Teasdale T W, Christensen A L, Pinner E M
Centre for Rehabilitation of Brain Damage, University of Copenhagen, Denmark.
Brain Inj. 1993 Nov-Dec;7(6):535-42. doi: 10.3109/02699059309008181.
This paper presents the results of a longitudinal psychosocial study of 22 cranial trauma patients and 14 stroke patients from the time preceding injury (using retrospective data), through a 4-5 month intensive rehabilitation programme, to a follow-up 1 year after completion of the programme. Although the two groups of patients differed on several demographic and medical characteristics, essentially similar patterns for psychosocial decline following injury and improvement following rehabilitation could be observed. For both groups, the proportion in marital or cohabitational relationships returned to pre-injury levels, and for both groups the proportion requiring assistance in their living situation declined following rehabilitation, as did use of the health services. Virtually all patients in both groups had been in employment or undergoing education at the time of the injury, and although this percentage declined in practice to a small minority of both groups post-injury, there was a significant increase in the proportions working or in education following the rehabilitation programme. Similarly, the pattern of leisure-time activities in both groups declined post-injury and was restored following rehabilitation. Since both groups entered the programme at over 2.5 years post-injury, these generally encouraging results seem less likely to reflect spontaneous recovery than a beneficial effect of the programme itself.
本文呈现了一项针对22名颅脑创伤患者和14名中风患者的纵向心理社会研究结果，研究时间从受伤前（使用回顾性数据）开始，历经4至5个月的强化康复计划，直至该计划完成后1年的随访期。尽管两组患者在一些人口统计学和医学特征方面存在差异，但在受伤后心理社会功能下降以及康复后改善方面，可观察到基本相似的模式。对于两组患者而言，处于婚姻或同居关系中的比例都恢复到了受伤前的水平，且两组中在生活状况方面需要协助的比例在康复后都有所下降，使用医疗服务的情况也是如此。两组中几乎所有患者在受伤时都处于就业或接受教育状态，尽管实际上这一比例在受伤后下降至两组中的少数，但在康复计划实施后，工作或接受教育的比例显著增加。同样，两组患者的休闲活动模式在受伤后都有所下降，并在康复后得以恢复。由于两组患者都是在受伤超过2.5年后进入该计划的，这些总体上令人鼓舞的结果似乎不太可能反映自发恢复，而更可能反映的是该计划本身的有益效果。
