关键词: capital inequality recovery rehabilitation transition traumatic brain injury

Mesh : Humans Denmark Male Female Adult Middle Aged Brain Injuries, Traumatic / rehabilitation psychology Qualitative Research Interviews as Topic Survivors / psychology

来  源:   DOI:10.1111/hex.13946   PDF(Pubmed)

Abstract:
OBJECTIVE: This study uses capital theory to investigate survivors\' investments in their bodies and the resources they accumulate during their rehabilitation trajectory, and how these factors impact their perception of recovery from their impairments.
METHODS: Qualitative interviews were conducted with 20 patients of working age and their relatives, with audio recordings transcribed verbatim. Data analysis utilized an abductive approach informed by Bourdieu\'s capital theory.
RESULTS: During the initial phases of rehabilitation (acute and subacute), survivors invest in their physical bodies and acquire physical capital. However, they encounter a range of complex barriers when attempting to convert this capital into the resources necessary for re-entering the workforce or pursuing education. These difficulties are linked to the lack of specialized community services in the later phases of their rehabilitation trajectory.
CONCLUSIONS: Present-day Danish healthcare rehabilitation focuses on restoring physical function and recovering physical capital. However, comprehensive rehabilitation to enhance mental and cognitive abilities and increase levels of emotional capital, which is crucial for working-age individuals, is inadequately addressed within community services. This results in unequal treatment and care, contradicting the stated goal of equality in the Danish healthcare system.
UNASSIGNED: This study incorporated the perspectives of 20 individuals who have survived severe traumatic brain injury, as well as their relatives, to gain insights into their experiences throughout the rehabilitation process, the resources they have accumulated and how these factors contribute to their sense of recovery.
摘要:
目的:本研究使用资本理论来调查幸存者对其身体的投资以及他们在康复过程中积累的资源,以及这些因素如何影响他们从损伤中恢复的感觉。
方法:对20名工作年龄患者及其亲属进行了定性访谈,录音逐字记录。数据分析采用了布迪厄资本理论的绑架方法。
结果:在康复的初始阶段(急性和亚急性),幸存者投资于他们的身体并获得物质资本。然而,当他们试图将这些资本转化为重新进入劳动力市场或接受教育所需的资源时,他们遇到了一系列复杂的障碍。这些困难与在康复过程的后期缺乏专门的社区服务有关。
结论:目前的丹麦医疗康复侧重于恢复身体功能和恢复物质资本。然而,全面康复,以增强心理和认知能力,提高情感资本水平,这对工作年龄的人来说至关重要,在社区服务中没有得到充分解决。这导致了不平等的待遇和护理,与丹麦医疗保健系统中规定的平等目标相矛盾。
这项研究纳入了20名严重创伤性脑损伤幸存者的观点,以及他们的亲戚,为了深入了解他们在整个康复过程中的经历,他们积累的资源以及这些因素如何有助于他们的恢复感。
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