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脑损伤后的参与度:与日常技术和日常生活活动的关联

Participation after acquired brain injury: Associations with everyday technology and activities in daily life.

作者信息

Fallahpour Mandana, Kottorp Anders, Nygård Louise, Lund Maria Larsson

机构信息

Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Stockholm , Sweden.

出版信息

Scand J Occup Ther. 2015;22(5):366-76. doi: 10.3109/11038128.2015.1011229. Epub 2015 Mar 2.

Abstract

BACKGROUND

The development of the information society has led to increased use of everyday technology and changed the conditions for participation. Enabling participation in everyday life situations is an important rehabilitation goal after acquired brain injury (ABI). Identifying factors associated with individuals' experienced participation and problems therein is therefore essential.

OBJECTIVE

This study aimed at exploring the relationship between perceived difficulty in everyday technology use, perceived ability in the activities of daily living (ADL), and perceived participation, and participation problems in persons with ABI.

METHODS

Eighty-one persons with ABI participated in the study and were assessed by the Impact on Participation and Autonomy questionnaire, the Everyday Technology Use Questionnaire, and the ADL taxonomy.

RESULTS

Findings showed that the combined model of difficulty in everyday technology (ET) use, ADL ability, and the interaction between them explained both participation in various domains of everyday life, and also overall level of perceived participation and the perceived problems.

CONCLUSIONS

The findings underscore the importance of evaluating individuals' ability in both ET use and ADL after ABI to increase the probability of explaining these persons' participation in desired everyday life situations and, also, for rehabilitation design.

摘要

背景

信息社会的发展导致日常技术使用增加,并改变了参与条件。促进在日常生活情境中的参与是获得性脑损伤(ABI)后一项重要的康复目标。因此,识别与个体所体验到的参与及其相关问题有关的因素至关重要。

目的

本研究旨在探讨ABI患者在日常技术使用中感知到的困难、在日常生活活动(ADL)中的感知能力、感知参与以及参与问题之间的关系。

方法

81名ABI患者参与了本研究,并通过《参与和自主能力影响问卷》《日常技术使用问卷》和ADL分类法进行评估。

结果

研究结果表明,日常技术(ET)使用困难、ADL能力及其二者之间的相互作用的综合模型既解释了在日常生活各个领域的参与情况,也解释了感知参与的总体水平和感知到的问题。

结论

研究结果强调了评估ABI患者在ET使用和ADL方面能力的重要性,这有助于提高解释这些患者参与期望的日常生活情境的可能性,同时也有助于康复设计。

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