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进入法国职业与社会康复项目UEROS的脑损伤患者的五年随访:重返工作、生活满意度、心理社会与社区融入情况。

Five-year follow-up of persons with brain injury entering the French vocational and social rehabilitation programme UEROS: Return-to-work, life satisfaction, psychosocial and community integration.

作者信息

Cogné M, Wiart L, Simion A, Dehail P, Mazaux J-M

机构信息

a Rehabilitation Medicine Unit, Centre Hospitalier Universitaire of Bordeaux , Bordeaux , France.

b EA4136, University of Bordeaux , Bordeaux , France.

出版信息

Brain Inj. 2017;31(5):655-666. doi: 10.1080/02699052.2017.1290827. Epub 2017 Apr 13.

Abstract

BACKGROUND

Social and vocational reintegration of persons with brain injury is an important element in their rehabilitation.

AIMS

To evaluate the 5-year outcome of persons with brain injury included in 2008 in the Aquitaine Unit for Evaluation, Training and Social and Vocational Counselling programme (UEROS).

METHOD

57 persons with brain injury were recruited from those who completed the 2008 UEROS programme. Five years later, an interview was done to assess family and vocational status, autonomy and life satisfaction. These results were compared with those from persons completing the 1997-1999 programme.

RESULTS

The typical person entered the 2008 UEROS programme 6 years after a severe brain injury (42%) and was male, single and 35 years. At the 5-year follow-up, more persons lived with a partner (+23%) and lived in their own home (+21%). 47% were working vs 11% on entering the programme. Approximately half were satisfied or very satisfied with their quality of life. Having a job in 2013 was associated with a high education level, less cognitive sequelae, having a job in 2008 and no health condition.

CONCLUSIONS

The UEROS programme is effective with regard to return-to-work and improvement of autonomy in persons with brain injury, irrespective of length of time from injury.

摘要

背景

脑损伤患者的社会和职业重新融入是其康复的重要组成部分。

目的

评估2008年纳入阿基坦评估、培训及社会和职业咨询项目(UEROS)的脑损伤患者的5年预后情况。

方法

从完成2008年UEROS项目的患者中招募了57名脑损伤患者。5年后,进行了一次访谈,以评估家庭和职业状况、自主性和生活满意度。将这些结果与完成1997 - 1999年项目的患者的结果进行比较。

结果

典型的患者在严重脑损伤6年后(42%)进入2008年UEROS项目,为男性,单身,35岁。在5年随访时,更多患者与伴侣同住(增加23%)并住在自己家中(增加21%)。47%的患者在工作,而项目开始时这一比例为11%~约一半患者对其生活质量感到满意或非常满意。2013年有工作与高学历、较少认知后遗症、2008年有工作以及无健康问题相关。

结论

UEROS项目在脑损伤患者重返工作和提高自主性方面是有效的,与受伤时间长短无关。

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