Family experiences of supporting a relative with agitation during early recovery after traumatic brain injury.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES Neuropsychological Rehabilitation Pub Date : 2024-05-01 Epub Date: 2023-06-18 DOI:10.1080/09602011.2023.2219064
Sarah L Carrier, Jennie Ponsford, Adam McKay
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Abstract

During the early recovery period after traumatic brain injury (TBI), referred to as post-traumatic amnesia (PTA), approximately 44% of individuals may exhibit agitated behaviours. Agitation can impede recovery and poses a significant management challenge for healthcare services. As families provide significant support for their injured relatives during this time, this study aimed to explore the family's experience during PTA to better understand their role in agitation management. There were 20 qualitative semi-structured interviews conducted with 24 family members of patients exhibiting agitation during early TBI recovery (75% female, aged 30-71 years), predominantly parents (n = 12), spouses (n = 7) and children (n = 3). The interviews explored the family's experience of supporting their relative exhibiting agitation during PTA. The interviews were analyzed using reflexive thematic analysis, which revealed three key themes: family contributions to patient care, expectations of the health care service and supporting families to support patients. This study emphasized the significant role of families in managing agitation during early TBI recovery and highlighted that families who are well-informed and well-supported have the potential to minimize their relative's agitation during PTA, which may reduce the burden on healthcare staff and promote patient recovery.

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在创伤性脑损伤后早期恢复期间,支持患有躁动症的亲属的家庭经验。
在创伤性脑损伤(TBI)后的早期恢复期,即创伤后遗忘(PTA)期,约 44% 的患者可能会表现出躁动行为。躁动会阻碍康复,并对医疗服务的管理构成重大挑战。在此期间,家人为受伤亲属提供了重要的支持,因此本研究旨在探讨家人在 PTA 期间的经历,以更好地了解他们在躁动管理中的作用。本研究共进行了 20 次半结构式定性访谈,访谈对象为 24 名在创伤性脑损伤早期恢复过程中表现出躁动的患者家属(75% 为女性,年龄在 30-71 岁之间),主要包括父母(12 人)、配偶(7 人)和子女(3 人)。访谈探讨了家人在支持其在 PTA 期间表现出躁动的亲属方面的经验。采用反思性主题分析法对访谈进行了分析,发现了三个关键主题:家庭对患者护理的贡献、对医疗服务的期望以及支持家庭支持患者。本研究强调了家属在创伤性脑损伤早期恢复过程中控制躁动的重要作用,并着重指出,家属如果充分了解情况并得到良好的支持,就有可能将其亲属在 PTA 期间的躁动程度降至最低,从而减轻医护人员的负担并促进患者的恢复。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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