Cheng Cheng, Yu Yue, Yao Chunjuan, Bian Hongyan
Department of Neurology, Tianjin Huanhu Hospital, Tianjin, China.
Department of Nursing, Tianjin Huanhu Hospital, Tianjin, China.
Front Neurol. 2025 Aug 13;16:1618811. doi: 10.3389/fneur.2025.1618811. eCollection 2025.
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.
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。
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