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创伤后幸存者的同伴支持:范围综述。

Peer support for traumatic injury survivors: a scoping review.

机构信息

St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Disabil Rehabil. 2023 Jun;45(13):2199-2232. doi: 10.1080/09638288.2022.2083702. Epub 2022 Jun 9.

Abstract

PURPOSE

Peers are uniquely able to draw on their lived experiences to support trauma survivors' recovery. By understanding the functions and outcomes of peer support and the factors that impact implementation, evidence can be mobilized to enhance its application and uptake into standard practice. As such, we aimed to review the literature on peer support for trauma survivors to: examine the role of peer support in recovery; describe the nature and extent of peer support; Examine the influence of peer support on health and well-being; and identify the barriers and facilitators to developing and implementing peer support.

METHODS

Scoping review methodology as outlined by Arksey and O'Malley.

RESULTS

Ninety-three articles were reviewed. Peer support was highlighted as an important component of care for trauma survivors and provided hope and guidance for the future post-injury. Most peer support programs were offered in the community and provided one-on-one support from peer mentors using various modalities. Interventions were successful when they involved knowledgeable peer mentors and maintained participant engagement. Prior negative experiences and stigma/privacy concerns deterred trauma survivors from participating.

CONCLUSIONS

Peer support fulfills several functions throughout trauma survivors' recovery that may not otherwise be met within existing health care systems. Implications for rehabilitationBy understanding the functions and outcomes and the factors that impact implementation of peer support, evidence can be mobilized to enhance its application and uptake into standard practice.Peers provide trauma survivors with socioemotional support as well as assistance in daily management and life navigation post-injury.Peer support provided hope and guidance for the future after injury and improved self-efficacy amongst trauma survivors.Peer support programs are most likely to be successful when they involve knowledgeable peer mentors, are flexibly delivered, align with organizations' values and priorities, and have adequate resources and funding to support their implementation.

摘要

目的

同伴能够凭借其生活经验,支持创伤幸存者的康复。通过了解同伴支持的功能和结果以及影响实施的因素,可以调动证据来增强其应用和纳入标准实践。因此,我们旨在审查关于创伤幸存者同伴支持的文献,以:检查同伴支持在康复中的作用;描述同伴支持的性质和范围;检查同伴支持对健康和幸福的影响;并确定开发和实施同伴支持的障碍和促进因素。

方法

按照 Arksey 和 O'Malley 的概述进行范围审查方法。

结果

共审查了 93 篇文章。同伴支持被强调为创伤幸存者护理的重要组成部分,为受伤后的未来提供了希望和指导。大多数同伴支持计划在社区中提供,由同伴导师使用各种模式提供一对一的支持。当涉及有知识的同伴导师并保持参与者的参与度时,干预措施是成功的。先前的负面经历和耻辱感/隐私问题阻碍了创伤幸存者的参与。

结论

同伴支持在创伤幸存者的康复过程中满足了几个功能,否则在现有的医疗保健系统中可能无法满足。

对康复的影响

通过了解同伴支持的功能和结果以及影响实施的因素,可以调动证据来增强其应用和纳入标准实践。同伴为创伤幸存者提供社会情感支持,以及受伤后日常管理和生活导航方面的帮助。同伴支持为受伤后的未来提供了希望和指导,并提高了创伤幸存者的自我效能感。当同伴支持计划涉及有知识的同伴导师、灵活提供、与组织的价值观和优先事项保持一致、并有足够的资源和资金支持其实施时,它们最有可能取得成功。

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