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Cerebral blood flow and structural connectivity after working memory or physical training in paediatric cancer survivors - Exploratory findings. 儿科癌症幸存者进行工作记忆或体能训练后的脑血流和结构连通性--探索性发现。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-05-29 DOI: 10.1080/09602011.2024.2356294
Kirstin Schuerch, Matthias Grieder, Valetin Benzing, Valerie Siegwart, Andrea Federspiel, Nedelina Slavova, Claus Kiefer, Jochen Roessler, Regula Everts

Paediatric cancer survivors often suffer from cognitive long-term difficulties. Consequently, strengthening cognition is of major clinical relevance. This study investigated cerebral changes in relation to cognition in non-brain tumour paediatric cancer survivors after working memory or physical training compared to a control group. Thirty-four children (≥one-year post-treatment) either underwent eight weeks of working memory training (n = 10), physical training (n = 11), or a waiting period (n = 13). Cognition and MRI, including arterial spin labelling and diffusion tensor imaging, were assessed at three time points (baseline, post-training, and three-month follow-up). Results show lower cerebral blood flow immediately after working memory training (z = -2.073, p = .038) and higher structural connectivity at the three-month follow-up (z = -2.240, p = .025). No cerebral changes occurred after physical training. Short-term changes in cerebral blood flow correlated with short-term changes in cognitive flexibility (r = -.667, p = .049), while long-term changes in structural connectivity correlated with long-term changes in working memory (r = .786, p = .021). Despite the caution given when interpreting data from small samples, this study suggests a link between working memory training and neurophysiological changes. Further research is needed to validate these findings.

儿童癌症幸存者往往长期遭受认知困难的困扰。因此,加强认知能力具有重要的临床意义。本研究调查了非脑肿瘤儿科癌症幸存者在接受工作记忆或体能训练后与对照组相比在认知方面的脑变化。34名儿童(治疗后≥一年)分别接受了为期八周的工作记忆训练(10人)、体能训练(11人)或等待期训练(13人)。在三个时间点(基线、训练后和三个月随访)对认知和磁共振成像(包括动脉自旋标记和弥散张量成像)进行了评估。结果显示,工作记忆训练后,脑血流量立即降低(z = -2.073,p = .038),而三个月随访时,结构连通性提高(z = -2.240,p = .025)。体能训练后大脑没有发生变化。脑血流量的短期变化与认知灵活性的短期变化相关(r = -.667,p = .049),而结构连通性的长期变化与工作记忆的长期变化相关(r = .786,p = .021)。尽管在解释小样本数据时需要谨慎,但这项研究表明,工作记忆训练与神经生理变化之间存在联系。要验证这些发现,还需要进一步的研究。
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引用次数: 0
A pilot rating system to evaluate the quality of goal attainment scales used as outcome measures in rehabilitation. 试点评级系统,用于评估作为康复成果衡量标准的目标实现量表的质量。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-28 DOI: 10.1080/09602011.2024.2343150
Charles Pradeau, Severine Estival, Virginie Postal, Virginie Laurier, Céline Maugard, Marie-Eve Isner-Horobeti, Fabien Mourre, Agata Krasny-Pacini

Goal Attainment Scaling (GAS) is a method for writing person-centred approach evaluation scales that can be used as an outcome measure in clinical or research settings in rehabilitation. To be used in a research setting, it requires a high methodological quality approach. The aim of this study was to explore the feasibility and reliability of the GAS quality rating system, to ensure that GAS scales used as outcome measures are valid and reliable. Secondary objectives were: (1) to compare goal attainment scores' reliability according to how many GAS levels are described in the scale; and (2) to explore if GAS scorings are influenced by who scores goal attainment. The GAS scales analysed here were set collaboratively by 57 cognitively impaired adults clients and their occupational therapist. Goals had to be achieved within an inpatient one-month stay, during which clients participated in an intervention aimed at improving planning skills in daily life. The GAS quality rating system proved to be feasible and reliable. Regarding GAS scores, interrater reliability was higher when only three of the five GAS levels were described, i.e., "three milestone GAS" (0.74-0.92), than when all five levels were described (0.5-0.88), especially when scored by the clients (0.5 -0.88).

