Acquired Brain Injury Transitional Rehabilitation Service, Division of Rehabilitation,Princess Alexandra Hospital, Metro South Health, Brisbane, Australia.
The Hopkins Centre: Research for Rehabilitation and Resilience, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.
Neuropsychol Rehabil. 2023 Jul;33(6):1144-1173. doi: 10.1080/09602011.2022.2070222. Epub 2022 May 11.
Transitional rehabilitation service models for people with acquired brain injury (ABI) may address sub-optimal support for individuals returning home after hospitalization for ABI. This study investigated perspectives of people with ABI and close others who received transitional rehabilitation. A qualitative study involving semi-structured interviews with 10 individuals with ABI and 12 associated close others was conducted as part of a mixed-method evaluation of an Australian transitional rehabilitation service (TRS) pilot project. Thematic analysis based on the Framework method was conducted independently by two researchers. Three broad themes illustrated participants' experience of the TRS: (1) ; (2) ; and (3) . Findings suggest that home-based, interdisciplinary transitional rehabilitation after hospital discharge was perceived as an important stage of rehabilitation by participants. Valued features relate to post-hospital rehabilitation structure: a single point of contact to facilitate organization and information exchange, a known discharge destination, and consistent communication; support and therapy within a familiar home environment; and being equipped with relevant knowledge and strategies to manage ongoing challenges. Further research exploring the experiences of individuals with ABI without close family or social support, and research capturing longitudinal outcomes from transitional rehabilitation is recommended.
针对后天性脑损伤（ABI）患者的过渡性康复服务模式可能会解决患者在因 ABI 住院治疗后返回家中时支持不足的问题。本研究调查了接受过渡性康复服务的 ABI 患者及其密切相关者的观点。这是一项混合方法评估澳大利亚过渡性康复服务（TRS）试点项目的一部分，采用半结构式访谈，对 10 名 ABI 患者和 12 名相关密切相关者进行了定性研究。两名研究人员独立采用框架方法进行了主题分析。三个广泛的主题说明了参与者对 TRS 的体验：（1） ；（2） ；和（3） 。研究结果表明，出院后的家庭为基础的跨学科过渡性康复被参与者视为康复的重要阶段。有价值的特征与医院后的康复结构有关：一个便于组织和信息交流的单一联系点、已知的出院目的地和一致的沟通；在熟悉的家庭环境中获得支持和治疗；以及具备管理持续挑战的相关知识和策略。建议进一步研究探索没有亲密家人或社会支持的 ABI 患者的体验，以及研究从过渡性康复中获得的纵向结果。
