在儿童脑震荡后康复后关于恢复体育运动的共享决策:临床医生的观点
Emily Kroshus-Havril1,2, Douglas J Opel1,3, Thomas M Jinguji1,3,4,5
1University of Washington School of Medicine, Department of Pediatrics, Seattle, WA.
概括
体育医学临床医生使用共享决策 (SDM) 来指导青少年的脑震荡恢复. 他们调解家庭分歧,并讨论其他活动,以确保运动员的福祉和明智的选择.
科学领域:
- 运动医学 运动医学
- 儿科脑震荡管理 儿童脑震荡管理
- 青少年健康 青少年健康
背景情况:
- 在青少年中脑震荡恢复需要精心管理体育参与决策.
- 青少年运动员及其家人经常面临复杂的选择,关于回归比赛.
- 支持知情决策对于脑震荡后的最佳结果至关重要.
研究的目的:
- 描述体育医学临床医生如何支持青少年在脑震荡恢复后参与体育运动的决策.
- 探索临床医生如何制定决策,他们考虑的因素以及他们如何处理家庭矛盾.
主要方法:
- 定性研究涉及与17名体育医学临床医生进行半结构面试.
- 采访是在4家儿童医院的三级保健体育医学诊所进行的.
- 太华决策支持框架为面试指南提供了信息.
主要成果:
- 临床医生通过告知家庭风险并与青少年福祉保持一致,整合了共享决策 (SDM).
- 调解策略被用来管理青少年和家长之间的不和.
- 临床医生在医学或心理上有指示时,通过说服性沟通,就替代性活动进行讨论.
结论:
- 体育医学临床医生利用有效的优势和战略来支持青少年脑震荡恢复的SDM.
- 调查结果为制定指导和干预措施提供了基础,以加强这一群体的SDM.
- 专注于青少年的福祉和明智的选择是脑震荡管理的关键.
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