目标达成量表(GAS)是一种编写以人为本的评估量表的方法,可用作康复临床或研究环境中的结果测量。要在研究环境中使用,它需要高方法质量的方法。本研究旨在探索 GAS 质量评级系统的可行性和可靠性,以确保用作结果测量的 GAS 量表有效可靠。次要目标是(1) 根据量表中描述的 GAS 等级的多少,比较目标达成得分的可靠性;(2) 探讨 GAS 评分是否受目标达成评分者的影响。本文分析的 GAS 量表是由 57 名认知障碍成人客户及其职业治疗师共同制定的。目标必须在住院一个月的时间内实现,在此期间,患者参加了旨在提高日常生活规划能力的干预活动。事实证明,GAS 质量评分系统是可行且可靠的。在 GAS 评分方面,如果只描述 GAS 五个等级中的三个等级,即 "三个里程碑 GAS"(0.74-0.92),则相互之间的可靠性要高于描述所有五个等级(0.5-0.88)时的可靠性,尤其是由客户评分时(0.5-0.88)。
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引用次数: 0
A window into the reality of families living long term with challenging behaviours after a TBI. 创伤性脑损伤后有挑战性行为的家庭长期生活的现实之窗。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-23 DOI: 10.1080/09602011.2024.2354402
Charlotte Hendryckx, Mélanie Couture, Nadia Gosselin, Emily Nalder, Mireille Gagnon-Roy, Geneviève Thibault, Carolina Bottari

Challenging behaviours are a long-term burden for people with traumatic brain injury (TBI) and their families. Families frequently shoulder the responsibility alone, but little is known about the strategies they use to manage these behaviours. This study aimed to 1) identify the coping strategies used by people with TBI living in the community and their family caregivers to manage challenging behaviours; and 2) describe the similarities and differences between strategies used by people with TBI and caregivers. In this qualitative descriptive design, individual semi-structured interviews were conducted with adults with TBI and their caregivers and were inductively analyzed. The sample included 10 dyads and two triads, totalling 12 caregivers (8 women) and 14 individuals with TBI (6 women; 21.71 ± 10.84 years post-injury). Participants' strategies were proactive (prevention), reactive (response), or retroactive (aftercare). Most strategies were described by caregivers. Some of them were effective and lasting, others not, reflecting how they adapted their approaches over time. Families put in place various strategies in their life's journey, such as giving feedback or adapting the environment. Despite these strategies supporting long-term community living, the need for ongoing support is underscored, as crises may still occur, impacting families' quality of life.

挑战行为是脑外伤(TBI)患者及其家人的长期负担。家人常常独自承担起这一责任,但对他们管理这些行为的策略却知之甚少。本研究旨在:1)确定生活在社区中的创伤性脑损伤患者及其家庭照顾者在处理具有挑战性的行为时所使用的应对策略;2)描述创伤性脑损伤患者和照顾者所使用的策略之间的异同。在这一定性描述设计中,对患有创伤性脑损伤的成年人及其照顾者进行了个人半结构化访谈,并进行了归纳分析。样本包括 10 个二人组和 2 个三人组,共计 12 名照顾者(8 名女性)和 14 名创伤性脑损伤患者(6 名女性;伤后 21.71 ± 10.84 年)。参与者的策略分为主动策略(预防)、被动策略(应对)或追溯策略(事后护理)。大多数策略都是由护理人员描述的。其中有些策略有效且持久,有些则不然,这反映出他们是如何随着时间的推移调整自己的方法的。家庭在他们的人生旅途中实施了各种策略,例如给予反馈或调整环境。尽管这些策略支持长期社区生活,但仍强调需要持续的支持,因为危机仍可能发生,影响家庭的生活质量。
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引用次数: 0
Null cross-modal effects of olfactory training on visual, auditory or olfactory working memory in 6- to 9-year-old children. 嗅觉训练对 6 至 9 岁儿童的视觉、听觉或嗅觉工作记忆的跨模态效应为零。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-19 DOI: 10.1080/09602011.2024.2343484
Michal Pieniak, Marta Rokosz, Paulina Nawrocka, Aleksandra Reichert, Barbara Zyzelewicz, Mehmet K Mahmut, Anna Oleszkiewicz

