Driver Simon, Juengst Shannon, Reynolds Megan, McShan Evan, Kew Chung Lin, Vega Marlene, Bell Kathleen, Dubiel Randi
a North Texas TBI Model System, Baylor Scott and White Institute for Rehabilitation , Dallas , TX , USA.
b North Texas TBI Model System, University of Texas at Southwestern , Dallas , TX , USA.
Brain Inj. 2019;33(10):1299-1307. doi: 10.1080/02699052.2019.1641623. Epub 2019 Jul 12.
Individuals living with traumatic brain injury (TBI) are at an increased risk for developing chronic conditions such as diabetes, heart disease, and hypertension compared to the non-injured population. Furthermore, TBI-specific challenges such as physical limitations, pain, mood, and impaired cognition make it difficult to live a healthy lifestyle. Key health behaviors that contribute to overall health and well-being after TBI include physical activity and healthy eating, sleep, participation, eliminating substance abuse, and managing stress. The objectives of this narrative are to (1) describe the key components of a healthy lifestyle for individuals with a TBI, (2) identify the challenges that individuals with TBI face when attempting to establish these health behaviors, and (3) discuss approaches and supports to achieve these health behaviors after TBI, including the role of self-management.
与未受伤人群相比,创伤性脑损伤(TBI)患者患糖尿病、心脏病和高血压等慢性病的风险更高。此外,TBI特有的挑战,如身体限制、疼痛、情绪和认知障碍,使得难以过上健康的生活方式。对TBI后整体健康和幸福有贡献的关键健康行为包括体育活动、健康饮食、睡眠、参与、戒除药物滥用和管理压力。本叙述的目的是:(1)描述TBI患者健康生活方式的关键组成部分;(2)确定TBI患者在试图建立这些健康行为时所面临的挑战;(3)讨论TBI后实现这些健康行为的方法和支持,包括自我管理的作用。