Benge Jared F, Caroselli Jerome S, Reed Karen, Zgaljardic Dennis J
Mental Health Care Line, Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA.
Brain Inj. 2010;24(6):844-50. doi: 10.3109/02699051003724960.
Supervision needs typically increase following moderate-to-severe traumatic brain injury (TBI). Research assessing the impact of TBI residential rehabilitation programmes on supervision needs is limited.
Prospective cross-sectional study.
Ninety-four participants with moderate-to-severe TBI admitted to a post-acute brain injury rehabilitation programme (PABIR) were administered the supervision rating scale (SRS) at admission and at 1 month post-discharge. To account for spontaneous neurological recovery, patients were separated into those who were less than 1 year (L1Y, n = 55) or greater than 1 year (G1Y, n = 39) post-injury.
None.
A mixed factorial design yielded a significant interaction (F(1, 92) = 18.2; p < 0.0001) with post-hoc results revealing that the L1Y group improved more dramatically in terms of supervision needs than the G1Y group. Using reliable change methodologies, 52.7% of the L1Y demonstrated decreasing scores on the SRS vs 20.5% of the G1Y group.
Decreases in supervision needs following PABIR can be found, even after accounting for the impact of spontaneous neurological recovery both at the group and individual level.
中重度创伤性脑损伤（TBI）后，监督需求通常会增加。评估TBI住院康复项目对监督需求影响的研究有限。
前瞻性横断面研究。
94名中重度TBI患者入住急性脑损伤后康复项目（PABIR），在入院时和出院后1个月接受监督评定量表（SRS）评估。为了考虑自发神经恢复情况，将患者分为受伤后不到1年（L1Y，n = 55）或超过1年（G1Y，n = 39）的两组。
无。
混合因子设计产生了显著的交互作用（F(1, 92) = 18.2；p < 0.0001），事后分析结果显示，L1Y组在监督需求方面的改善比G1Y组更为显著。使用可靠变化方法，L1Y组52.7%的患者SRS评分下降，而G1Y组为20.5%。
即使在考虑了自发神经恢复在组水平和个体水平的影响后，PABIR后监督需求仍会降低。
