Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada.
PLoS One. 2024 Nov 14;19(11):e0310803. doi: 10.1371/journal.pone.0310803. eCollection 2024.
There is a dearth of reviews exploring rehabilitation for violence-related traumatic brain injury (TBI) despite its increasing rates and distinct risk factors and outcomes. The aim of this scoping review is to determine the extent to which rehabilitation is available to and accessed by people who sustain TBI from interpersonal violence.
Electronic databases (i.e., MEDLINE, Cochrane CENTRAL Register of Clinical Trials, CINAHL, APA PsycINFO, Criminal Justice Abstracts, Applied Social Sciences Index and Abstracts, and Proquest Nursing and Allied Health) and grey literature (i.e., relevant organizations' websites) were systematically searched for peer-reviewed articles and reports that met eligibility criteria. To be included, articles had to report primary findings on rehabilitation interventions that included individuals who sustained a TBI through interpersonal violence. Articles based on the military population were excluded. Data were synthesized through a descriptive numerical summary and qualitative content analysis.
Fifty-two primary research articles and five grey literature reports were included. Most (77.2%) of these articles described rehabilitation interventions that addressed TBI sequalae without consideration for violence as a mechanism of injury, beyond reporting sample characteristics. Only thirteen articles (22.4%) considered violence-related TBI by investigating the rehabilitation profile (13.8%) or designing programs specifically for survivors of violence-related TBI (8.6%). There was limited attention to social determinants of health across all studies.
This is the first scoping review to our knowledge that explored the extent and nature of rehabilitation among persons who experience TBI through violence in civilian populations. Priorities for education, research, and practice are identified.
尽管与暴力相关的创伤性脑损伤（TBI）的发生率不断增加，且具有独特的风险因素和结果，但针对此类 TBI 的康复治疗的相关综述却十分匮乏。本研究旨在明确人际关系暴力所致 TBI 患者能够获得和实际接受康复治疗的程度。
系统检索了电子数据库（即 MEDLINE、Cochrane 临床试验中心注册库、CINAHL、APA PsycINFO、刑事司法摘要、应用社会科学索引和摘要以及 Proquest 护理与相关健康）和灰色文献（即相关组织的网站），以获取符合纳入标准的同行评议文章和报告。纳入标准为：报告了包含人际关系暴力所致 TBI 患者的康复干预措施的主要发现的文章。基于军事人群的文章被排除在外。通过描述性数值总结和定性内容分析对数据进行综合。
共纳入 52 篇原始研究文章和 5 篇灰色文献报告。这些文章中，大多数（77.2%）描述了针对 TBI 后遗症的康复干预措施，而没有考虑暴力作为损伤机制，除了报告样本特征外。仅有 13 篇文章（22.4%）通过调查康复情况（13.8%）或专门为暴力相关 TBI 幸存者设计方案（8.6%）来考虑与暴力相关的 TBI。所有研究都很少关注健康的社会决定因素。
这是我们所知的首次针对人际关系暴力所致平民人群 TBI 患者康复治疗的范围和性质的综述。确定了教育、研究和实践的优先事项。
