轻度创伤性脑损伤后心理健康并发症管理的障碍与促进因素
Barriers and facilitators to the management of mental health complications after mild traumatic brain injury.
作者信息
Silverberg Noah D, Otamendi Thalia, Dulai Amanda, Rai Ripenjot, Chhina Jason, MacLellan Anna, Lizotte Pierre-Paul
机构信息
Department of Psychology, University of British Columbia, Vancouver, BC, V6T 1Z4, Canada.
Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, V5Z 2G9, Canada.
出版信息
Concussion. 2021 Jun 15;6(3):CNC92. doi: 10.2217/cnc-2020-0022. eCollection 2021 Sep.
BACKGROUND
Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI.
METHODS & RESULTS: Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains.
CONCLUSION
Family physicians could benefit from accessible and easily implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists.
背景
轻度创伤性脑损伤（mTBI）管理的临床实践指南要求家庭医生积极筛查并启动心理健康并发症的治疗，但有证据表明这种情况并非始终如一。作者旨在确定医生所感知到的mTBI后心理健康并发症早期管理的障碍和促进因素。
方法与结果
对11名家庭医生进行了基于理论领域框架（TDF）的半结构化访谈。使用定向内容分析法对访谈记录进行分析。沿着TDF的五个领域确定了影响mTBI后心理健康管理的因素。
结论
家庭医生可以从易于获取和实施的资源中受益，以便管理mTBI后的心理健康状况，在此过程中拥有更明确的角色，并将转诊至心理健康专家的流程规范化。
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