儿科后天性脑损伤后疲劳的评估和管理:康复临床医生的观点。

IF 1.7 3区 心理学 Q4 NEUROSCIENCES Neuropsychological Rehabilitation Pub Date : 2024-07-30 DOI:10.1080/09602011.2024.2383337
Olivia Mazzone, Rowena Conroy, Taylor Jenkin, Adam Scheinberg, Sarah Knight
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引用次数: 0

摘要

疲劳是小儿后天性脑损伤(ABI)后的常见症状,会对生活质量产生负面影响。尽管如此,人们对临床医生目前如何评估和管理康复过程中的疲劳了解有限。本研究探讨了澳大利亚康复临床医生如何识别、评估和管理小儿后天性脑损伤后的疲劳。本研究采用定性研究设计,对 11 名从事儿童(0-18 岁)缺血性脑损伤康复工作的临床医生进行了半结构化访谈。访谈记录采用建构主义基础理论方法进行分析。形成了两个主要主题和次主题:(1) 达成共识:识别和理解疲劳;与儿童及其家人一起解读疲劳;以及 (2) 利用共同理解:临床医生合作管理疲劳;规划和支持儿童及其家庭的过渡;预测和解决问题的障碍。与会者认为,在每个儿童的独特背景下对疲劳达成共识非常重要,这需要儿童、家庭、学校和跨学科康复团队的共同努力,共同解决问题并长期管理疲劳。这些研究结果从康复临床医生的角度为评估和管理疲劳的过程提供了启示,并强调了在儿童康复过程中以合作的方式支持儿童个人需求的重要性。
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The assessment and management of fatigue following paediatric acquired brain injury: rehabilitation clinicians' perspectives.

Fatigue is common following paediatric acquired brain injury (ABI) and can negatively impact quality of life. Despite this, there is limited understanding of how clinicians currently assess and manage fatigue in rehabilitation. This study explored how Australian rehabilitation clinicians recognize, assess, and manage fatigue following paediatric ABI. Using a qualitative research design, semi-structured interviews were conducted with 11 clinicians who work with children (0-18 years) with ABI in rehabilitation. Interview transcripts were analysed using constructivist grounded theory methods. Two main themes and sub-themes were developed: (1) Reaching a shared understanding: Identifying and understanding fatigue; Unpacking fatigue with children and their families; and (2) Using the shared understanding: Clinicians working collaboratively to manage fatigue; Planning for and supporting children and their family through transitions; Anticipating and problem-solving speedbumps. Participants reflected on the importance of reaching a shared understanding of fatigue within each child's unique context, requiring the collaborative effort of the child, family, school, and interdisciplinary rehabilitation team, to problem-solve and manage fatigue together over time. These findings provide insights into the processes of assessing and managing fatigue from rehabilitation clinicians' perspectives and highlight the importance of a collaborative approach to support the individual needs of the child during their rehabilitation.

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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.
期刊最新文献
Experiences of caregivers of patients with traumatic brain injury during hospitalization in western China: A qualitative study. Experiences of loss and grief in adults with acquired brain injury (ABI): A systematic review and meta synthesis of qualitative studies. Post-stroke fatigue severity is associated with executive dysfunction in chronic stroke. Introducing a new social cognition online therapy: SoCoBo. Effect of stimulation-driven attention in virtual reality balloon search training of patients with left unilateral spatial neglect after stroke: A randomized crossover study.
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