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首页> 外文期刊>Journal of athletic training >Qualitative Examination of Adolescent Health-Related Quality of Life at 1 Year Postconcussion
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Qualitative Examination of Adolescent Health-Related Quality of Life at 1 Year Postconcussion

机译：脑震荡后1年青少年健康相关生活质量的定性检查

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Context: Moderate to severe traumatic brain injuries can negatively influence health-related quality of life (HRQOL) in adolescent patients. The effect of sport-related concussion on adolescent HRQOL remains unclear. Objective: To investigate the perceptions of adolescent student-athletes and their parents regarding the adolescents' HRQOL 1 year after sport-related concussion. Design: Qualitative study. Setting: Secondary school. Patients or Other Participants: Seven adolescent student-athletes (age range, 12–16 years) who sustained a sport-related concussion at least 1 year (15.3 ± 2.8 months) before the study participated along with their primary care-giving parents (n = 7). Data Collection and Analysis: Fourteen semistructured face-to-face interviews (7 adolescents, 7 parents) were completed. Interviews were transcribed and inductively analyzed by a team of 3 athletic trainers with 32 combined years of professional experience. Themes were negotiated through a consensual review process. Participant checks were completed to ensure trustworthiness of the results. Results: Four major themes emerged from the interviews: (1) significant effect of symptoms, (2) feelings of frustration, (3) influence on school attendance and activities, and (4) nature of interpersonal and team relationships. Participants indicated that the physical symptoms of the concussion substantially affected their emotional and academic function. The influence of the concussion on social interactions seemed to depend on the nature of interpersonal relationships. Conclusions: Sport-related concussion can negatively influence physical and emotional function, academics, and interpersonal interactions as perceived by adolescent student-athletes and their parents. Education of parents and their children, school professionals, coaches, and teammates remains critical to effectively recognize and manage sport-related concussion. Secondary school districts also play a critical role in the concussion-management process by establishing and implementing accommodation policies that alleviate student concerns about falling behind while ensuring a healthy return to normal school routines. Furthermore, adolescent support systems must be considered throughout the recovery process.
机译：背景：中度至重度颅脑外伤可对青少年患者的健康相关生活质量（HRQOL）产生负面影响。运动相关脑震荡对青少年HRQOL的影响尚不清楚。目的：探讨运动相关脑震荡1年后青少年学生运动员及其父母对青少年HRQOL的看法。设计：定性研究。地点：中学。患者或其他参与者：7名青少年学生运动员（年龄段，12至16岁）在研究前至少1年（15.3±2.8个月）遭受了与运动有关的脑震荡，并与他们的主要护理父母一起参加（n = 7）。数据收集和分析：完成了14个半结构化的面对面访谈（7个青少年，7个父母）。由3名具有32年专业经验的运动教练组成的团队对访谈进行了转录和归纳分析。通过协商一致的审查过程对主题进行了谈判。参加者检查已经完成，以确保结果的可信度。结果：访谈产生了四个主要主题：（1）症状的显着影响;（2）沮丧的感觉;（3）对学校出勤和活动的影响;（4）人际关系和团队关系的性质。与会者指出，脑震荡的身体症状大大影响了他们的情绪和学习功能。脑震荡对社会互动的影响似乎取决于人际关系的性质。结论：与运动有关的脑震荡会对青少年学生运动员及其父母所感知的身体和情绪功能，学术以及人际互动产生负面影响。对父母及其子女，学校专业人员，教练和队友的教育对于有效识别和管理与运动有关的脑震荡仍然至关重要。中学区在脑震荡管理过程中也起着至关重要的作用，它制定并实施了住宿政策，以减轻学生对落伍的担忧，同时确保健康地恢复正常的学校常规。此外，在整个恢复过程中必须考虑青少年支持系统。

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