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创伤性脑损伤慢性期个体化居家干预中的目标达成情况

Goal Attainment in an Individually Tailored and Home-Based Intervention in the Chronic Phase after Traumatic Brain Injury.

作者信息

Borgen Ida M H, Hauger Solveig L, Forslund Marit V, Kleffelgård Ingerid, Brunborg Cathrine, Andelic Nada, Sveen Unni, Søberg Helene L, Sigurdardottir Solrun, Røe Cecilie, Løvstad Marianne

机构信息

Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway.

Department of Psychology, Faculty of Social Sciences, University of Oslo, 0316 Oslo, Norway.

出版信息

J Clin Med. 2022 Feb 12;11(4):958. doi: 10.3390/jcm11040958.

Abstract

Traumatic brain injury (TBI) is a heterogeneous condition with long-term consequences for individuals and families. Goal-oriented rehabilitation is often applied, but there is scarce knowledge regarding types of goals and goal attainment. This study describes goal attainment in persons in the chronic phase of TBI who have received an individualized, SMART goal-oriented and home-based intervention, compares goal attainment in different functional domains, and examines indicators of goal attainment. Goal attainment scaling (GAS) was recorded in the intervention group ( = 59) at the final session. The goal attainment was high, with 93.3% increased goal attainment across all goals at the final session. The level of goal attainment was comparable across domains (cognitive, physical/somatic, emotional, social). Gender, anxiety symptoms, self-reported executive dysfunction, and therapy expectations were indicators of goal attainment. These results indicate a potential for the high level of goal attainment in the chronic phase of TBI. Tailoring of rehabilitation to address individual needs for home-dwelling persons with TBI in the chronic phase represents an important area of future research.

摘要

创伤性脑损伤(TBI)是一种具有异质性的病症,会给个人和家庭带来长期影响。通常会采用以目标为导向的康复治疗,但对于目标类型和目标达成情况的了解却很少。本研究描述了接受个体化、基于SMART目标且以家庭为基础干预的TBI慢性期患者的目标达成情况,比较了不同功能领域的目标达成情况,并研究了目标达成的指标。在干预组(n = 59)的最后一次治疗时记录了目标达成量表(GAS)。目标达成情况良好,在最后一次治疗时所有目标的目标达成率提高了93.3%。各领域(认知、身体/躯体、情感、社会)的目标达成水平相当。性别、焦虑症状、自我报告的执行功能障碍和治疗期望是目标达成的指标。这些结果表明TBI慢性期有实现高水平目标达成的潜力。为慢性期TBI居家患者量身定制康复方案以满足其个体需求是未来研究的一个重要领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d38/8875324/a887ef2ec4f1/jcm-11-00958-g001.jpg

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