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脑损伤后的危机及其评估。

Crisis and its assessment after brain injury.

作者信息

Davis John R, Gemeinhardt Monica, Gan Caron, Anstey Kelley, Gargaro Judith

机构信息

West Park Healthcare Centre, Toronto, Canada.

出版信息

Brain Inj. 2003 May;17(5):359-76. doi: 10.1080/0269905021000038429.

DOI:10.1080/0269905021000038429
PMID:12745709
Abstract

PRIMARY OBJECTIVE

To develop a measure to assess crisis after acquired brain injury (ABI).

RESEARCH DESIGN

A triangulated research strategy, using both qualitative and quantitative methods, was employed to develop the crisis measure.

METHODS AND PROCEDURES

The measure was developed in two phases. In the first phase, by using focus group methodology, the experience of crisis following brain injury was described. The second phase involved developing the questionnaire items, pilot testing the measure and conducting initial reliability testing.

MAIN OUTCOMES AND RESULTS

The six themes derived from the content analysis led to the creation of the measure, with versions for individuals who have an ABI, family members and professionals. Test-re-test reliability results (n = 40) were adequate.

CONCLUSIONS

The results suggest that crisis is experienced as precarious homeostasis with individuals with brain injury, varying in intensity over time, subjectively viewed as never really absent.

摘要

主要目标

制定一项评估后天性脑损伤(ABI)后危机情况的措施。

研究设计

采用了一种三角测量研究策略,运用定性和定量方法来制定危机评估措施。

方法与步骤

该措施分两个阶段制定。第一阶段,通过焦点小组方法描述脑损伤后危机的经历。第二阶段包括制定问卷项目、对该措施进行预测试以及进行初步的信度测试。

主要结果

内容分析得出的六个主题促成了该措施的创建,分别有适用于后天性脑损伤患者、家庭成员和专业人员的版本。重测信度结果(n = 40)良好。

结论

结果表明,脑损伤患者会经历不稳定的内稳态危机,其强度随时间变化,主观上认为这种危机从未真正消失。

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