Concussion Recovery in Children and Adolescents: A Qualitative Study of Parents' Experiences.
Concussion Recovery in Children and Adolescents: A Qualitative Study of Parents' Experiences.
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DOI：
10.1111/josh.13114
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Yang J
中科院分区：
文献类型：
--
作者：
Sullivan L;Wysong M;Yang J
虽然父母在青少年脑震荡管理中发挥着重要作用，但很少有研究从父母的角度定性地探讨青少年脑震荡的恢复。这项研究探讨了父母的经验和看法，他们的孩子从脑震荡的恢复，特别是关于返回学校的过程。我们在2018年10月至2019年4月期间与11至17岁的脑震荡青少年的父母进行了11次面对面的半结构化访谈。我们采用开放编码、轴向编码和选择性编码的方法对数据进行分析。我们在数据分析过程中确定了七个主题，我们将其分为两类：在家（重新入学前）和在学校（重新入学过程中）。在家类别包括四个主题：（1）身体和认知休息;（2）儿童主导的决策;（3）亲子沟通在恢复中的作用;（4）脑震荡后重返学校的感觉。在学校的类别包括三个主题：（1）学术住宿的可用性和使用;（2）返回学校的政策和程序;（3）学校官员和教师的支持。父母对孩子脑震荡后返校的经历强调了脑震荡后认知休息的循证指南和脑震荡管理的协作性、团队性方法的必要性。
Although parents play an instrumental role in youth concussion management, few studies have qualitatively explored youth concussion recovery from the parents’ perspective. This study explored parents’ experiences with and perceptions of their child’s recovery from concussion, particularly with regards to the return-to-school process. We conducted 11 face-to-face semi-structured interviews with the parents of concussed youth aged 11 to 17 years between October 2018 and April 2019. We used the methods of open coding, axial coding, and selective coding to analyze the data. We identified seven themes during data analysis, which we divided into two categories: at home (prior to school re-entry) and at school (during the school reintegration process). The at home category included four themes: (1) physical and cognitive rest; (2) child-led decision-making; (3) the role of parent-child communication in recovery; and (4) feelings about returning to school following concussion. The at school category included three themes: (1) availability and utilization of academic accommodations; (2) return-to-school policies and procedures; and (3) support from school officials and teachers. Parents’ experiences of their child’s return-to-school post-concussion underscore the need for evidence-based guidelines for cognitive rest post-concussion and a collaborative, team-based approach to concussion management.
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