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 1.7 3区 心理学 Q4 NEUROSCIENCES Neuropsychological Rehabilitation 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
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引用次数: 0

摘要

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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The dual reality of challenging behaviours: Overlapping and distinct perspectives of individuals with TBI and their caregivers.

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.

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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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