结果。

Do healthcare providers assess for risk factors and talk to patients about return to driving after a mild traumatic brain injury (mTBI)? Findings from the 2020 DocStyles Survey.

机构信息

National Center for Injury Prevention and Control, Division of Injury Prevention, Atlanta, Georgia, USA

National Center for Injury Prevention and Control, Division of Injury Prevention, Atlanta, Georgia, USA.

出版信息

Inj Prev. 2021 Dec;27(6):560-566. doi: 10.1136/injuryprev-2020-044034. Epub 2021 Jan 15.

DOI:10.1136/injuryprev-2020-044034
PMID:33452014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8281323/
Abstract

BACKGROUND

There is a dearth of information and guidance for healthcare providers on how to manage a patient's return to driving following a mild traumatic brain injury (mTBI).

METHODS

Using the 2020 DocStyles survey, 958 healthcare providers were surveyed about their diagnosis and management practices related to driving after an mTBI.

RESULTS

Approximately half (52.0%) of respondents reported routinely (more than 75% of the time) talking with patients with mTBI about how to safely return to driving after their injury. When asked about how many days they recommend their patients with mTBI wait before returning to driving after their injury: 1.0% recommended 1 day or less; 11.7% recommended 2-3 days; 24.5% recommended 4-7 days and 45.9% recommended more than 7 days. Many respondents did not consistently screen patients with mTBI for risk factors that may affect their driving ability or provide them with written instructions on how to safely return to driving (59.7% and 62.6%, respectively). Approximately 16.8% of respondents reported they do not usually make a recommendation regarding how long patients should wait after their injury to return to driving.

CONCLUSIONS

Many healthcare providers in this study reported that they do not consistently screen nor educate patients with mTBI about driving after their injury. In order to develop interventions, future studies are needed to assess factors that influence healthcare providers behaviours on this topic.

摘要

背景

对于医疗保健提供者来说,在患者经历轻度创伤性脑损伤(mTBI)后,如何管理其恢复驾驶的问题,相关信息和指导十分匮乏。

方法

本研究使用 2020 年 DocStyles 调查,对 958 名医疗保健提供者进行了有关其诊断和管理与 mTBI 后驾驶相关的实践情况的调查。

结果

约有一半(52.0%)的受访者报告说,他们经常(超过 75%的时间)与 mTBI 患者讨论如何在受伤后安全地恢复驾驶。当被问及他们建议 mTBI 患者在受伤后多少天才能恢复驾驶时:1.0%的受访者建议 1 天或更短时间;11.7%建议 2-3 天;24.5%建议 4-7 天,而 45.9%则建议超过 7 天。许多受访者并未对可能影响患者驾驶能力的风险因素对患者进行常规筛查,也未向他们提供关于如何安全恢复驾驶的书面说明(分别为 59.7%和 62.6%)。约有 16.8%的受访者报告说,他们通常不会建议患者在受伤后应等待多长时间才能恢复驾驶。

结论

本研究中的许多医疗保健提供者报告说,他们并没有对 mTBI 患者进行常规筛查和教育,也没有告知他们受伤后恢复驾驶的相关内容。为了制定干预措施,未来的研究需要评估影响医疗保健提供者在这一主题上行为的因素。

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