SAFETYLIT WEEKLY UPDATE

We compile citations and summaries of about 400 new articles every week.
RSS Feed

HELP: Tutorials | FAQ
CONTACT US: Contact info

Search Results

Journal Article

Citation

Theadom AM, Rowland V, Levack W, Starkey N, Wilkinson-Meyers L, McPherson K. BMJ Open 2016; 6(4): e010453.

Affiliation

Person Centred Research Centre, Auckland University of Technology, Auckland, New Zealand The Health Research Council of New Zealand, Auckland, New Zealand.

Copyright

(Copyright © 2016, BMJ Publishing Group)

DOI

10.1136/bmjopen-2015-010453

PMID

27059468

Abstract

OBJECTIVES: To explore the experience of fatigue and sleep difficulties over the first 2 years after traumatic brain injury (TBI).

DESIGN: Longitudinal qualitative descriptive analysis of interviews completed as part of a larger longitudinal study of recovery following TBI. Data relating to the experience of fatigue and/or sleep were extracted and coded by two independent researchers. SETTING: Community-based study in the Hamilton and Auckland regions of New Zealand. PARTICIPANTS: 30 adult participants who had experienced mild, moderate or severe brain injury within the past 6 months (>16 years of age). 15 participants also nominated significant others to take part. Interviews were completed at 6, 12 and 24 months postinjury.

RESULTS: Participants described feeling unprepared for the intensity, impact and persistent nature of fatigue and sleep difficulties after injury. They struggled to learn how to manage their difficulties by themselves and to adapt strategies in response to changing circumstances over time. Four themes were identified: (1) Making sense of fatigue and sleep after TBI; (2) accepting the need for rest; (3) learning how to rest and; (4) need for rest impacts on ability to engage in life.

CONCLUSIONS: Targeted support to understand, accept and manage the sleep and fatigue difficulties experienced may be crucial to improve recovery and facilitate engagement in everyday life. Advice needs to be timely and revised for relevance over the course of recovery.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/


Language: en

NEW SEARCH


All SafetyLit records are available for automatic download to Zotero & Mendeley
Print