早期随访干预对家长报告的小儿脑震荡后症状的影响：一项可行性研究。
Impact of Early Follow-Up Intervention on Parent-Reported Postconcussion Pediatric Symptoms: A Feasibility Study.
作者信息
Mortenson Patricia, Singhal Ashutosh, Hengel Alexander R, Purtzki Jacqueline
机构信息
Division of Occupational Therapy, British Columbia Children's Hospital, Vancouver, British Columbia, Canada (Ms Mortenson); Department of Occupational Science and Occupational Therapy (Ms Mortenson), and Division of Physical Medicine and Rehabilitation, GF Strong Rehabilitation Centre (Dr Purtzki), University of British Columbia, British Columbia, Canada; Division of Pediatric Neurosurgery, University of British Columbia, and British Columbia Children's Hospital, Vancouver, British Columbia, Canada (Dr Singhal and Mr Hengel); and Division of Developmental Paediatrics, Department of Paediatrics, University of British Columbia, Sunny Hill Health Centre, and BC Children's Hospital, Vancouver, British Columbia, Canada (Dr Purtzki).
出版信息
J Head Trauma Rehabil. 2016 Nov/Dec;31(6):E23-E32. doi: 10.1097/HTR.0000000000000223.
OBJECTIVES
To investigate the effectiveness and feasibility of early intervention telephone counseling with parents in limiting postconcussion symptoms and impacts on children and youth.
SETTING
Recruitment occurred postdischarge from one pediatric emergency department.
PARTICIPANTS
Sixty-six parents of children aged 5 to 16 years with a diagnosis of a concussion injury.
DESIGN
A pilot, randomized controlled study compared the efficacy of telephone counseling (reviewing symptom management and return to activity with parents at 1 week and 1 month postinjury) with usual care (no formalized follow-up).
MAIN MEASURES
The Post-Concussion Symptom Inventory and the Family Burden of Injury Interview administered with parents by a blinded therapist at 3 months postinjury.
RESULTS
No significant difference between the groups at 3 months postinjury in postconcussion symptoms (P = .67) and family stress (P = .647).
CONCLUSION
The findings suggest that the early counseling intervention strategy trialed herein may not be effective for children and youth who experience significant postconcussion symptoms. Further research is needed to determine whether more intensive and integrated care would better serve children.
目的
探讨早期干预电话咨询对家长限制儿童和青少年脑震荡后症状及影响的有效性和可行性。
背景
在一家儿科急诊科出院后进行招募。
参与者
66名5至16岁被诊断为脑震荡损伤儿童的家长。
设计
一项试点随机对照研究比较了电话咨询（在受伤后1周和1个月与家长回顾症状管理和恢复活动情况）与常规护理（无正式随访）的疗效。
主要测量指标
受伤后3个月由一名盲法治疗师向家长发放脑震荡后症状量表和受伤家庭负担访谈表。
结果
受伤后3个月，两组在脑震荡后症状（P = 0.67）和家庭压力（P = 0.647）方面无显著差异。
结论
研究结果表明，本文所试验的早期咨询干预策略可能对有明显脑震荡后症状的儿童和青少年无效。需要进一步研究以确定更强化和综合的护理是否能更好地服务于儿童。
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