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改善与工作相关的脑震荡的结果：心理健康筛查和简短治疗模型。

Improving Outcomes for Work-Related Concussions: A Mental Health Screening and Brief Therapy Model.

机构信息

Ascellus Health, Inc., 9400 4th Street North, Suite 201, St. Petersburg, Florida, (Dr LeGoff, Dr Wright, Dr Lazarovic, Dr Kofeldt, and Ms Peters).

出版信息

J Occup Environ Med. 2021 Oct 1;63(10):e701-e714. doi: 10.1097/JOM.0000000000002350.

DOI:10.1097/JOM.0000000000002350
PMID:34412089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8478320/
Abstract

OBJECTIVE

This study assessed the efficacy of a neurocognitive screening evaluation and brief therapy model to improve RTW outcomes for workers who experienced mild head injuries.

METHODS

Patients referred were evaluated using a neurocognitive and psychological screening battery. Work-focused cognitive behavioral therapy was provided when appropriate, addressing the role of negative emotional adjustment and functional sleep disturbance in prolonging recovery.

RESULTS

Average time to RTW was 7 weeks post-evaluation, despite workers being off an average of 10 months between injury and referral dates. Overall, 99% were released to full-duty work without restrictions or accommodations.

CONCLUSIONS

This study demonstrates the favorable outcomes achieved via a structured, clinically driven program for workers who experience head-involved injuries, validating previous research on the importance of recognizing the role of psychological factors in prolonging concussion recovery.

摘要

目的

本研究评估了神经认知筛查评估和简短治疗模式对经历轻度头部损伤的工人重返工作岗位（RTW）结果的疗效。

方法

对转诊患者进行神经认知和心理筛查。在适当的情况下提供以工作为重点的认知行为疗法，解决负面情绪调整和功能性睡眠障碍在延长康复时间方面的作用。

结果

平均在评估后 7 周就可以重返工作岗位，尽管工人从受伤到转介的平均时间为 10 个月。总体而言，99%的工人无需限制或调整即可恢复全职工作。

结论

这项研究通过针对头部受伤工人的结构化、临床驱动的计划展示了有利的结果，验证了先前关于认识到心理因素在延长脑震荡康复时间方面的作用的重要性的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/305bb1d7fb73/joem-63-e701-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/a9c325b05815/joem-63-e701-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/31fd9783e141/joem-63-e701-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/851b8fbbf5cc/joem-63-e701-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/9fa4ce28d517/joem-63-e701-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/305bb1d7fb73/joem-63-e701-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/a9c325b05815/joem-63-e701-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/31fd9783e141/joem-63-e701-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/851b8fbbf5cc/joem-63-e701-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/9fa4ce28d517/joem-63-e701-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fde/8478320/305bb1d7fb73/joem-63-e701-g005.jpg

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Early Predictors of Employment Status One Year Post Injury in Individuals with Traumatic Brain Injury in Europe.
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J Clin Med. 2020 Jun 26;9(6):2007. doi: 10.3390/jcm9062007.
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Novel interdisciplinary intervention, GAIN, vs. enhanced usual care to reduce high levels of post-concussion symptoms in adolescents and young adults 2-6 months post-injury: A randomised trial.新型跨学科干预措施GAIN与强化常规护理对减少青少年和青年受伤后2至6个月的高水平脑震荡后症状的效果比较：一项随机试验。
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Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines.脑震荡和轻度创伤性脑损伤管理：实践指南综合。
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