The Cambridge Centre for Paediatric Neuropsychological Rehabilitation, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, Cambridgeshire, CB2 8AH,UK.
J Int Neuropsychol Soc. 2019 Apr;25(4):403-412. doi: 10.1017/S1355617719000213.
To increase understanding of the community neuropsychological rehabilitation goals of young people with acquired brain injuries (ABIs).
Three hundred twenty-six neuropsychological rehabilitation goals were extracted from the clinical records of 98 young people with ABIs. The participants were 59% male, 2-19 years old, and 64% had a traumatic brain injury. Goals were coded using the International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY). Descriptive statistical analysis was performed to assess the distribution of goals across the ICF-CY. Chi-squared and Cramer's V were used to identify demographic and injury-related associations of goal type.
The distribution of goals was 52% activities and participation (AP), 28% body functions (BF), 20% environmental factors (EF), and <1% body structures (BS). The number of EF goals increased with age at assessment (V = .14). Non-traumatic causes of ABIs were associated with more EF goals (V = .12). There was no association between sex or time post-injury and the distribution of goals across the ICF-CY.
Young people with ABIs have a wide range of community neuropsychological rehabilitation goals that require an individualized, context-sensitive, and interdisciplinary approach. Community neuropsychological rehabilitation services may wish to ensure they are resourced to focus intervention on AP, with increasing consideration for EF as a young person progresses through adolescence. The findings of this research support models of community neuropsychological rehabilitation that enable wellness by combining direct rehabilitative interventions with attention to social context and systemic working across agencies. (JINS, 2019, 25, 403-412).
增进对后天性脑损伤（ABI）年轻人社区神经心理康复目标的理解。
从 98 名 ABI 年轻人的临床记录中提取了 326 个神经心理康复目标。参与者中 59%为男性，年龄在 2-19 岁之间，64%为创伤性脑损伤。使用《国际功能、残疾和健康分类：儿童和青少年版》（ICF-CY）对目标进行编码。采用描述性统计分析评估目标在 ICF-CY 中的分布情况。采用卡方检验和 Cramer's V 检验来识别目标类型与人口统计学和损伤相关的关联。
目标的分布为 52%的活动和参与（AP）、28%的身体功能（BF）、20%的环境因素（EF）和 <1%的身体结构（BS）。评估时年龄与 EF 目标数量呈正相关（V =.14）。ABI 的非创伤性病因与更多的 EF 目标相关（V =.12）。性别或损伤后时间与 ICF-CY 中目标的分布之间没有关联。
ABI 年轻人有广泛的社区神经心理康复目标，需要采取个体化、注重情境和跨学科的方法。社区神经心理康复服务机构可能希望确保有足够的资源将干预重点放在 AP 上，并随着年轻人进入青春期，越来越关注 EF。这项研究的结果支持社区神经心理康复模式，通过将直接康复干预与对社会背景和机构间系统工作的关注相结合，实现健康。（JINS，2019，25，403-412）。
