当前位置: X-MOL 学术Brain Impair. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
A Qualitative Study on the Transition Support Needs of Indigenous Australians Following Traumatic Brain Injury
Brain Impairment ( IF 0.8 ) Pub Date : 2019-08-22 , DOI: 10.1017/brimp.2019.24
Michelle S. Fitts , Katrina Bird , John Gilroy , Jennifer Fleming , Alan R. Clough , Adrian Esterman , Paul Maruff , Yaqoot Fatima , India Bohanna

Objective:A growing body of qualitative literature globally describes post-hospital experiences during early recovery from a traumatic brain injury. For Indigenous Australians, however, little published information is available. This study aimed to understand the lived experiences of Indigenous Australians during the 6 months post-discharge, identify the help and supports accessed during transition and understand the gaps in service provision or difficulties experienced.Methods and Procedure:Semi-structured interviews were conducted at 6 months after hospital discharge to gain an understanding of the needs and lived experiences of 11 Aboriginal and Torres Strait Islander Australians who had suffered traumatic brain injury in Queensland and Northern Territory, Australia. Data were analysed using thematic analysis.Results:Five major themes were identified within the data. These were labelled ‘hospital experiences’, ‘engaging with medical and community-based supports’, ‘health and wellbeing impacts from the injury’, ‘everyday living’ and ‘family adjustments post-injury’.Conclusions:While some of the transition experiences for Indigenous Australians were similar to those found in other populations, the transition period for Indigenous Australians is influenced by additional factors in hospital and during their recovery process. Lack of meaningful interaction with treating clinicians in hospital, challenges managing direct contact with multiple service providers and the injury-related psychological impacts are some of the factors that could prevent Indigenous Australians from receiving the supports they require to achieve their best possible health outcomes in the long term. A holistic approach to care, with an individualised, coordinated transition support, may reduce the risks for re-admission with further head injuries.

中文翻译:

创伤性脑损伤后澳大利亚土著人过渡支持需求的定性研究

目的:全球越来越多的定性文献描述了创伤性脑损伤早期恢复期间的出院后经历。然而,对于土著澳大利亚人来说,几乎没有公开的信息可用。本研究旨在了解澳大利亚原住民在出院后 6 个月的生活经历,确定在过渡期间获得的帮助和支持,并了解在服务提供方面的差距或遇到的困难。方法和程序:半结构化访谈在 6出院数月后,了解在澳大利亚昆士兰和北领地遭受创伤性脑损伤的 11 名原住民和托雷斯海峡岛民澳大利亚人的需求和生活经历。使用主题分析对数据进行分析。结果:数据中确定了五个主要主题。这些被标记为“住院经历”、“参与医疗和社区支持”、“受伤对健康和福祉的影响”、“日常生活”和“受伤后的家庭调整”。结论:虽然一些过渡经历对于澳大利亚原住民而言,与其他人群相似,澳大利亚原住民的过渡期受到医院和康复过程中其他因素的影响。与在医院治疗的临床医生缺乏有意义的互动,管理与多个服务提供者直接接触的挑战以及与伤害相关的心理影响是可能阻止澳大利亚原住民获得长期实现最佳健康结果所需的支持的一些因素。采用个性化、协调的过渡支持的整体护理方法可能会降低因头部进一步受伤而再次入院的风险。
更新日期:2019-08-22
down
wechat
bug