Early Rehabilitation Care for Patients with Traumatic Brain Injury: A Concept Analysis Study

Document Type : Original Article

Authors

1 PhD Candidate of Nursing، Department of Nursing، University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 Professor, Social Determinants of Health Research Center, Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

4 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

5 Professor, Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Teheran, Iran

10.30491/tm.2020.241407.1152

Abstract

Background: Availability and efficiency of early rehabilitation care are crucial for the restoration and improvement of brain function. Moreover, it can help increase the possibility of the patient’s successful future integration in the community. However, there is no clear and general consensus on this concept (regarding patients with traumatic brain injury) and it is considered a poorly developed area of research.
Objective: The purpose of this study was to analyze the concept of early rehabilitation care in patients with traumatic brain injury (TBI).
Methods: Walker and Avant’s (2011) approach was employed to analyze this concept. Various databases and search engines were explored to find all the relevant data regarding the concept of early rehabilitation care from 1990 to 2016. Finally, the definition, usage, features, antecedents, attribute, consequences, and empirical referents on the subject of early rehabilitation care were extracted.
Results: The results of the concept analysis demonstrated that the most important features of early rehabilitation care include early specialized comprehensive care, purposeful and patient-centered care, and teamwork. Hence, the objectives include decreasing the bad consequence caused by immobility, contracture, bladder and intestinal dysfunction, pressure ulcer, and sleeping disorders.
Conclusions: It is believed that the concept of early rehabilitation care is not fully established in the literature in patients with traumatic brain injury, and there are only rudimentary ideas and steps toward applying this concept. Therefore, clarifications on this concept can pave the way for further application of early rehabilitation care.

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