Lamontagne Marie-Eve, Ouellet Marie-Christine, Simard Jean-Francois
Centre de recherche du Centre Hospitalier Affilie Universitaire, site Enfant-Jesus, Axe de recherche en traumatologie-medecine d'urgence-soins intensifs, Quebec, Canada.
Brain Inj. 2009 Jul;23(7):693-701. doi: 10.1080/02699050902970760.
Human assistance is a counterweight to disabilities for people living with a traumatic brain injury (TBI). However, there is no clear description of the human assistance used by this population in relation with specific life habits (LH).
(1) to describe the proportion of LH performed with human assistance; (2) to explore the characteristics of TBI persons with greater needs for human assistance; (3) to clarify the categories of LH for which persons with TBI need human assistance; and (4) to determine the relationship between the human helper and the person with TBI across different residential settings.
One hundred and thirty-six individuals with moderate or severe TBI were interviewed using the LIFE-H.
Human assistance is used to perform one out of three LH. A greater need for human assistance was associated with the number of impairments, motor limitation to the upper limbs, hemiplegia and receiving public insurance. Human assistance was used more often to perform LH pertaining to social roles than those pertaining to daily living. Close relatives were the most frequent providers of human assistance regardless of the residential setting.
Given the importance of human assistance in TBI, it is essential to support human helpers during and after rehabilitation.
对于创伤性脑损伤（TBI）患者而言，他人协助是克服残疾影响的一种平衡力量。然而，目前尚无关于该人群所使用的与特定生活习惯（LH）相关的他人协助的清晰描述。
（1）描述在他人协助下进行的生活习惯的比例；（2）探究对他人协助有更大需求的TBI患者的特征；（3）明确TBI患者需要他人协助的生活习惯类别；（4）确定在不同居住环境中，协助者与TBI患者之间的关系。
使用LIFE - H对136名中度或重度TBI患者进行访谈。
三分之一的生活习惯需要他人协助才能完成。对他人协助的更大需求与损伤数量、上肢运动受限、偏瘫以及接受公共保险有关。与日常生活相关的生活习惯相比，与社会角色相关的生活习惯更常需要他人协助。无论居住环境如何，近亲是最常提供协助的人。
鉴于他人协助对TBI患者的重要性，在康复期间及之后为协助者提供支持至关重要。
