青年成人闭合性颅脑损伤后的神经心理康复
Neuropsychological rehabilitation after closed head injury in young adults.
作者信息
Prigatano G P, Fordyce D J, Zeiner H K, Roueche J R, Pepping M, Wood B C
出版信息
J Neurol Neurosurg Psychiatry. 1984 May;47(5):505-13. doi: 10.1136/jnnp.47.5.505.
Abstract
Cognitive and personality disturbances following severe closed head injury in young adults are associated with poor rehabilitation outcome. Yet systematic programmes for dealing with these disturbances have generally not appeared. The present report briefly describes the Neuropsychological Rehabilitation Program (NRP) at Presbyterian Hospital in Oklahoma City and the initial outcome data on eighteen closed head injury patients and seventeen untreated controls. Greater improvement in neuropsychological functioning occurred in the NRP patient group on selected variables, but generally the effects were modest. Emotional distress, however, substantially decreased in treated patients. Fifty percent of the NRP patients maintained productivity 75% of the time or more following rehabilitation, compared to 36% of the controls. Treatment successes showed less personality disturbances than treatment failures and better learning and memory scores post-treatment.
摘要
年轻成年人严重闭合性颅脑损伤后的认知和人格障碍与康复效果不佳有关。然而，处理这些障碍的系统性方案普遍尚未出现。本报告简要描述了俄克拉荷马城长老会医院的神经心理康复项目（NRP）以及18名闭合性颅脑损伤患者和17名未接受治疗的对照组的初始结果数据。在选定变量上，NRP患者组的神经心理功能有更大改善，但总体效果较为适度。然而，接受治疗的患者情绪困扰大幅减少。康复后，50%的NRP患者75%或更多时间保持工作能力，而对照组为36%。治疗成功的患者比治疗失败的患者人格障碍更少，治疗后学习和记忆得分更高。
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