中重度后天性脑损伤患者的生活环境
Living environments for people with moderate to severe acquired brain injury.
作者信息
Colantonio Angela, Howse Dana, Kirsh Bonnie, Chiu Teresa, Zulla Rachel, Levy Charissa
机构信息
Saunderson Family Chair in Acquired Brain Injury Research, Toronto Rehabilitation Institute.
出版信息
Healthc Policy. 2010 May;5(4):e120-38.
OBJECTIVES
This study examines the issue of living environments for persons with acquired brain injury (ABI), with the aim of identifying factors that enable or act as barriers to appropriate living environments.
METHODS
A qualitative study involving 31 semi-structured interviews conducted with 56 key informants representing various relevant sectors: institutional, community, residential and non-residential, consumer/advocacy and government/policy from six regions in the province of Ontario, Canada.
RESULTS
The study identified such barriers as lack of ABI-specific facilities, beds and trained staff and a poorly coordinated system in many areas, with long wait lists for specialized residential settings. Clients with ABI need individualized treatment, making development of a standardized model of care difficult, particularly for those with co-morbid conditions. Solutions such as more flexible options for clients and better trained staff emerged.
CONCLUSIONS
The study presents solutions to challenges and limitations in addressing appropriate living environments for persons with ABI.
目的
本研究探讨后天性脑损伤（ABI）患者的生活环境问题，旨在确定有助于营造合适生活环境的因素以及构成障碍的因素。
方法
一项定性研究，对来自加拿大安大略省六个地区的56名关键信息提供者进行了31次半结构化访谈，这些信息提供者代表了各个相关部门：机构、社区、住宅和非住宅、消费者/倡导者以及政府/政策部门。
结果
该研究发现了一些障碍，如缺乏针对ABI的设施、床位和训练有素的工作人员，许多地区的系统协调不佳，专门住宅环境的等候名单很长。ABI患者需要个性化治疗，这使得制定标准化护理模式变得困难，尤其是对于那些患有合并症的患者。出现了一些解决方案，如为患者提供更灵活的选择以及训练有素的工作人员。
结论
该研究提出了解决为ABI患者提供合适生活环境时所面临的挑战和限制的方案。
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