Fleming Jennifer M, Lucas Sarah E, Lightbody Sue
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Can J Occup Ther. 2006 Feb;73(1):44-55. doi: 10.2182/cjot.05.0005.
Impaired self-awareness in people who have had an acquired brain injury (ABI) is a complex phenomenon that impedes rehabilitation progress and outcome.
This pilot study investigated the effect of an occupation-based intervention program on the self-awareness and emotional status of people after ABI. Four male adults with impaired self-awareness following ABI participated in this study. Each received a 10-week individualized program that focused on the performance of three occupations for 1 to 2 hours per week. A facilitative approach was taken, using techniques to improve self-awareness described in the literature. Repeated measures of participants'self-awareness and emotional status were taken pre- and post-intervention, and analyzed descriptively.
Results indicated preliminary support for the effectiveness of the program in facilitating participants' self-awareness. However, consideration of baseline and follow-up data indicated a complex picture. Increased anxiety was found to accompany improvements in participants' self-awareness in all four cases.
This study will assist occupational therapists with program development for clients who have had an acquired brain injury.
后天性脑损伤（ABI）患者的自我意识受损是一种复杂的现象，会阻碍康复进程和康复效果。
这项试点研究调查了基于职业的干预计划对ABI患者自我意识和情绪状态的影响。四名因ABI导致自我意识受损的成年男性参与了本研究。每人接受了为期10周的个性化计划，该计划每周聚焦于三项职业活动的开展，每次1至2小时。采用了一种促进性方法，运用了文献中描述的提高自我意识的技巧。在干预前后对参与者的自我意识和情绪状态进行了重复测量，并进行了描述性分析。
结果初步支持了该计划在促进参与者自我意识方面的有效性。然而，对基线数据和随访数据的考量呈现出一幅复杂的图景。在所有四个案例中，都发现参与者自我意识提高的同时焦虑情绪也有所增加。
本研究将有助于职业治疗师为后天性脑损伤患者制定康复计划。