Systematic exposure to odours (olfactory training, OT) is a method of smell loss treatment. Due to olfactory system projections to prefrontal brain areas, OT has been hypothesized to enhance cognitive functions, but its effects have been studied predominantly in adults. This study tested OT effects on working memory (WM), i.e., the ability to store and manipulate information for a short time, in healthy children aged 6-9 years. We expected OT to improve olfactory WM and establish cross-modal transfer to visual and auditory WM. Participants performed 12 weeks of bi-daily OT with either 4 odours (lemon, eucalyptus, rose, cloves; OT group) or odourless propylene glycol (placebo group). Pre- and post-training, participants' WM was measured utilizing odours (olfactory WM) or pictures (visual WM) and a word-span task (auditory WM). 84 children (40 girls) completed the study. The analyses revealed no changes in the WM performance following OT. The olfactory WM task was the most difficult for children, highlighting the need to include olfactory-related tasks in educational programmes to improve children's odour knowledge and memory, just as they learn about sounds and pictures. Further neuroimaging research is needed to fully understand the impact of OT on cognitive functions in children.

系统性接触气味(嗅觉训练,OT)是治疗嗅觉缺失的一种方法。由于嗅觉系统投射到大脑前额叶区域,因此人们假定嗅觉训练能增强认知功能,但其效果主要是在成人身上进行研究的。本研究测试了 OT 对 6-9 岁健康儿童工作记忆(WM)的影响,即短时间储存和处理信息的能力。我们期望加时训练能改善嗅觉工作记忆,并建立向视觉和听觉工作记忆的跨模态转移。参与者进行了为期 12 周的双日 OT 训练,训练内容为 4 种气味(柠檬、桉树、玫瑰、丁香;OT 组)或无味丙二醇(安慰剂组)。在训练前和训练后,利用气味(嗅觉 WM)或图片(视觉 WM)和单词跨度任务(听觉 WM)测量参与者的 WM。84 名儿童(40 名女孩)完成了这项研究。分析表明,加时训练后的 WM 表现没有变化。嗅觉 WM 任务对儿童来说是最难的,这说明有必要在教育计划中加入与嗅觉相关的任务,以提高儿童的气味知识和记忆力,就像他们学习声音和图片一样。要全面了解定向行走对儿童认知功能的影响,还需要进一步的神经影像学研究。
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引用次数: 0
Assessment of executive function impairments in adults with acquired brain injury across single-case experimental design: A scoping review of primary outcomes. 通过单例实验设计评估后天性脑损伤成人的执行功能障碍:主要结果的范围综述。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-13 DOI: 10.1080/09602011.2024.2345410
C Lebely, E Lepron, C Villepinte, S Scannella, X De Boissezon

The use of single-case experimental design (SCED) to evaluate cognitive remediation is growing. SCEDs require rigorous methodology and appropriate choice of primary outcomes. To review primary outcomes that assess executive function impairments in patients with acquired brain injury (ABI). A scoping review was conducted using the Arksey and O'Malley framework and the PRISMA extension for scoping review (PRISMA-ScR). Five databases were searched resulting in the inclusion of twenty-one studies. Primary outcomes were extracted and classified according to the type of measure, ecological setting and sources of possible bias. A wide variety of primary outcomes were identified; the majority of which evaluated behavioural performance during a real-life activity or in a real-life simulated setting. The most frequent bias observed across outcomes was the coaching effect. The findings of this scoping review highlight the importance of selecting appropriate outcomes for repeated measures in SCED studies. Direct observation of the target behaviour is a potential gold standard for assessing the effectiveness of a cognitive intervention.

