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[阿基坦地区重度创伤性脑损伤患者的生活满意度及社会心理结局]

[Life satisfaction and psychosocial outcome in severe traumatic brain injuries in Aquitaine].

作者信息

Quintard B, Croze P, Mazaux J M, Rouxel L, Joseph P A, Richer E, Debelleix X, Barat M

机构信息

Laboratoire de psychologie EA 526, université Victor-Segalen, Bordeaux 2, 33076 cedex, Bordeaux, France.

出版信息

Ann Readapt Med Phys. 2002 Nov;45(8):456-65. doi: 10.1016/s0168-6054(02)00296-9.

Abstract

OBJECTIVE

To assess late outcome and satisfaction of life of patients with severe traumatic brain injury (TBI) patients who received inpatient rehabilitation in Aquitaine.

DESIGN AND PATIENTS

Seventy-nine consecutive patients out of the 158 who were hospitalized for rehabilitation in 1993 were asked for in 2000 by a phone interview including standardised scales and free talk as well.

RESULTS

The results showed that nine years on average after their injury, 65 to 85% of patients were independent for daily living, whereas 35 to 55% only were independent in social life. Most of them were satisfied with their autonomy (67%), family life (66%) and financial status (41%), but they were dissatisfied with leisure (36%), vocational adjustment (28%) and sexual life (32%).

CONCLUSION

Return to work, leisure and sexuality are major parameters of satisfaction of life after a severe TBI, and should be emphasized in goal-directed rehabilitation programs.

摘要

目的

评估在阿基坦接受住院康复治疗的重度创伤性脑损伤(TBI)患者的远期预后和生活满意度。

设计与患者

1993年住院接受康复治疗的158例患者中的79例连续患者于2000年接受电话访谈,访谈包括标准化量表及自由交谈。

结果

结果显示,受伤平均9年后,65%至85%的患者日常生活能够自理,而社交生活能够自理的仅为35%至55%。他们中的大多数对自身自主性(67%)、家庭生活(66%)和经济状况(41%)感到满意,但对休闲(36%)、职业适应(28%)和性生活(32%)不满意。

结论

重返工作、休闲和性生活是重度创伤性脑损伤后生活满意度的主要指标,应在目标导向的康复计划中予以强调。

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