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指定的跨学科后期康复服务对脑损伤患者康复效果的影响。

The effect of access to a designated interdisciplinary post-acute rehabilitation service on participant outcomes after brain injury.

机构信息

The Hopkins Centre: Research for Rehabilitation and Resilience, Menzies Health Institute Queensland, Griffith University , Brisbane, Australia.

Acquired Brain Injury Transitional Rehabilitation Service, Division of Rehabilitation, Princess Alexandra Hospital, Metro South Health , Brisbane, Australia.

出版信息

Brain Inj. 2020 Aug 23;34(10):1358-1366. doi: 10.1080/02699052.2020.1802660. Epub 2020 Aug 11.

DOI:10.1080/02699052.2020.1802660
PMID:32780595
Abstract

This study aimed to determine the influence of participation in a designated acquired brain injury (ABI) transitional rehabilitation service (ABI TRS) on outcome, in the context of a historical comparison group (HIST). : A cohort study, with retrospective comparison. : 187 persons with ABI. : The Depression, Anxiety and Stress Scale (DASS-21), Mayo-Portland Adaptability Index (MPAI-4) and Sydney Psychosocial and Reintegration Scale (SPRS) were completed at discharge and 3 months after discharge. Participation in the ABI TRS involved interdisciplinary rehabilitation, 2-4 times per week, for 3 months after hospital discharge. : There was evidence that at 3 months, participants with ABI TRS showed stabilized psychological wellbeing, and improvements in MPAI-4 ability and participation scores; in addition to improvements in SPRS occupational activity and living skills scores. : A designated ABI TRS may improve the transition from hospital to home, and could form an important part of the brain injury rehabilitation continuum, between the inpatient and community setting.

摘要

本研究旨在确定参与指定的获得性脑损伤(ABI)过渡康复服务(ABI TRS)对结果的影响,这是在历史对照组(HIST)的背景下进行的。这是一项队列研究,采用回顾性比较。共纳入 187 名 ABI 患者。在出院时和出院后 3 个月时,使用抑郁、焦虑和压力量表(DASS-21)、明尼苏达多相人格测验(MMPI-2)和悉尼心理社会和再融入量表(SPRS)进行评估。ABI TRS 的参与包括在出院后每周 2-4 次的多学科康复治疗,为期 3 个月。有证据表明,在 3 个月时,ABI TRS 组患者的心理健康状况稳定,MMPI-2 能力和参与评分有所改善;此外,SPRS 职业活动和生活技能评分也有所改善。指定的 ABI TRS 可能会改善从医院到家庭的过渡,并且可能成为住院和社区环境之间脑损伤康复连续体的重要组成部分。

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J Rehabil Med. 2023 Sep 12;55:jrm5303. doi: 10.2340/jrm.v55.5303.
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Rehabilitation models that support transitions from hospital to home for people with acquired brain injury (ABI): a scoping review.支持脑外伤患者从医院到家庭过渡的康复模式:系统评价。
BMC Health Serv Res. 2023 Jul 31;23(1):814. doi: 10.1186/s12913-023-09793-x.
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Perspectives of clinicians and survivors on the continuity of service provision during rehabilitation after acquired brain injury.
临床医生和幸存者对获得性脑损伤康复期间服务连续性的看法。
PLoS One. 2023 Apr 12;18(4):e0284375. doi: 10.1371/journal.pone.0284375. eCollection 2023.
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The influence of personal factors, unmet need and service obstacles on the relationship between health service use and outcome after brain injury.个人因素、未满足的需求和服务障碍对脑损伤后健康服务利用与结果之间关系的影响。
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Cohort profile: the Acquired Brain Injury Community REhabilitation and Support Services OuTcomes CohoRT (ABI-RESTaRT), Western Australia, 1991-2020.队列资料简介:1991-2020 年西澳大利亚获得性脑损伤社区康复和支持服务队列研究(ABI-RESTaRT)。
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