病例描述和运动教练对脑震荡后医疗失格的看法
Michelle L Weber Rawlins1, Tamara C Valovich McLeod2,3, Kimberly Detwiler1
1School of Exercise and Nutritional Sciences, San Diego State University, CA.
Journal of athletic training
|April 18, 2024
概括
几乎一半的运动教练 (AT) 在没有明确的指导方针的情况下,在脑震荡后管理了医疗取消资格 (MDQ) 案件. 对于这些复杂的决定,ATs考虑了各种因素,如运动,脑震荡史和学术人员.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 临床决策 - 临床决策
背景情况:
- 脑震荡后的医疗失格 (MDQ) 是一个重大的临床挑战,因为缺乏基于证据的指导.
- 运动教练 (AT) 在大学环境中经常遇到这些复杂的决策.
研究的目的:
- 为了记录AT的经验与MDQ脑震荡后的经验.
- 了解AT对MDQ决策的看法.
- 探讨AT认为对脑震荡后的MDQ过程至关重要的因素.
主要方法:
- 一种混合方法的方法,将在线横截面调查与半结构面试相结合.
- 从413名大学体育教练 (AT) 收集的调查数据.
- 对20名涉及MDQ案件的AT进行了后续采访.
主要成果:
- 大约49%的接受调查的AT报告说,他们参与了至少一个脑震荡后的MDQ病例.
- 参与MDQ病例的AT平均管理了2.3个病例.
- 影响MDQ决策的关键因素包括运动类型,脑震荡史,康复状态,生活质量和学业表现.
结论:
- 很大一部分AT在脑震荡后的MDQ决策中没有建立的指导方针.
- 考虑了整体的患者幸福感,并纳入了超越直接伤害的各种因素.
- 需要进一步的研究,以制定基于证据的建议,为AT管理与脑震荡相关的MDQ.
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