Division of Rehabilitation Medicine, Department of Clinical Neurosciences, University of Cambridge and Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge and Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
BMJ Open. 2022 Apr 22;12(4):e048072. doi: 10.1136/bmjopen-2020-048072.
Cranioplasty is a widely practised neurosurgical procedure aimed at reconstructing a skull defect, but its impact on a patient's rehabilitation following a traumatic brain injury (TBI) or stroke could be better understood. In addition, there are many issues that a TBI patient or the patient who had a stroke and their families may have to adapt to. Insight into some of the potential social barriers, including issues related to social engagement and cosmetic considerations, would be beneficial. Currently, little is known about how this procedure impacts a patient's recovery, the patient's perceptions of rehabilitation precranioplasty and postcranioplasty and the broader issues of cosmesis and social reintegration. This study hopes to understand some of these issues and therefore help inform clinicians of some of the difficulties and perceptions that patients and their relatives may have.
A mixed-methods study. Data will be collected through focus groups with healthcare professionals (HCPs) and semi-structured interviews with patients and their relatives, field notes, a researcher diary and a patient questionnaire. Different perspectives will be brought together through method triangulation. Patient and relative data will be analysed using interpretive phenomenological analysis, and HCPs data will be analysed thematically using deductive and inductive coding.
Ethical approval has been obtained from the Wales REC 7 ethics committee (Rec ref: 19/WA/0315). There is limited literature regarding a patient's perception of the cranioplasty process, the potential impact on rehabilitation and how this may impact their reintegration into the community. The results of this study will be presented at national brain injury conferences and published in peer-reviewed, national and international journals.
颅骨修复术是一种广泛应用的神经外科手术，旨在重建颅骨缺损，但对于创伤性脑损伤（TBI）或中风患者在手术后的康复影响，可以有更深入的了解。此外，TBI 患者或中风患者及其家属可能需要适应许多问题。了解一些潜在的社会障碍，包括与社交参与和美容考虑相关的问题，将是有益的。目前，人们对该手术如何影响患者的康复、患者对修复前后颅骨的康复认知以及美容和社会重新融合等更广泛问题知之甚少。本研究旨在了解其中的一些问题，从而帮助临床医生了解患者及其家属可能遇到的一些困难和认知。
采用混合方法研究。将通过医疗保健专业人员（HCPs）的焦点小组和患者及其家属的半结构化访谈、现场记录、研究人员日记和患者问卷收集数据。通过方法三角测量将不同的观点汇集在一起。将使用解释性现象学分析来分析患者和家属的数据，而 HCPs 的数据将使用演绎和归纳编码进行主题分析。
已从威尔士 REC 7 伦理委员会获得伦理批准（Rec ref：19/WA/0315）。关于患者对颅骨修复过程的认知、对康复的潜在影响以及这如何影响他们重新融入社区的文献有限。本研究的结果将在国家脑损伤会议上进行介绍，并在同行评议的国家和国际期刊上发表。