使用单例实验设计(SCED)来评估认知矫正的情况越来越多。单病例实验设计需要严格的方法论和适当的主要结果选择。对评估后天性脑损伤(ABI)患者执行功能障碍的主要结果进行回顾。采用 Arksey 和 O'Malley 框架以及用于范围界定审查的 PRISMA 扩展(PRISMA-ScR)进行了范围界定审查。对五个数据库进行了检索,最终纳入了 21 项研究。根据测量类型、生态环境和可能的偏差来源,对主要结果进行了提取和分类。研究发现了各种各样的主要结果,其中大部分都是对真实活动或真实模拟环境中的行为表现进行评估。在各种结果中最常见的偏差是教练效应。本次范围界定审查的结果凸显了在 SCED 研究中为重复测量选择适当结果的重要性。对目标行为的直接观察是评估认知干预有效性的潜在黄金标准。
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引用次数: 0
Comparing the Oxford Digital Multiple Errands Test (OxMET) to a real-life version: Convergence, feasibility, and acceptability. 牛津数字多重任务测试(OxMET)与现实生活版本的比较:收敛性、可行性和可接受性。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-11 DOI: 10.1080/09602011.2024.2344326
Sam S Webb, Nele Demeyere

We aimed to assess the convergence, feasibility, and acceptability of the Oxford Digital Multiple Errands Test (OxMET) and the in-person Multiple Errands Test-Home version (MET-Home). Participants completed OxMET, MET-Home, Montreal Cognitive Assessment (MoCA), and questionnaires on activities of daily living, depression, technology usage, mobility, and disability. Forty-eight stroke survivors (mean age 69.61, 41.67% female, and average 16.5 months post-stroke) and 50 controls (mean age 71.46, 56.00% female) took part. No performance differences were found for healthy and stroke participants for MET-Home, and only found below p = .05 for OxMET but not below the corrected p = .006. Convergent validity was found between MET-Home and OxMET metrics (most r ≥ .30, p < .006). MET-Home accuracy was related to age (B = -.04, p = .03), sex (B = -.98, p = .03), disability (B = -0.63, p = .04), and MoCA (B = .26, p < .001), whereas OxMET accuracy was predicted by MoCA score (B = .40, p < .001). Feedback indicated that the OxMET was easy and fun and more acceptable than the MET-Home. The MET-Home was more stressful and interesting. The MET tasks demonstrated good convergent validity, with the OxMET digital administration providing a more feasible, inclusive, and acceptable assessment, especially to people with mobility restrictions and more severe stroke.

我们的目的是评估牛津数字多重任务测试(OxMET)和个人多重任务测试-家庭版(MET-Home)的趋同性、可行性和可接受性。参与者完成了 OxMET、MET-Home、蒙特利尔认知评估(MoCA)以及有关日常生活活动、抑郁、技术使用、行动能力和残疾的问卷调查。48 名中风幸存者(平均年龄 69.61 岁,女性占 41.67%,平均中风后 16.5 个月)和 50 名对照组(平均年龄 71.46 岁,女性占 56.00%)参加了此次活动。在 MET-Home 中,健康参与者和中风参与者的表现没有差异;在 OxMET 中,只有低于 p = 0.05 的差异,但没有低于校正后的 p = 0.006 的差异。在 MET-Home 和 OxMET 指标(最 r ≥ .30,p p = .03)、性别(B = -.98,p = .03)、残疾(B = -0.63,p = .04)和 MoCA(B = .26,p B = .40,p B = .05)之间发现了收敛有效性。
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引用次数: 0
Identifying spatial neglect - an updated systematic review of the psychometric properties of assessment tools in adults post-stroke. 识别空间忽略--中风后成人评估工具心理测量特性的最新系统回顾。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1080/09602011.2024.2346212
Lindy J Williams, Tobias Loetscher, Susan Hillier, Kimberly Hreha, Jennifer Jones, Audrey Bowen, Jocelyn Kernot

