Quine S, Pierce H P, Lyle D M
Department of Public Health, University of Sydney, NSW, Australia.
Brain Inj. 1988 Apr-Jun;2(2):139-49. doi: 10.3109/02699058809150938.
Although the need for an integrated approach to the management of the head-injured patient has been recognized, and the concept of incorporating the family in the rehabilitation treatment programme suggested, there is minimal documentation of how the services of family members can be utilized to optimal effect. At a large university teaching hospital in Sydney, Australia, an early intensive rehabilitation programme was pretested on 37 patients during 1984-85. The pretest was to identify the extent to which relatives could contribute input as lay-therapists to such a programme. The findings indicate that relatives can make a major time commitment to providing therapy, but that to avoid harm to both patients and relatives certain safeguards need to be enforced. These experiences and resultant recommendations may have a bearing on the organization of rehabilitation programmes for other categories of patient.
尽管人们已经认识到需要采用综合方法来管理头部受伤患者，并且有人提出将患者家属纳入康复治疗计划的概念，但关于如何最佳利用家庭成员的服务的文献却很少。在澳大利亚悉尼的一家大型大学教学医院，1984年至1985年期间对37名患者进行了早期强化康复计划的预测试。预测试的目的是确定亲属作为非专业治疗师可以在多大程度上为该计划提供帮助。研究结果表明，亲属可以投入大量时间提供治疗，但为了避免对患者和亲属造成伤害，需要实施某些保障措施。这些经验和由此产生的建议可能会对其他类型患者的康复计划的组织产生影响。
