School of Health and Rehabilitation Sciences, The University of Queensland (Drs Fleming and Nalder and Ms Alves-Stein); Centre for Functioning and Health Research, Queensland Health (Dr Fleming); Occupational Therapy Department, Princess Alexandra Hospital (Dr Fleming); Metro North Hospital and Health Service (Dr Cornwell); and Behavioural Basis of Health program, Griffith Health Institute, Griffith University (Dr Cornwell), Brisbane, Queensland, Australia.
J Head Trauma Rehabil. 2014 Mar-Apr;29(2):125-35. doi: 10.1097/HTR.0b013e318286545d.
To describe environmental barriers endorsed by individuals with traumatic brain injury during the first 6 months after discharge and determine their effect on community integration.
Prospective longitudinal study with data collected at predischarge and at 1, 3, and 6 months postdischarge.
One hundred thirty-five individuals with a diagnosis of traumatic brain injury discharged from a large metropolitan hospital to a home/community environment.
Sydney Psychosocial Reintegration Scale; Craig Hospital Inventory of Environmental Factors; and Mayo-Portland Adaptability Inventory-4.
Multiple regression analyses indicated that environmental barriers arising during the transition from hospital to home had a negative association with community integration outcomes. Physical barriers were most commonly endorsed, but attitudinal barriers were significantly correlated with relationship changes.
Environmental barriers should be addressed in rehabilitation and considered in policy development for people with traumatic brain injury. Future research on the measurement of environmental barriers is recommended.
描述创伤性脑损伤患者出院后 6 个月内所认可的环境障碍，并确定其对社区融入的影响。
前瞻性纵向研究，在出院前和出院后 1、3 和 6 个月收集数据。
135 名创伤性脑损伤患者，从一家大型都市医院出院后回到家庭/社区环境。
悉尼心理社会再融入量表、克雷格医院环境因素量表和梅奥-波特兰适应能力量表-4。
多元回归分析表明，从医院到家庭的过渡期间出现的环境障碍与社区融入结果呈负相关。物理障碍最常被认可，但态度障碍与人际关系变化显著相关。
在创伤性脑损伤患者的康复中应解决环境障碍问题，并在政策制定中考虑这些问题。建议对环境障碍的测量进行进一步研究。
