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在脑震荡后康复的道路上前进:参与者对持续脑震荡后症状的跨学科干预的体验。

Moving forward on the road to recovery after concussion: participant experiences of interdisciplinary intervention for persisting post-concussion symptoms.

机构信息

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

Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia.

出版信息

Disabil Rehabil. 2024 Aug;46(17):3961-3969. doi: 10.1080/09638288.2023.2261374. Epub 2023 Oct 8.

DOI:10.1080/09638288.2023.2261374
PMID:37807658
Abstract

PURPOSE

Many factors contribute to persisting post-concussion symptoms (PPCSs), necessitating multi-modal treatment. Quantitative investigations have shown the potential of interdisciplinary intervention to reduce the burden of PPCSs and facilitate return to activities. There are often varied responses to intervention, warranting further investigation of potential factors underlying treatment response. This study aimed to explore participant experiences of i-RECOveR, an interdisciplinary intervention for PPCSs and its impact on symptoms, daily function, and concussion beliefs.

MATERIALS AND METHOD

Semi-structured interviews were conducted 1-month post-treatment videoconferencing with 13 individuals (61% female) with mild traumatic brain injury (M=39.77 years, SD = 16.27) who participated in i-RECOveR. Interview transcripts were analysed thematically.

RESULTS

Three themes reflected participants' treatment journeys from concussion to life after treatment: (1) , reflected personal experiences prior to commencing treatment; (2) , reflected participant experiences of i-RECOveR; and (3) , reflected a range of positive changes after completing i-RECOveR.

CONCLUSIONS

Findings highlight current gaps in the acute management of concussion and provide end-user insights into the facilitators and barriers of treatment engagement and response. Responses also highlight the potential positive impact of interdisciplinary treatments. Clinician perspectives should be explored in future research.

摘要

目的

许多因素导致持续性脑震荡后症状(PPCSs)持续存在,需要多模式治疗。定量研究表明,跨学科干预具有减轻 PPCSs 负担和促进恢复活动的潜力。干预的反应往往存在差异,有必要进一步研究治疗反应背后的潜在因素。本研究旨在探讨 i-RECOveR 的参与者体验,这是一种针对 PPCSs 的跨学科干预措施,以及其对症状、日常功能和脑震荡信念的影响。

材料和方法

对 13 名轻度创伤性脑损伤(M=39.77 岁,SD=16.27)参与者进行了 1 个月的视频会议半结构式访谈,这些参与者参加了 i-RECOveR。对访谈记录进行了主题分析。

结果

三个主题反映了参与者从脑震荡到治疗后生活的治疗历程:(1),反映了治疗前的个人经历;(2),反映了参与者对 i-RECOveR 的体验;(3),反映了完成 i-RECOveR 后的一系列积极变化。

结论

研究结果突出了急性脑震荡管理中的当前差距,并为治疗参与和反应的促进因素和障碍提供了最终用户的见解。反应还突出了跨学科治疗的潜在积极影响。未来的研究应探讨临床医生的观点。

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