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实施创伤性脑损伤患者病例管理的优势模型:一个定性预实施研究

Pascale Simard^1,2, Samuel Turcotte^1,2, Catherine Vallée^1,3

¹School of Rehabilitation, Université Laval, Quebec, Canada.

|May 5, 2024

概括

对创伤性脑损伤 (TBI) 幸存者实施基于优势的方法 (SBA) 面临诸如干预适应性和外部因素等障碍. 然而,内部组织价值观作为成功案例管理的促进者.

科学领域:

神经科学是一个神经科学.
康复医学康复医学康复医学
医疗保健服务研究医疗服务研究

背景情况:

创伤性脑损伤 (TBI) 可以导致持久的认知,心理健康和社会挑战.
众所周知,以优势为基础的方法 (SBA) 可以改善社区融合,但尚未应用于TBI人口.
了解SBA组件的感知对于其在TBI护理中的成功实施至关重要.

研究的目的:

确定影响TBI患者实施基于优势的方法 (SBA) 的障碍和促进者.
了解社区工作者和管理人员关于SBA采用的观点.

主要方法:

使用半结构面试进行的定性预实施研究.
参与者包括社区工作者和参与SBA实施的管理人员.
数据分析采用了由实施研究综合框架 (CFIR) 指导的演方法.

主要成果:

关键障碍包括干预适应性问题和外部上下文因素,例如大流行的影响.
促进者主要与内部组织背景有关,特别是与现有价值观的协调.
对于干预组件和组织准备情况的看法各不相同.

结论:

确定障碍物和促进者将指导策略,以加强SBA对TBI幸存者的实施.
解决适应能力和利用内部支持对于成功的整合至关重要.
这项研究为优化TBI病例管理干预提供了基础.

关键词:

大脑受伤的原因社区整合社区整合实施研究实施研究创伤性脑损伤是一种创伤性脑损伤.基于优势的方法基于优势的方法

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