Experience of recovery and outcome following traumatic brain injury: a metasynthesis of qualitative research
Experience of recovery and outcome following traumatic brain injury: a metasynthesis of qualitative research
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DOI：
10.3109/09638281003775394
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发表时间：
2010-01-01
影响因子：
2.2
通讯作者：
Fadyl, Joanna K.
中科院分区：
文献类型：
--
作者：
Levack, William M. M.;Kayes, Nicola M.;Fadyl, Joanna K.
目的.探讨使用质性元分析为选择结果指标评价成人创伤性脑损伤（TBI）提供服务的辩论提供信息。1965年至2009年6月期间发表的15个数据库中的定性研究进行了检索，调查了成年期获得的TBI后恢复的生活经历。两名评审员独立筛选所有摘要。使用方法学标准对纳入的研究进行评价，以提供解释实质性结果的背景。数据由三名评审员提取和合成，使用QSR NVivo协助数据管理。从23项研究中，确定了八个相互关联的主题来描述TBI的持久体验：1）身心脱节; 2）与受伤前的身份脱节; 3）社会脱节; 4）情感后遗症; 5）内部和外部资源; 6）自我认同的重建; 7）重建世界地位; 8）重建人格。结论。目前，有一些结果的措施，但不是所有的问题，在定性研究中确定的幸存TBI。特别是，可能需要新的结果措施，以评估个人身份的丧失，重建身份的满意度和与一个人的身体和一个人的生活TBI后的连接感的经验。
Purpose. To explore the use of qualitative metasynthesis to inform debate on the selection of outcome measures for evaluation of services provided to adults with traumatic brain injury (TBI).Method. Fifteen databases were searched for qualitative research published between 1965 and June 2009, investigating the lived experience of recovery following TBI acquired during adulthood. Two reviewers independently screened all abstracts. Included studies were evaluated using methodological criteria to provide a context for interpretation of substantive findings. Data were extracted and synthesised by three reviewers, using QSR NVivo to assist with data management.Results. From 23 studies, eight inter-related themes were identified to describe the enduring experience of TBI: 1) mind/body disconnect; 2) disconnect with pre-injury identity; 3) social disconnect; 4) emotional sequelae; 5) internal and external resources; 6) reconstruction of self-identity; 7) reconstruction of a place in the world; 8) reconstruction of personhood.Conclusion. Currently, there are outcome measures for some but not all of the issues identified in qualitative research on surviving TBI. In particular, new outcome measures may be required to evaluate experiences of loss of personal identity, satisfaction with reconstructed identity and sense of connection with one's body and one's life following TBI.