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Personer som har traumatisk hjärnskada: Upplevelser av skadan och kommunikation efter skadan
Linköping University, Department of Clinical and Experimental Medicine, Division of Speech language pathology, Audiology and Otorhinolaryngology.
Linköping University, Department of Clinical and Experimental Medicine, Division of Speech language pathology, Audiology and Otorhinolaryngology.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
People with Traumatic Brain Injury : Experiences of the Injury and Communication after the Injury (English)
Abstract [en]

An alteration in the function of the brain caused by an external force is called a Traumatic Brain Injury (TBI). There are language features located in different areas of the brain, and depending on where a person gets a TBI, the person can experience different communicative difficulties. These can manifest as aphasia, dysarthria or cognitive communicative disorders. The experiences of TBI that have been discovered in previous studies are for instance about how persons with TBI experience their diminished functions, life adjustment after the injury, the role and support of the relatives, that the environment treats them differently after the injury and emotional consequences. For the purpose of investigation and intervention, ICF is a useful tool since the difficulties that a person may have can be connected to its various components.

The purpose of this study is to examine what experiences persons with TBI have regarding their brain injury and their communicative difficulties, and also how these can be connected to ICF. To answer the research questions, a qualitative method involving content analysis was used, based on semi-structured interviews with four participants.

The participants expressed that their TBI had affected them in various ways, communicative, cognitive, physically and socially. The participants experienced their injuries and difficulties as limiting and that some periods had been lonely. However they also stated that there were some positive aspects in the situation, for example improved family relations and that they valued life in another way.

Although the injuries, difficulties and rehabilitation of the participants have differed, the participants stories have been similar to some extent. In the future it would be interesting to conduct further studies in Sweden that examine which experiences persons with TBI have regarding the injury itself, but particularly regarding their communication after the TBI. It is important with more studies since that would give speech language pathologists a greater understanding for how people with TBI experience their situation and their communication after the injury. 

Abstract [sv]

Traumatisk hjärnskada (TBI) innebär att ett yttre våld har orsakat en förändring av hjärnfunktionen. I hjärnan finns språkliga funktioner som är belägna inom olika delar av hjärnan. Beroende på var i hjärnan en person får en TBI, leder det till olika kommunikativa svårigheter. Svårigheterna kan yttra sig som afasi, dysartri eller kognitiva kommunikativa störningar. De upplevelser av TBI som har framkommit i tidigare studier handlar bland annat om hur personer som har TBI upplever sina nedsatta funktioner, livsomställningen efter skadan, anhörigas roll och stöd, att omgivningen behandlar dem annorlunda efter skadan och emotionella konsekvenser. Vid utredning och behandling är ICF ett användbart verktyg eftersom att en persons svårigheter kan kopplas till ICF:s olika komponenter.

Syftet med föreliggande studie är att undersöka vilka upplevelser personer som har TBI har erhållit i relation till sin hjärnskada, deras kommunikativa svårigheter samt hur dessa kan kopplas till ICF. För att besvara frågeställningarna användes en kvalitativ metod med semi-strukturerade intervjuer av fyra personer och innehållsanalys av dessa.

Deltagarna i föreliggande studie uttryckte att deras TBI hade påverkat dem på olika sätt: kommunikativt, kognitivt, fysiskt och socialt. Deltagarna upplevde sina skador och svårigheter som begränsande och att de i vissa perioder hade upplevt isolering. De berättade dock att det fanns positiva aspekter av situationen såsom förbättrade familjerelationer och att livet värderades på ett annat sätt.

Trots att deltagarnas skador, svårigheter och rehabilitering har skiljt sig åt, har deltagarnas berättelser haft likartad karaktär, även om de också till viss del har varierat. I framtiden vore det intressant med fler svenska studier som undersöker vilka upplevelser personer som har TBI har i relation till sina hjärnskador, men framförallt gällande sin kommunikation efter hjärnskadan. Det skulle vara betydelsefullt med fler studier eftersom att det skulle ge logopeder en större förståelse för hur personer som har TBI upplever sin situation och sin kommunikation efter skadan.

Place, publisher, year, edition, pages
2017. , 51 p.
Keyword [en]
traumatic brain injury, language features of the brain, communication, experiences, ICF
Keyword [sv]
traumatisk hjärnskada, hjärnans språkliga funktioner, kommunikation, upplevelser, ICF
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-138159OAI: oai:DiVA.org:liu-138159DiVA: diva2:1108154
Subject / course
Master (one year thesis)/Speech and Language Pathology
Presentation
2017-05-23, Almen, Linköping, 14:00 (Swedish)
Supervisors
Examiners
Available from: 2017-06-12 Created: 2017-06-12 Last updated: 2017-06-12Bibliographically approved

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