Tilburg School of Social and Behavioral Sciences, Tranzo Scientific Center for Care and Wellbeing, Tilburg University, Tilburg, Noord-Brabant, The Netherlands.
Research Department, Breuer&Intraval Research and Consultancy, Groningen, The Netherlands.
BMJ Open. 2022 Apr 20;12(4):e053330. doi: 10.1136/bmjopen-2021-053330.
To explore experiences of recovery after physical trauma and identify long-term needs for posthospital care.
DESIGN, PARTICIPANTS AND SETTING: A qualitative study was conducted consisting of seven online focus groups among working-age adults who sustained their injury between 9 months and 5 years ago. Trauma patients discharged from a level 1 trauma centre in the Netherlands were divided into three groups based on the type of their physical trauma (monotrauma, polytrauma and traumatic brain injury). Group interviews were transcribed verbatim, and thematic analysis was conducted.
Despite differences in type and severity of their injuries, participants all struggled with the impact that trauma had on various aspects of their lives. They experienced recovery as an unpredictable and inconstant process aimed at resuming a meaningful life. Work was often perceived as an important part of recovery, though the value attributed to work could change over time. Participants struggled to bring the difficulties they encountered in their daily lives and at work to the attention of healthcare professionals (HCPs). While posthospital care needs varied between and across groups, all people stressed the need for flexible access to person-centred, multidisciplinary care and support after hospital discharge.
This study reveals that people with a broad variety of injury experience recovery as a process towards resuming a meaningful life and report the need to expand trauma care to include comprehensive support to live well long term. Person-centred care might be helpful to enable HCPs to take people's individual long-term needs and life situations into account. Furthermore, providing timely access to coordinated, multidisciplinary care after discharge is advocated. Integrated care models that span a network of multidisciplinary support around the person may help align existing services and may facilitate easy and timely access to the most suitable support for injured people and their loved ones.
探索身体创伤后的康复体验，并确定出院后的长期护理需求。
设计、参与者和设置：这是一项定性研究，包括 7 个在线焦点小组，参与者为 9 至 5 年前受伤的处于工作年龄的成年人。根据身体创伤的类型（单部位创伤、多部位创伤和脑外伤），将从荷兰 1 级创伤中心出院的创伤患者分为 3 组。对小组访谈进行逐字记录，并进行主题分析。
尽管受伤类型和严重程度不同，但参与者都在努力应对创伤对其生活各方面的影响。他们将康复视为一个不可预测和不稳定的过程，旨在恢复有意义的生活。工作通常被视为康复的重要组成部分，尽管随着时间的推移，对工作的重视程度可能会发生变化。参与者难以将日常生活和工作中遇到的困难提请医疗保健专业人员（HCPs）注意。尽管出院后的护理需求在不同组之间存在差异，但所有人都强调需要灵活获得以患者为中心的多学科护理和支持。
这项研究表明，具有广泛创伤经历的人将康复视为恢复有意义生活的过程，并报告需要扩大创伤护理范围，包括提供全面支持以实现长期良好生活。以人为本的护理可能有助于 HCPs 考虑患者的个人长期需求和生活状况。此外，提倡在出院后及时获得协调的多学科护理。围绕患者建立的多学科支持综合护理模式可能有助于调整现有服务，并为受伤者及其亲人提供及时、方便地获得最适合的支持。
