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Recovery from traumatic injury: Trauma patients' perceptions of facilitators and barriers

机译:从创伤中恢复:创伤患者对促进因素和障碍的理解

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Abstract Background: Individuals who have sustained an unintentional physical traumatic injury often undergo a lengthy and arduous process of recovery, as they strive to return to pre-injury levels of physical, occupational and social function. However, little research has been conducted on interventions to support trauma patients during recovery, and the few interventions implemented have limited success.Objectives: This qualitative descriptive study was designed to explore the facilitators and barriers to the recovery process to inform nursing interventions and research.Methods: A sample of 13 individuals in the southeast United States, who sustained an unintentional traumatic injury requiring hospitalization in the previous 6 months, completed an in-person semi-structured interview. Data were analyzed using line by line coding, identification of patterns and themes, and constant comparison of themes to the data.Results: Four major themes that facilitated recovery from injury were identified: support, coping, processing, and progress. Major barriers to recovery included financial losses, physical changes, lack of information, and emotional consequences.Discussion: Trauma patients need informational and support resources, especially peer support from those with a similar injury, to provide indicators of progress and promote successful integration of the injury event and its consequences into their views of self.
机译:摘要背景:遭受非故意的身体创伤的个体在努力恢复受伤前的身体,职业和社会功能水平时,往往要经历漫长而艰巨的康复过程。然而,关于在康复过程中支持创伤患者的干预措施的研究很少,实施的干预措施成效有限。目的:该定性描述性研究旨在探讨促进康复过程的促进因素和障碍,以为护理干预措施和研究提供信息。方法:在美国东南部的13名样本中,他们在过去6个月中遭受了意外的创伤性伤害,需要住院治疗,该样本完成了面对面的半结构式访谈。使用逐行编码,识别模式和主题以及不断将主题与数据进行比较来分析数据。结果:确定了四个有助于从伤害中恢复的主要主题:支持,应对,处理和进展。康复的主要障碍包括经济损失,身体变化,缺乏信息和情感后果。讨论:创伤患者需要信息和支持资源,尤其是患有类似损伤的患者的同伴支持,以提供进展指标并促进成功整合伤害事件及其后果纳入他们的自我看法。

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