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整体康复小组治疗-轻度后天性脑损伤后适应新生活的捷径。

Holistic group rehabilitation--a short cut to adaptation to the new life after mild acquired brain injury.

机构信息

Department of Rehabilitation Medicine Stockholm, Danderyd University Hospital, Stockholm, Sweden.

出版信息

Disabil Rehabil. 2011;33(12):969-78. doi: 10.3109/09638288.2010.528141. Epub 2010 Nov 10.

DOI:10.3109/09638288.2010.528141
PMID:21067340
Abstract

PURPOSE

The purpose was to explore and understand what patients with mild acquired brain injury (mABI) consider is effective in a holistic therapy group rehabilitation programme and how the programme affects the rehabilitation process.

METHODS

Thematic interviews were conducted with ten informants with diagnosed mABI. They were recruited through purposive sampling after completing a group rehabilitation programme. The data were analysed using a constant comparative method.

RESULTS

The programme provided the informants with awareness of their difficulties in daily life. They were thus motivated to develop compensatory strategies for better function. The core category 'process of change' and four sub-categories were defined: 'the group process', 'the individual', 'family' and 'work'. These describe how the programme supported illness management strategies, e.g. setting and maintaining boundaries, coping with and accepting the hard facts of disability. Body awareness training was important. Work capacity was regarded as a measure of recovery. Social relations concentrated on meaningful exchanges.

CONCLUSION

When meeting patients with mABI it is important to consider that, despite apparently well functioning; they might suffer from disabling symptoms that affect performance of daily life. A holistic group rehabilitation programme with integrated information properly provides a short cut to facilitating awareness and adjustment.

摘要

目的

旨在探索和了解轻度后天性脑损伤(mABI)患者在整体治疗小组康复计划中认为有效的治疗方法,以及该计划如何影响康复过程。

方法

对 10 名经诊断患有 mABI 的知情者进行了专题访谈。他们是在完成小组康复计划后,通过目的性抽样招募的。使用恒定比较法分析数据。

结果

该计划使知情者意识到他们日常生活中的困难,从而激发他们制定更好的功能补偿策略。核心类别“变化过程”和四个亚类别定义为:“小组过程”、“个体”、“家庭”和“工作”。这些描述了该计划如何支持疾病管理策略,例如设定和维持界限、应对和接受残疾的残酷事实。身体意识训练很重要。工作能力被视为恢复的衡量标准。社会关系集中在有意义的交流上。

结论

在遇到患有 mABI 的患者时,重要的是要考虑到,尽管他们的功能表现似乎正常,但他们可能会遭受影响日常生活的致残症状。一个整体的小组康复计划,整合了适当的信息,为促进意识和调整提供了捷径。

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