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青年指导:一种针对后天性脑损伤青年需求的全新整体干预措施。

Youth mentoring: A new holistic intervention targeting the needs of young persons with acquired brain injury.

作者信息

Odgaard Lene, Bystrup Mette Ryssel, Nielsen Jørgen Feldbæk, Stabel Henriette Holm

机构信息

Research Unit, Hammel Neurorehabilitation Centre and University Research Clinic, Aarhus University, Aarhus, Denmark.

出版信息

Br J Occup Ther. 2024 Jul;87(7):398-406. doi: 10.1177/03080226241241991. Epub 2024 Mar 29.

Abstract

INTRODUCTION

Holistic rehabilitation approaches addressing the numerous complex challenges in young persons with acquired brain injury are required. The purpose of this study was to describe and evaluate the holistic person-centered youth mentoring intervention program, which is based on occupational therapy.

METHODS

Prospectively collected data were extracted from a national clinical quality database ( = 59). Proportions of young persons receiving different aspects of support and proportions rating the intervention as meaningful were calculated. One-year changes in occupation, work ability, and social interactions were calculated.

RESULTS

The young persons most frequently received support for energy management (75%) and structuring of everyday life (61%). Seventy-three percent rated the intervention as meaningful. One year post-inclusion, occupation and work ability had increased by 35% and 58%, respectively, and it had declined by 10% and 26%, respectively. The 1-year increase and decrease in social interactions were less clear (15% and 25%, respectively). One-year changes did not differ between those who entered the program early or late after injury indicating the potential beneficial effect of the program.

CONCLUSION

The findings could indicate that the program has a unique value in supporting young persons with acquired brain injury to create a meaningful everyday life through occupation, work ability, and social interaction.

摘要

引言

需要采用整体康复方法来应对后天性脑损伤青年所面临的众多复杂挑战。本研究的目的是描述和评估基于职业疗法的以青年人为中心的整体指导干预项目。

方法

从国家临床质量数据库(n = 59)中提取前瞻性收集的数据。计算接受不同方面支持的青年比例以及将干预评为有意义的比例。计算职业、工作能力和社交互动方面的一年变化。

结果

青年人最常获得的支持是能量管理(75%)和日常生活安排(61%)。73%的人认为干预有意义。纳入项目一年后,职业和工作能力分别提高了35%和58%,社交互动分别下降了10%和26%。社交互动方面的一年增减不太明显(分别为15%和25%)。受伤后早期或晚期进入项目的人之间的一年变化没有差异,表明该项目具有潜在的有益效果。

结论

研究结果可能表明,该项目在支持后天性脑损伤青年通过职业、工作能力和社交互动创造有意义的日常生活方面具有独特价值。

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Transition back to work after mild TBI: A qualitative study.轻度创伤性脑损伤后重返工作岗位:一项定性研究。
Scand J Occup Ther. 2023 May;30(4):527-538. doi: 10.1080/11038128.2022.2120067. Epub 2022 Sep 9.
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