Spatial neglect commonly occurs after a stroke, resulting in diverse impacts depending on the type and severity. There are almost 300 tools for assessing neglect, yet there is a lack of knowledge on the psychometric properties of these tools. The objective of this systematic review, registered on Prospero (CRD42021271779), was to determine the quality of the evidence for assessing spatial neglect, categorized by neglect subtype. The following databases were searched on 3rd May 2022 from database inception: Ovid Emcare, Embase, Ovid MEDLINE, APA PsycINFO, Web of Science (SCI-EXPANDED; SSCI; A&HCI; ESCI) and Scopus. All primary peer-reviewed studies (>5 participants) of adults post stroke, reporting any psychometric property of 33 commonly used neglect assessment tools were included. The COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) risk of bias tool was used to assess the methodological quality of the studies and summarize the psychometric properties of each tool. 164 articles were included, with a total of 12,463 people with stroke. The general quality of the evidence was poor and no one tool had high-quality evidence of both validity and reliability. Eleven tools show some promise as they meet the minimum criteria for good measurement properties for both validity and reliability.

空间忽略通常发生在中风后,根据类型和严重程度的不同会造成不同的影响。目前有近 300 种评估忽视的工具,但人们对这些工具的心理测量特性缺乏了解。本系统性综述已在 Prospero(CRD42021271779)上注册,目的是确定按忽视亚型分类的空间忽视评估证据的质量。从 2022 年 5 月 3 日开始,对以下数据库进行了检索:Ovid Emcare、Embase、Ovid MEDLINE、APA PsycINFO、Web of Science(SCI-EXPANDED;SSCI;A&HCI;ESCI)和 Scopus。纳入了所有针对中风后成人、报告了 33 种常用忽视评估工具任何心理测量特性的主要同行评审研究(参与人数大于 5 人)。采用 COSMIN(基于共识的健康测量工具选择标准)偏倚风险工具评估研究的方法学质量,并总结每种工具的心理测量特性。共纳入 164 篇文章,涉及 12,463 名中风患者。证据的总体质量较差,没有一种工具同时具有高质量的有效性和可靠性证据。有 11 种工具在有效性和可靠性方面都达到了良好测量特性的最低标准,显示出一定的前景。
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引用次数: 0
AppReminders - a pilot feasibility randomized controlled trial of a memory aid app for people with acquired brain injury. AppReminders--后天性脑损伤患者记忆辅助应用程序的可行性随机对照试验。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-05-01 Epub Date: 2023-06-13 DOI: 10.1080/09602011.2023.2220969
Matthew Jamieson, Heather McClelland, Nicola Goudie, Jean McFarlane, Breda Cullen, Marilyn Lennon, Stephen Brewster, Bethany Stanley, Alex McConnachie, Jonathan Evans

Mobile phone reminding apps can be used by people with acquired brain injury (ABI) to compensate for memory impairments. This pilot feasibility trial aimed to establish the feasibility of a randomized controlled trial comparing reminder apps in an ABI community treatment setting. Adults with ABI and memory difficulty who completed the three-week baseline were randomized (n = 29) and allocated to Google Calendar or ApplTree app. Those who attended an intervention session (n = 21) watched a 30-minute video tutorial of the app then completed reminder setting assignments to ensure they could use the app. Guidance was given if needed from a clinician or researcher. Those who passed the app assignments (n = 19) completed a three-week follow up. Recruitment was lower than target (n = 50), retention rate was 65.5%, adherence rate was 73.7%. Qualitative feedback highlighted issues that may impact usability of reminding apps introduced within community brain injury rehabilitation. Feasibility results indicate a full trial would require 72 participants to demonstrate the minimally clinically important efficacy difference between apps, should a difference exist. Most participants (19 of 21) given an app could learn to use it with the short tutorial. Design features implemented in ApplTree have potential to improve the uptake and utility of reminding apps.

