OBJECTIVE Unintentional injuries such as road traffic injuries constitute a major facet of health and disability in low- and middle-income countries. Survivors of moderate or severe unintentional injuries are at risk of psychological distress, although many people show resilience during recovery. This article describes the experience and contributing factors of psychological distress and resilience over the course of recovery among unintentional injury survivors in urban Kenya. METHOD We examined the various social and mental health consequences over the course of injury and recovery through conducting in-depth interviews with 28 survivors of unintentional injuries in Nairobi, Kenya, 4-8 months after the injury. Respondents were purposively sampled based on reported depressive and anxiety symptoms through structured questionnaire interviews in the parent study. Inductive thematic coding was performed on transcribed and translated interviews using ATLAS.ti, upon which the conservation of resources theory was identified as the most relevant theory to facilitate the understanding and presentation of the findings. RESULTS Several types of resource loss were described, including financial, property, condition (e.g., employment, marriage), and physical health resources at different phases of recovery. Social support (in terms of materials and emotional support) through family, friends, neighbors, church members, spirituality, personal resources, and improvement in physical condition contributed to the adaptation and resilience. CONCLUSIONS Potential interventions on building a more formalized follow-up support system and provision of social services early in the treatment phase is important to prevent additional resource losses to help reduce distress and improve psychosocial and physical functioning. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

---

肯尼亚意外伤害幸存者的痛苦和恢复能力：一项定性研究。

目标 道路交通伤害等意外伤害是低收入和中等收入国家健康和残疾的一个主要方面。中度或重度意外伤害的幸存者面临心理困扰的风险，尽管许多人在康复过程中表现出韧性。本文描述了肯尼亚城市意外伤害幸存者在康复过程中心理困扰和恢复力的经历和促成因素。方法 我们通过对肯尼亚内罗毕 28 名意外伤害幸存者在受伤后 4-8 个月进行深入访谈，研究了受伤和康复过程中的各种社会和心理健康后果。通过父母研究中的结构化问卷访谈，根据报告的抑郁和焦虑症状有目的地对受访者进行抽样。使用 ATLAS.ti 对转录和翻译的访谈进行归纳主题编码，在此基础上，资源保护理论被确定为最相关的理论，以促进对调查结果的理解和呈现。结果 描述了几种类型的资源损失，包括不同恢复阶段的财务、财产、状况（例如，就业、婚姻）和身体健康资源。通过家人、朋友、邻居、教会成员、灵性、个人资源和身体状况改善的社会支持（在物质和情感支持方面）有助于适应和恢复。结论 在治疗阶段早期建立更正式的后续支持系统和提供社会服务的潜在干预措施对于防止额外的资源损失以帮助减少痛苦和改善心理社会和身体功能很重要。（PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。