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儿童创伤性脑损伤5至8年后的自我报告健康状况及其对生活状况的影响。

Self-reported health and influence on life situation 5-8 years after paediatric traumatic brain injury.

作者信息

Renström Barbro, Söderman Kerstin, Domellöf Erik, Emanuelson Ingrid

机构信息

Kolbäcken Child Rehabilitation Centre, Umeå, Sweden.

出版信息

Brain Inj. 2012;26(12):1405-14. doi: 10.3109/02699052.2012.694559. Epub 2012 Jun 21.

DOI:10.3109/02699052.2012.694559
PMID:22720997
Abstract

PRIMARY OBJECTIVE

During childhood, the central nervous system is in a state of rapid development which can be interrupted by a traumatic brain injury (TBI). This study aimed to describe if and how TBI during childhood influences health and life situation, 5-8 years later.

RESEARCH DESIGN

A case-control retrospective design was employed for the assessment of 61 adolescents and young adults with a mild, moderate or severe TBI and 229 matched controls from a normative group (16-24 years).

METHODS AND PROCEDURES

SF-36 (Short Form 36 health survey) and a self-reported questionnaire measuring life situation were distributed to youths suffering TBI 5-8 years ago. Forty-five youths (74%) completed the questionnaires.

MAIN OUTCOMES AND RESULTS

Participants with a TBI stated lower self-estimated health compared with the normative group. Remaining self-reported symptoms were physical and cognitive. Negative effects of TBI influencing school results, leisure activities and thoughts about future life situation were also described.

CONCLUSION

Young individuals experience sustained negative effects of childhood TBI on health and life situation. More research is necessary to detect, understand and properly support these youths.

摘要

主要目标

在儿童时期,中枢神经系统处于快速发育状态,可能会因创伤性脑损伤(TBI)而中断。本研究旨在描述儿童时期的创伤性脑损伤在5至8年后是否以及如何影响健康和生活状况。

研究设计

采用病例对照回顾性设计,对61名患有轻度、中度或重度创伤性脑损伤的青少年和青年以及229名来自正常人群(16 - 24岁)的匹配对照进行评估。

方法与步骤

向5至8年前遭受创伤性脑损伤的青少年发放了SF - 36(简短健康调查问卷)和一份测量生活状况的自我报告问卷。45名青少年(74%)完成了问卷。

主要结果

与正常人群相比,遭受创伤性脑损伤的参与者自我评估的健康状况较低。其余自我报告的症状为身体和认知方面的。还描述了创伤性脑损伤对学业成绩、休闲活动以及对未来生活状况的想法产生的负面影响。

结论

年轻人经历了儿童时期创伤性脑损伤对健康和生活状况的持续负面影响。需要更多研究来检测、理解并妥善支持这些青少年。

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