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“我还没被打晕,所以我可能没事”:业余橄榄球运动员不知道他们正在冒的风险。

"I've not been knocked out, so I'll probably be fine:" Amateur Rugby players do not know the risks they are taking.

作者信息

Walker Daniel, Qureshi Adam, Marchant David, Murray Rebecca, Balani Alex Bahrami

机构信息

Department of Psychology, University of Bradford, Bradford, England.

Department of Psychology, Edge Hill University, Ormskirk, England.

出版信息

PLoS One. 2025 Jun 4;20(6):e0325368. doi: 10.1371/journal.pone.0325368. eCollection 2025.

DOI:10.1371/journal.pone.0325368
PMID:40465580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12136326/
Abstract

Concussion is prevalent in British amateur Rugby and there is currently contradicting evidence of the attitudes and knowledge of concussion in Rugby players. As such this study aimed to investigate the reasons for the variance in attitudes and knowledge of concussion in British amateur Rugby. As concussion is a lived experience within sport, we utilised qualitative interviews using reflexive thematic analysis to assess data obtained from nine amateur Rugby players that had sustained over three concussions to understand if they are aware of the known risks associated with such injuries. Our findings show that poor duty of care from those around the player with suspected concussion was prevalent, and that this poor duty of care enables poor attitudes toward and limited knowledge of concussion. It was also discovered that a lack of education could explain this poor duty of care that is offered to Rugby players by non-players. Poor duty of care and lack of education encourage continued participation from the player with suspected concussion. When there are examples of World Rugby failing in their duty of care of the best players in the world, it is unsurprising that players and non-players in the amateur game follow suit. Therefore, the education of both players and non-players in amateur Rugby matches is paramount, as well as World Rugby improving their concussion practices, in tackling the poor attitudes and knowledge base that we see in the amateur Rugby game.

摘要

脑震荡在英国业余橄榄球运动中很普遍,目前关于橄榄球运动员对脑震荡的态度和认知存在相互矛盾的证据。因此,本研究旨在调查英国业余橄榄球运动中对脑震荡的态度和认知存在差异的原因。由于脑震荡是体育运动中的一种实际经历,我们采用定性访谈和反思性主题分析来评估从九名曾遭受三次以上脑震荡的业余橄榄球运动员那里获得的数据,以了解他们是否意识到与此类损伤相关的已知风险。我们的研究结果表明,对疑似脑震荡球员周围人的护理责任履行不力的情况很普遍,而这种护理责任履行不力导致了对脑震荡的不良态度和有限认知。还发现,缺乏教育可以解释非运动员对橄榄球运动员护理责任履行不力的情况。护理责任履行不力和缺乏教育促使疑似脑震荡的球员继续参赛。当世界橄榄球组织在对世界上最优秀球员的护理责任方面出现失误时,业余比赛中的球员和非球员效仿也就不足为奇了。因此,在业余橄榄球比赛中对球员和非球员进行教育至关重要,同时世界橄榄球组织也应改进其脑震荡应对措施,以解决我们在业余橄榄球比赛中看到的不良态度和知识基础问题。

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本文引用的文献

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Introduction of the 'Blue Card' Concussion Policy to Semi-Elite Australian Football: Medical Staff Experiences and Perceptions.向澳大利亚半职业足球领域引入“蓝卡”脑震荡政策:医务人员的经验与看法
Int J Sports Phys Ther. 2024 Dec 2;19(12):1569-1580. doi: 10.26603/001c.125794. eCollection 2024.
2
No time to waste: necessary health support for retired professional rugby players.刻不容缓:为退役职业橄榄球运动员提供必要的健康支持。
S Afr J Sports Med. 2021 Jan 15;33(1):v33i1a10651. doi: 10.17159/2078-516X/2021/v33i1a10651. eCollection 2021.
3
Non-reporting of sport-related concussion symptoms: a cross-sectional study of community rugby league players in the UK.与运动相关的脑震荡症状未报告情况:英国社区橄榄球联盟球员的横断面研究
Inj Prev. 2025 Jan 23;31(1):81-87. doi: 10.1136/ip-2023-045108.
4
Answering tough questions: Why is qualitative research essential for public health?回答棘手问题:为何定性研究对公共卫生至关重要?
Aust N Z J Public Health. 2024 Jun;48(3):100157. doi: 10.1016/j.anzjph.2024.100157. Epub 2024 May 25.
5
Quest for clarity: investigating concussion-related responsibilities across the New Zealand Rugby Community System.追求明晰:调查新西兰橄榄球社区系统中与脑震荡相关的责任
BMJ Open Sport Exerc Med. 2023 Oct 16;9(4):e001722. doi: 10.1136/bmjsem-2023-001722. eCollection 2023.
6
Developing a simple risk metric for the effect of sport-related concussion and physical pain on mental health.制定一个简单的风险指标,用于评估运动相关性脑震荡和身体疼痛对心理健康的影响。
PLoS One. 2023 Oct 13;18(10):e0292751. doi: 10.1371/journal.pone.0292751. eCollection 2023.
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I won't let you down; why 20% of Men's and Women's Super League players underreported suspected concussions.我不会让你失望的;为何男女超级联赛中20%的球员少报疑似脑震荡情况。
J Sci Med Sport. 2023 Dec;26(12):688-693. doi: 10.1016/j.jsams.2023.09.015. Epub 2023 Sep 27.
8
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Sci Med Footb. 2024 Aug;8(3):189-195. doi: 10.1080/24733938.2023.2227134. Epub 2023 Jun 23.
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Reasons for the Reporting Behavior of Japanese Collegiate Rugby Union Players Regarding Suspected Concussion Symptoms: A Propensity Analysis.日本大学生橄榄球联盟球员报告疑似脑震荡症状的原因:倾向分析。
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Protect the Player, Protect the Game: Reflections from Ex-Professional Rugby Union Players on Law Changes, Protective Equipment, and Duty of Care in the Professional Game.保护运动员,保护赛事:前职业橄榄球联盟球员对职业赛事中法律变更、防护装备及注意义务的思考
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