Centre for Rehabilitation and Ageing Research, University of Nottingham, Nottingham NG7 2RD, UK.
Centre for Academic Primary Care, University of Nottingham, Nottingham NG7 2RD, UK.
Int J Environ Res Public Health. 2022 Dec 3;19(23):16202. doi: 10.3390/ijerph192316202.
Following traumatic injury, an informal carer is often required to support recovery. Understanding the impact of caregiving is important to inform intervention design.
to explore the impact of caring on family and caregiver finances, employment, social life, and psychological wellbeing.
Semi-structured interviews conducted with carers of traumatic injury survivors. Interviews were audio recorded, transcribed and thematically analysed, informed by the Roy Adaptation Model (RAM) and International Classification of Functioning, Disability and Health (ICF).
Ten participants were interviewed. Key themes included (1) financial impact/employment issues, (2) relationships and support and (3) psychological impact. Most carers did not receive professional support with daily care post-discharge. Carers' employers responded positively, supporting them even after extensive leave. Carers received inconsistent communication whilst visiting trauma survivors in hospital; carers with healthcare experience were favoured. Navigating and receiving benefits was complex. Some carers found it difficult to accept the trauma survivor's injury, whilst others focused on achieving goals.
Support from professional services is limited outside hospital settings for non-brain injuries. Future interventions and healthcare services should acknowledge the lack of psychological support for carers. Researchers should consider using the ICF/RAM when designing interventions to ensure the full impact on carers is addressed.
创伤后，经常需要非专业护理人员来支持康复。了解护理的影响对于干预措施的设计很重要。
探讨护理对家庭和护理人员经济、就业、社会生活和心理健康的影响。
对创伤幸存者的护理人员进行半结构化访谈。访谈进行了录音、转写，并根据适应模式（RAM）和国际功能、残疾和健康分类（ICF）进行了主题分析。
共访谈了 10 名参与者。主要主题包括（1）经济影响/就业问题，（2）人际关系和支持，以及（3）心理影响。大多数护理人员在出院后没有接受过日常护理的专业支持。护理人员的雇主在他们请长假后仍积极支持他们。护理人员在医院探望创伤幸存者时得到的沟通不一致；有医疗保健经验的护理人员更受青睐。护理人员在申请福利方面遇到困难，有些人难以接受创伤幸存者的受伤情况，而另一些人则专注于实现目标。
非脑部创伤患者在出院后，专业服务提供的支持有限。未来的干预措施和医疗保健服务应认识到护理人员缺乏心理支持。研究人员在设计干预措施时应考虑使用 ICF/RAM，以确保充分解决对护理人员的影响。
