Klonoff Pamela S, Watt Lisa M, Dawson Lauren K, Henderson Steven W, Gehrels Jo-Ann, Wethe Jennifer Voreis
Catholic Healthcare West, Barrow Neurological Institute, Center for Transitional Neurorehabilitation, Phoenix, AZ 85013, USA.
Brain Inj. 2006 Jun;20(6):601-12. doi: 10.1080/02699050600744301.
To explore pre-injury variables related to post-discharge psychosocial status and identify factors related to work and driving outcomes.
Ninety-three brain-injured patients attended a holistic milieu-oriented neurorehabilitation program and were contacted 1-7 years post-discharge.
Questionnaire data addressing pre-injury and post-injury work, driving, income, marital status and living situation.
74.3% were involved in competitive work and/or school with 86.0% productive at follow-up. Post-injury income decreased significantly compared with pre-injury levels. Pre-injury relationship status did not differ significantly from post-injury; 81.1% remaining in a stable relationship or married at follow-up. Pre-injury and post-injury accident rates were related; 73.1% drove at follow-up. Higher education, non-right hemispheric injury, shorter treatment length and return to work related to driving. Younger age, higher education, non-right hemispheric injury and driving post-injury related to positive work status.
Pre-injury psychosocial data provide an important context for understanding post-discharge outcome after brain injury. Holistic milieu-oriented rehabilitation facilitates long-term successful work, driving and relationship stability.
探究与出院后心理社会状况相关的伤前变量，并确定与工作和驾驶结果相关的因素。
93名脑损伤患者参加了以整体环境为导向的神经康复项目，并在出院后1至7年接受随访。
通过问卷调查收集伤前和伤后工作、驾驶、收入、婚姻状况及生活状况的数据。
74.3%的患者参与了竞争性工作和/或学习，随访时86.0%的患者有生产能力。伤后收入与伤前水平相比显著下降。伤前人际关系状况与伤后无显著差异；随访时81.1%的患者保持稳定关系或已婚。伤前和伤后事故发生率相关；随访时73.1%的患者开车。高等教育、非右侧半球损伤、治疗时间较短以及恢复工作与驾驶有关。年龄较小、高等教育、非右侧半球损伤以及伤后驾驶与积极的工作状态有关。
伤前心理社会数据为理解脑损伤出院后结果提供了重要背景。以整体环境为导向的康复促进长期成功的工作、驾驶及关系稳定。
