Department of Neurorehabilitation, Traumatic Brain Injury Unit, Copenhagen University Hospital, Glostrup, Denmark.
Neuropsychol Rehabil. 2011 Jun;21(3):306-21. doi: 10.1080/09602011.2011.558766. Epub 2011 Mar 30.
Many studies have reported emotional distress in relatives of patients with brain injury, but few studies have investigated neuropsychological interventions for relatives. The present study assessed the amount of neuropsychological support as well as the actual number of sessions with a neuropsychologist during rehabilitation in a sub-acute unit. The study also examined whether the amount of support was related to the condition of the patient or the relative at admission. The sample consisted of 26 patients and their closest relative, and measures included demographic variables as well as characteristics related to the patient: Glasgow Coma Scale, Injury Severity Score, Early Functional Abilities, Functional Independence Measure, Rancho Los Amigos; and to the relative: symptoms of anxiety and depression (SCL-90-R), quality of life (SF-36) and amount and number of sessions of neuropsychological support. On average, the relatives received about 18 units of 15 minutes and had six sessions with a neuropsychologist during hospitalisation. A total of 38% participated in group sessions. Relatives' symptoms of anxiety at admission were associated with the number of sessions as well as the amount of support, indicating that relatives with more symptoms of anxiety received more support during the hospitalisation.
许多研究报告了脑损伤患者亲属的情绪困扰，但很少有研究调查神经心理学干预对亲属的作用。本研究评估了亚急性病房康复期间神经心理学家提供的神经心理学支持的数量以及实际的咨询次数。该研究还调查了支持的数量是否与入院时患者或亲属的情况有关。样本包括 26 名患者及其最亲近的亲属，测量指标包括人口统计学变量以及与患者相关的特征：格拉斯哥昏迷量表、损伤严重程度评分、早期功能能力、功能独立性测量、拉霍亚认知功能分级；以及与亲属相关的：焦虑和抑郁症状（SCL-90-R）、生活质量（SF-36）以及神经心理学支持的数量和次数。平均而言，亲属在住院期间接受了约 18 个 15 分钟的单元，并且与神经心理学家进行了六次咨询。共有 38%的人参加了小组会议。亲属入院时的焦虑症状与咨询次数和支持数量有关，表明焦虑症状更严重的亲属在住院期间获得了更多的支持。
