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轻度创伤性脑损伤青少年患者康复经历与需求的元整合研究

Meta-synthesis of rehabilitation experiences and needs of adolescent patients with mild traumatic brain injury.

作者信息

Cheng Cheng, Yu Yue, Yao Chunjuan, Bian Hongyan

机构信息

Department of Neurology, Tianjin Huanhu Hospital, Tianjin, China.

Department of Nursing, Tianjin Huanhu Hospital, Tianjin, China.

出版信息

Front Neurol. 2025 Aug 13;16:1618811. doi: 10.3389/fneur.2025.1618811. eCollection 2025.


DOI:10.3389/fneur.2025.1618811
PMID:40881786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12381951/
Abstract

OBJECTIVE: This paper aims to systematically evaluate and integrate qualitative research on the experiences and needs of adolescent patients with mild traumatic brain injury (mTBI) during rehabilitation and to provide references for rehabilitation care strategies for such patients. METHODS: PubMed, Web of Science, Embase, Cochrane Library, CINAHL, Scopus, Medline, PsycINFO, China National Knowledge Infrastructure, Wanfang Database, China Biomedical Literature Database, and VIP Database were searched for relevant qualitative studies until September 15, 2024. RESULTS: A total of 863 documents were found, and after screening, eight documents were finally included, of which two were rated A and six were rated B in terms of quality. The 40 integrated results were summarized into 12 categories and combined into three integrated results. The primary themes included the symptoms exhibited by adolescents with mTBI and their impact on daily life; the needs and challenges of adolescents with mTBI during the rehabilitation period; and the self-management experiences of adolescents with mTBI during the rehabilitation period. Secondary themes included interference with daily activities; forced termination of hobbies and interests; academic difficulties; increased negative emotions; social withdrawal; obtaining academic accommodations; acquiring information and knowledge about the disease; help from family and friends; timely and effective treatment and rehabilitation; control of the environment; adjusting rest and activity strategies; and active self-healing. CONCLUSION: Medical staff should focus on the feelings, reported needs, and practical difficulties of mTBI adolescents during the rehabilitation period and formulate more personalized rehabilitation strategies for them.

摘要

目的:本文旨在系统评价和整合关于轻度创伤性脑损伤(mTBI)青少年患者康复期间经历和需求的定性研究,为这类患者的康复护理策略提供参考。 方法:检索了PubMed、Web of Science、Embase、Cochrane图书馆、CINAHL、Scopus、Medline、PsycINFO、中国知网、万方数据库、中国生物医学文献数据库和维普数据库,以查找相关定性研究,检索截至2024年9月15日。 结果:共检索到863篇文献,经筛选后最终纳入8篇文献,其中2篇质量评级为A,6篇质量评级为B。40条整合结果归纳为12类,并合并为3条整合结果。主要主题包括mTBI青少年表现出的症状及其对日常生活的影响;mTBI青少年康复期间的需求和挑战;mTBI青少年康复期间的自我管理经历。次要主题包括对日常活动的干扰;爱好和兴趣被迫终止;学业困难;负面情绪增加;社交退缩;获得学业便利;获取有关疾病的信息和知识;家人和朋友的帮助;及时有效的治疗和康复;环境控制;调整休息和活动策略;积极自我康复。 结论:医务人员应关注mTBI青少年康复期间的感受、报告的需求和实际困难,并为他们制定更个性化的康复策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cb2/12381951/02ab6695a609/fneur-16-1618811-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cb2/12381951/02ab6695a609/fneur-16-1618811-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cb2/12381951/02ab6695a609/fneur-16-1618811-g001.jpg

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本文引用的文献

[1]
The experiences and perspectives of participating in a nature integrative rehabilitation programme when suffering from post-concussion syndrome: responses, gains, and impact from using enriched nature environments as a rehabilitation setting and integrating nature as rehabilitation means.

Int J Qual Stud Health Well-being. 2025-12

[2]
Nature-based mind-body intervention for test anxiety in adolescents: a feasibility study.

Front Psychol. 2025-4-9

[3]
Promoting equality in utilization of basic public health services in China: the role of the family doctor contract service.

J Med Econ. 2024

[4]
Psychological Predictors of Mental Health Difficulties After Pediatric Concussion.

J Neurotrauma. 2024-7

[5]
"I completely shut down": A mixed methods evaluation of the fear-avoidance model for young adults with a recent concussion and anxiety.

Rehabil Psychol. 2024-8

[6]
Efficacy of the Canadian CT Head Rule in Patients Presenting to the Emergency Department with Minor Head Injury.

Indian J Crit Care Med. 2024-2

[7]
Unravelling the web: Experiences of adolescents returning to school following a concussion.

Neuropsychol Rehabil. 2024-7

[8]
Academic Accommodations for Middle and High School Students Following a Concussion: Perspectives of Teachers and School Administrators.

J Sch Health. 2023-12

[9]
The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury.

Arch Phys Med Rehabil. 2023-8

[10]
Sub-symptom threshold aerobic exercise for patients with persisting post-concussion symptoms and exercise intolerance after mild traumatic brain injury - a study protocol with a nested feasibility study for a randomized controlled trial.

BMC Neurol. 2023-5-3

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