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一项关于成年人持续性脑震荡后综合征患者获得专门康复服务的定性研究。

"": a qualitative study of access to specialized rehabilitation services as experienced by adults with persistent MTBI symptoms.

机构信息

Department of Rehabilitation, Université Laval, Québec, Canada.

Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (Cirris), Québec, Canada.

出版信息

Disabil Rehabil. 2024 Jun;46(11):2414-2423. doi: 10.1080/09638288.2023.2224084. Epub 2023 Jun 18.

Abstract

PURPOSE

Persistent symptoms experienced by adults following mild traumatic brain injury (mTBI) can significantly impact their daily activities. It is often difficult for them to access specialized rehabilitation services. The aim of this study is to explore this population's experience surrounding access to specialized rehabilitation services, including waiting time.

MATERIALS AND METHODS

This study used a qualitative phenomenological approach and was conducted using semi-structured interviews. Twelve adults with mTBI who had received specialized interdisciplinary rehabilitation services were recruited. The interviews focused on participants' recollection of their patient journey after injury, their perception of waiting, barriers and facilitators to access, and the impacts of these experiences on their condition.

RESULTS

Participants reported experiencing symptoms such as anxiety, depression, worry, sadness, and discouragement before accessing specialized services. They all agreed that they did not receive clear information about their recovery process or the health services available to them, which exacerbated their mental health symptoms.

CONCLUSION

The findings show that participants experienced uncertainty because they lacked information regarding recovery and access to health services after their injury. Education about symptoms and recovery, as well as emotional support for people with mTBI should be made available during the waiting period.

摘要

目的

成年人在经历轻度创伤性脑损伤(mTBI)后会出现持续的症状,这会对他们的日常活动产生重大影响。他们往往难以获得专业的康复服务。本研究旨在探讨这一人群在获得专业康复服务方面的体验,包括等待时间。

材料与方法

本研究采用定性现象学方法,通过半结构化访谈进行。招募了 12 名接受过专业跨学科康复服务的 mTBI 成年人。访谈重点关注参与者对受伤后就医经历的回忆、对等待的看法、获得服务的障碍和促进因素,以及这些经历对他们病情的影响。

结果

参与者报告在接受专业服务之前出现了焦虑、抑郁、担忧、悲伤和沮丧等症状。他们都认为自己在康复过程或可获得的健康服务方面没有得到明确的信息,这加剧了他们的心理健康症状。

结论

研究结果表明,参与者感到不确定,因为他们缺乏受伤后关于康复和获取健康服务的信息。在等待期间,应提供有关症状和康复的教育,以及对 mTBI 患者的情感支持。

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