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“我衰老得更快了”:创伤性脑损伤患者的老龄化体验

"I'm aging faster": social participation as experienced by individuals aging with a traumatic brain injury.

机构信息

School of Rehabilitation, Université de Montréal, Montréal, Quebec, Canada.

Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal - Centre intégré universitaire de santé et services sociaux (CIUSSS) du Centre-Sud-de-l'Île-de-Montréal, Montréal, Quebec, Canada.

出版信息

Brain Inj. 2022 Jul 29;36(9):1089-1098. doi: 10.1080/02699052.2022.2109735. Epub 2022 Aug 29.

Abstract

OBJECTIVES

  1. To get an insight into the experience of aging with traumatic brain injury (TBI), and 2) explore intervention avenues perceived as promising for the social participation of this population.

METHOD

Through an exploratory descriptive study, in-depth semi-structured interviews were conducted with aging TBI survivors recruited in a nonprofit community organization whose mission is to support the social participation of people living with TBI. Thematic analysis was done on qualitative data, using a hybrid approach of deductive and inductive analysis.

RESULTS

Ten aging TBI survivors with an average age of 64.9 years were interviewed. Participants expressed the perception of declining faster and with greater limitations than their fellow seniors unchallenged by TBI but also of having social participation opportunities due to their condition. A list of ten facilitators (e.g., doing activities in synch with life story) and five barriers (e.g., unequal levels of disability) to their social participation emerged.

CONCLUSION

Social participation is crucial to TBI-affected individuals' healthy aging. Nonprofit community organizations should offer opportunities for participation, mobilize environmental resources, foster self-confidence, and support the achievement of meaningful personal projects to enable the social participation of people aging with TBI.

摘要

目的

1)深入了解外伤性脑损伤(TBI)患者的老龄化体验,2)探讨被认为对该人群社会参与有希望的干预途径。

方法

通过探索性描述性研究,对在一个非营利社区组织中招募的老龄化 TBI 幸存者进行了深入的半结构化访谈,该组织的使命是支持 TBI 患者的社会参与。使用演绎和归纳分析相结合的混合方法对定性数据进行了主题分析。

结果

共采访了 10 名平均年龄为 64.9 岁的老龄化 TBI 幸存者。参与者表示,与未受 TBI 挑战的同龄老年人相比,他们的身体机能下降得更快,限制也更大,但由于他们的状况,他们也有社会参与的机会。出现了一系列促进因素(例如,与人生故事同步进行活动)和五个障碍(例如,残疾程度不平等)来促进他们的社会参与。

结论

社会参与对于受 TBI 影响的个人的健康老龄化至关重要。非营利社区组织应为参与者提供机会,调动环境资源,树立信心,并支持实现有意义的个人项目,以使 TBI 患者能够参与社会。

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