"I Couldn'T Even Do Normal Chores": A Qualitative Study Of The Impacts Of Injury For Maori

Michelle Lambert,Emma H Wyeth,Shawnee Brausch, Matire L N Harwood, Deborah Anselm, Tracey Wright-Tawha, Barbara Metzger, Peter Ellison,Sarah Derrett

DISABILITY AND REHABILITATION(2021)

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摘要
Aims: To investigate the rehabilitation experiences of Maori who were still reporting disability 24 months after an injury resulting in hospitalisation. Methods: Participants had been hospitalised for an Accident Compensation Corporation (New Zealand's no-fault injury compensation insurer) entitlement claim injury between 2007 and 2009, and were experiencing disability 24 months post-injury. In-depth kanohi ki te kanohi (face-to-face) qualitative interviews with 12 participants aged between 37 and 71 years at the time of interviews were conducted. Interpretive analyses of interview transcripts, focused on the impacts of injury was conducted with the aid of NVivo software. Results: The overarching theme identified during the analysis was "Impact" with four sub-themes of: Impact on daily life; Impact on relationships, Impact on employment; and, long-term or ongoing impacts. Conclusions: For Maori living with disability 24 months after hospitalisation for injury, adjusting to life after the injury and the rehabilitation process was challenging. Participants discussed frustration with feeling dependent on others, being bored and feeling unfulfilled after their injury, and that many aspects of their lives were impacted on and not always in the expected directions. Many reported longer lasting impacts even after rehabilitation was completed. Implications for rehabilitation programmes e.g., strengthening programmes by taking into account issues discussed by participants, recognising the long-term impacts on both those injured and their whanau (family), and further investigations required are also discussed.
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关键词
Indigenous populations, injury, rehabilitation, rehabilitation outcomes, long-term effects, hospitalisation, Maori
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