创伤性脑损伤4年后的社区融入状况：参与者与代理人的一致性

Community integration status 4 years after traumatic brain injury: participant-proxy agreement.

作者信息

Dawson Deirdre R, Markowitz Michelle, Stuss Donald T

机构信息

Department of Psychology, University of Toronto, Ontario, Canada.

出版信息

J Head Trauma Rehabil. 2005 Sep-Oct;20(5):426-35. doi: 10.1097/00001199-200509000-00004.

DOI:10.1097/00001199-200509000-00004

PMID:16170251

Abstract

OBJECTIVES

To measure the level of agreement on community integration outcomes 4 years after traumatic brain injury (TBI) in relation to injury severity, proxy-participant relationship, and type of question.

PARTICIPANTS

Thirty-one survivors of TBI (14 with mild TBI and 17 with moderate-severe TBI) and 31 significant other proxies.

MEASURES

General and leisure activity scales of the Katz Adjustment Scale (KAS).

RESULTS

Agreement was highest between proxies and participants with mild versus moderate-severe TBIs, between spouse proxies and TBI participants compared to nonspouse proxies and on the more objective subscales (frequency of participation) compared to the expectation and satisfaction scales regardless of injury severity or proxy-participant relationship.

CONCLUSIONS

For research purposes, proxy data are acceptable but clinicians should assess outcomes and set goals with input from both persons with TBIs and their proxies.

摘要