"每个人的大脑都不一样......不可能只有一种治疗方案适合所有人"--对脑外伤后社区康复服务的定性调查。

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Crystal Kelly, Petrea Cornwell, Ronelle Hewetson, Anna Copley
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引用次数: 0

摘要

目的:研究在澳大利亚或新西兰因脑外伤(TBI)后认知-交流障碍(CCD)而接受社区康复(CBR)服务的成年人及其支持者的生活经历。此外,还探讨了参与者对未来护理模式的建议,以加强对创伤性脑损伤患者的康复服务:方法:采用以现象学为基础的定性描述法,对每位参与者进行半结构化访谈。总共完成了 28 次访谈,其中 4 次面对面访谈,24 次通过视频会议进行。共招募了两组参与者:患有创伤性脑损伤的成年人和他们的支持者。其中包括 16 名自我报告诊断为认知沟通障碍(CCD)的创伤后脑损伤患者,他们都接受过 CBR 治疗,另外还包括 12 名辅助人员。访谈采用反思性主题分析法进行分析:结果:参与者小组确定了四个主题,表明了社区康复护理模式的核心支柱。这些主题包括:(a) 便捷和包容性的 CBR 服务的重要性;(b) 专业临床技能和治疗方法的重要性;(c) 知识就是力量的重要性;以及(d) 同伴网络和支持的重要性:本研究进一步完善了有关如何优化服务以满足创伤性脑损伤后CCDs成人复杂需求的证据基础。临床医生、研究人员和服务提供者应努力将概述的四个核心支柱纳入其中,以加强未来针对这一临床人群的 CBR 护理模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Everyone's brains are different…you can't just have one therapy plan to suit everyone" - A qualitative investigation of community-based rehabilitation services following traumatic brain injury.

Purpose: To examine the lived experiences of adults who have received community-based rehabilitation (CBR) services in Australia or New Zealand for cognitive-communication disorders (CCDs) following traumatic brain injury (TBI) and their support people. Participants' recommendations for future models of care were also explored to enhance rehabilitation services for people with TBI.

Method: A qualitative descriptive approach grounded in phenomenology was used, whereby semi-structured interviews were conducted with each participant. A total of 28 interviews were completed, four in-person and 24 via video conferencing. Two participant groups were recruited: Adults with TBI; and their support people. Sixteen adults with a self-reported diagnosis of cognitive-communication disorder (CCD) following TBI who had received CBR and 12 support people were included. Interviews were analysed using reflexive thematic analysis.

Result: Four themes were identified by the participant groups indicating the core pillars of CBR models of care. They included the importance of: (a) accessible and inclusive CBR services; (b) specialised clinical skills and treatment approaches; the acknowledgment that (c) knowledge is power; and the significance of (d) peer networks and support.

Conclusion: This study further advances the evidence base of how services can be optimised to meet the complex needs of adults with CCDs following a TBI. Clinicians, researchers, and service providers should endeavour to incorporate the four core pillars outlined to enhance future CBR models of care for this clinical population.

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来源期刊
International Journal of Speech-Language Pathology
International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.10
自引率
16.70%
发文量
73
审稿时长
>12 weeks
期刊介绍: International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.
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