后天性脑损伤(ABI)患者可以使用手机提醒应用程序来弥补记忆障碍。这项试点可行性试验旨在确定在 ABI 社区治疗环境中比较提醒应用程序的随机对照试验的可行性。对完成三周基线测试的有 ABI 和记忆障碍的成年人进行随机分组(n = 29),并分配到谷歌日历或 ApplTree 应用程序。参加干预课程的人(n = 21)观看了 30 分钟的应用程序视频教程,然后完成了提醒设置作业,以确保他们能够使用该应用程序。如有需要,临床医生或研究人员会给予指导。通过应用程序作业的人员(19 人)完成了为期三周的随访。招募人数低于目标(50 人),保留率为 65.5%,坚持率为 73.7%。定性反馈强调了一些问题,这些问题可能会影响在社区脑损伤康复中引入的提醒应用程序的可用性。可行性结果表明,全面试验需要 72 名参与者,才能证明应用程序之间存在最小临床意义的疗效差异(如果存在差异的话)。大多数参与者(21 人中的 19 人)都能通过简短的教程学会使用应用程序。ApplTree 中的设计功能有可能提高提醒应用程序的使用率和实用性。
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引用次数: 0
The dual reality of challenging behaviours: Overlapping and distinct perspectives of individuals with TBI and their caregivers. 挑战性行为的双重现实:创伤性脑损伤患者及其照护者的重叠和独特观点。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-05-23 DOI: 10.1080/09602011.2023.2212172
Charlotte Hendryckx, Mélanie Couture, Nadia Gosselin, Emily Nalder, Mireille Gagnon-Roy, Geneviève Thibault, Carolina Bottari

Challenging behaviours significantly impact the lives of people with traumatic brain injury (TBI) and their family caregivers. However, these behaviours are rarely defined from the perspectives of both individuals, a necessary step to developing interventions targeting meaningful goals for individuals and caregivers. This study aimed to (1) explore and confirm the perspective of individuals with TBI living in the community and their family caregivers on behaviours they consider challenging and, (2) identify overlapping or distinct views on challenging behaviours. A qualitative descriptive design was used. Twelve caregivers (8 females; 59.67 ± 11.64 years old) and 14 participants with mild-severe TBI (6 females; 43.21 ± 10.98 years old; time post-injury: 21.71 ± 10.84 years) were interviewed (10 dyads and two triads). Data were analysed using inductive qualitative analysis. Challenging behaviours most frequently reported by all participants were aggressive/impulsive behaviours, inappropriate social behaviours, and behavioural manifestations of cognitive impairments. Overlapping perspectives were identified regarding aggressive behaviours. Distinctions exist as inappropriate social behaviours and cognitive difficulties were mainly reported by caregivers. Our results confirm that perspectives may vary between dyad members. Interventions should include dyad inputs to formulate goals that are significant to the person with TBI and their caregiver.

挑战行为对脑外伤(TBI)患者及其家庭照顾者的生活产生了重大影响。然而,这些行为很少从个人和照顾者的角度进行定义,而这是制定针对个人和照顾者有意义目标的干预措施的必要步骤。本研究旨在:(1)探索并确认生活在社区中的创伤性脑损伤患者及其家庭照顾者对他们认为具有挑战性的行为的看法;(2)确定他们对具有挑战性的行为的重叠或不同看法。研究采用了定性描述设计。对 12 名照顾者(8 名女性;59.67 ± 11.64 岁)和 14 名轻度-重度创伤性脑损伤患者(6 名女性;43.21 ± 10.98 岁;受伤后时间:21.71 ± 10.84 年)进行了访谈(10 个二人组和 2 个三人组)。数据采用归纳定性分析法进行分析。所有参与者最常报告的挑战行为包括攻击/冲动行为、不恰当的社交行为和认知障碍的行为表现。在攻击性行为方面发现了重叠的观点。不恰当的社交行为和认知障碍主要由护理人员报告,因此存在区别。我们的研究结果证实,不同组合成员的观点可能会有所不同。干预措施应包括对组合的投入,以制定对创伤性脑损伤患者及其照顾者具有重要意义的目标。
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引用次数: 0
Family experiences of supporting a relative with agitation during early recovery after traumatic brain injury. 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。
IF 2.7 3区 心理学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-06-18 DOI: 10.1080/09602011.2023.2219064
Sarah L Carrier, Jennie Ponsford, Adam McKay

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.

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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引用次数: 0
期刊
Neuropsychological Rehabilitation
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