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在专业神经康复环境中,患有后天性脑损伤的儿童和青少年的疲劳问题。

Fatigue among children and adolescents with acquired brain injury in a specialized neurorehabilitation setting.

作者信息

Proschowsky Marie-Louise Smidt, Reimers Sofie Hur, Granhøj Anette

机构信息

Virum Brain Injury Center (VBI)-Capital Region of Denmark, Copenhagen, Denmark.

出版信息

Front Rehabil Sci. 2024 Nov 21;5:1454602. doi: 10.3389/fresc.2024.1454602. eCollection 2024.

Abstract

INTRODUCTION

We investigated the fatigue experienced in children and adolescents with acquired brain injury (ABI) undergoing neurorehabilitation.

METHODS

Fatigue was assessed using the pediatric quality of life inventory™ (PedsQL™). Multidimensional Fatigue Scale in 38 participants aged 2-19 years with ABI. Data were collected at enrollment and discharge, either from the participants themselves or their parents. The causes of ABI, including stroke, infection, tumor, and traumatic brain injury), were compared.

RESULTS

Participant-reported fatigue levels significantly decreased over time ( = 0.005), whereas parent-reported fatigue levels did not show a significant change. Fatigue levels varied by ABI cause, with stroke-associated fatigue having the least impact and infection-related fatigue showing the greatest impact.

CONCLUSION

This study highlights the importance of individualized assessments that consider varying etiological factors and advocates for tailored interventions. Further research is needed to fully understand the long-term impacts of fatigue in this population.

摘要

引言

我们调查了接受神经康复治疗的获得性脑损伤(ABI)儿童和青少年所经历的疲劳情况。

方法

使用儿童生活质量量表(PedsQL™)对38名年龄在2至19岁的ABI参与者的疲劳程度进行评估。采用多维疲劳量表收集参与者本人或其父母在入组和出院时的数据。对包括中风、感染、肿瘤和创伤性脑损伤在内的ABI病因进行了比较。

结果

参与者报告的疲劳程度随时间显著降低(=0.005),而父母报告的疲劳程度没有显著变化。疲劳程度因ABI病因而异,与中风相关的疲劳影响最小,与感染相关的疲劳影响最大。

结论

本研究强调了考虑不同病因因素的个体化评估的重要性,并提倡采取针对性的干预措施。需要进一步研究以充分了解疲劳对该人群的长期影响。

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Factors related to fatigue after paediatric acquired brain injury (ABI).小儿获得性脑损伤(ABI)后疲劳的相关因素。
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Understanding Acquired Brain Injury: A Review.理解后天性脑损伤:综述
Biomedicines. 2022 Sep 2;10(9):2167. doi: 10.3390/biomedicines10092167.

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