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创伤性脑损伤后早期康复期间亲属激越的家庭体验

Family experiences of supporting a relative with agitation during early recovery after traumatic brain injury.

机构信息

School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia.

Monash-Epworth Rehabilitation Research Centre, Epworth Healthcare, Melbourne, Australia.

出版信息

Neuropsychol Rehabil. 2024 May;34(4):510-534. doi: 10.1080/09602011.2023.2219064. Epub 2023 Jun 18.

DOI:10.1080/09602011.2023.2219064
PMID:37332244
Abstract

During the early recovery period after traumatic brain injury (TBI), referred to as post-traumatic amnesia (PTA), approximately 44% of individuals may exhibit agitated behaviours. Agitation can impede recovery and poses a significant management challenge for healthcare services. As families provide significant support for their injured relatives during this time, this study aimed to explore the family's experience during PTA to better understand their role in agitation management. There were 20 qualitative semi-structured interviews conducted with 24 family members of patients exhibiting agitation during early TBI recovery (75% female, aged 30-71 years), predominantly parents ( = 12), spouses ( = 7) and children ( = 3). The interviews explored the family's experience of supporting their relative exhibiting agitation during PTA. The interviews were analyzed using reflexive thematic analysis, which revealed three key themes: family contributions to patient care, expectations of the health care service and supporting families to support patients. This study emphasized the significant role of families in managing agitation during early TBI recovery and highlighted that families who are well-informed and well-supported have the potential to minimize their relative's agitation during PTA, which may reduce the burden on healthcare staff and promote patient recovery.

摘要

在创伤性脑损伤(TBI)后的早期康复期间,即创伤后遗忘期(PTA),约有 44%的人可能表现出激越行为。激越会妨碍康复,对医疗服务构成重大管理挑战。由于在这段时间里,家庭为受伤的亲属提供了重要的支持,因此本研究旨在探讨家庭在 PTA 期间的体验,以更好地了解他们在激越管理中的作用。研究对 24 名在早期 TBI 康复期间表现出激越的患者的 24 名家属(75%为女性,年龄 30-71 岁)进行了 20 次定性半结构式访谈,主要为父母( = 12)、配偶( = 7)和子女( = 3)。这些访谈探讨了家庭在支持 PTA 期间表现出激越的亲属的经验。访谈采用反思性主题分析进行分析,揭示了三个关键主题:家庭对患者护理的贡献、对医疗保健服务的期望以及支持家庭以支持患者。本研究强调了家庭在管理早期 TBI 康复期间激越中的重要作用,并强调了知情和得到良好支持的家庭有潜力最大限度地减少其亲属在 PTA 期间的激越,从而减轻医护人员的负担并促进患者康复。

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引用本文的文献

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Traumatic Brain Injury and Dementia: Mechanisms, Risk Stratification, and Clinical Management.创伤性脑损伤与痴呆:机制、风险分层及临床管理
J Clin Neurol. 2025 Jul;21(4):265-276. doi: 10.3988/jcn.2025.0079.
2
Reclaiming Agency in Care Decisions and Barriers From the Perspectives of Individuals With Acquired Brain Injury and Their Family Members.从后天性脑损伤患者及其家属的角度出发,重新审视在护理决策中争取自主权以及面临的障碍。
Health Expect. 2024 Jun;27(3):e14109. doi: 10.1111/hex.14109.
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Unravelling the current shortfalls, challenges, and opportunities in traumatic brain injury.
揭示当前创伤性脑损伤的不足、挑战和机遇。
BMC Neurol. 2023 Dec 11;23(1):438. doi: 10.1186/s12883-023-03484-0.