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Factors Affecting the Implementation of Early Rehabilitation Care in Patients With Traumatic Brain Injury: A Multidisciplinary Perspective Publisher



Eghbali M1, 2 ; Khankeh H3, 4 ; Hosseini SA5 ; Ebadi A6, 7 ; Rahimimovaghar V8
Authors
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Authors Affiliations
  1. 1. Department of Nursing-University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  2. 2. Torbat Heydariyeh University ot Medical Sciences, Torbat Heydariyeh, Iran
  3. 3. Emergency and Disaster Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  4. 4. Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
  5. 5. Social Determinants of Health Research Center, Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  6. 6. Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
  7. 7. Faculty of Nursing, Baqiyatallah University of Medical Sciences, Teheran, Iran
  8. 8. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2021


Abstract

Background: Traumatic brain injury is now regarded as the silent epidemic. This disease can cause some physical cognitive, and psychological impairments that require proper and early rehabilitation interventions. Therefore, the aim of this study was to explore the factors affecting early rehabilitation care in patients with traumatic brain injury based on the experiences of the rehabilitation team. Methods: This qualitative study was conducted as a conventional content analysis from September 2019 to August 2020. For this purpose and given the maximum diversity. 22 members of the rehabilitation team, patients, and their caregivers in trauma level 1 hospitals affiliated with Tehran University of Medical Sciences were selected based on a purposeful sampling method. The data were also collected using semi-structured interviews until data saturation is obtained. Graneheim and Lundman's content analysis method was performed to analyze the data. Results: The data analysis results eventuallv led to the introduction of three main themes and eight catesories. The main themes were associated with early rehabilitation barriers, which included cultural factors and rehabilitation infrastructures. Rehabilitation management was regarded as the main theme regarding the early rehabilitation facilitator. Conclusion: Early rehabilitation is considered a vital rehabilitation stage for patients with traumatic brain injury. Hence, accurate identification of the influential factors on early rehabilitation can help the rehabilitation team promote early rehabilitation care among these patients: it can lead to the revival of the patients' abilities and the improvement of their quality of life. © Iran University of Medical Sciences
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