Hong Kong Journal of Occupational Therapy最新文献_第7页

A Psychometric Study of the Kinetic-House-Tree-Person Scoring System for People with Psychiatric Disorders in Taiwan 台湾精神障碍患者动态屋-树-人评分系统之心理测量学研究

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 DOI: 10.1016/j.hkjot.2014.03.001

Chih-Ying Li , LyInn Chung , Ping-Chuan Hsiung , Tsyr-Jang Chen , Shu-Kai Liu , Ay-Woan Pan

Objective/Background

The Kinetic-House-Tree-Person (KHTP) drawing test is widely used by psychiatric occupational therapists in Taiwan; however, very little support has been provided through studies examining its psychometric properties. The aim of the study is to validate a scoring system for the KHTP on a group of people with psychiatric disorders.

Methods

A total of 66 individuals with psychiatric disorders were recruited for this study along with 53 college students as a comparative group. Each participant completed the KHTP test. Half of the individuals with psychiatric disorders (33 people) completed the KHTP again following a 2-week period. The KHTP scoring system contains 54 items representing drawing characteristics. Two independent raters determined the score of the drawings, with the validity and reliability of the KHTP scoring system being subsequently examined by the Rasch and traditional analysis.

Results

The results reveal both validity and unidimensionality of the KHTP scoring system, demonstrating acceptable test–retest reliability. The intraclass correlation coefficient of the scoring system's inter-rater reliability was .76, with significant statistical differences found between the KHTP scores of college students and individuals with psychiatric disorders.

Conclusion

The KHTP scoring system has acceptable construct validity, inter-rater reliability, and test–retest reliability. Because drawing tests have the advantage of expressing nonverbal characteristics, the scoring system should prove to be very useful for those who are unwilling or unable to communicate verbally. This study therefore provides valuable information for clinical application, particularly for the psychiatric rehabilitation professions.

目的/背景运动屋-树-人(KHTP)绘图测验在台湾精神科职业治疗师中广泛使用;然而，通过对其心理测量特性的研究提供的支持很少。这项研究的目的是验证KHTP对一组精神疾病患者的评分系统。方法本研究共招募了66名精神障碍患者和53名大学生作为对照组。每位参与者都完成了KHTP测试。一半的精神障碍患者(33人)在两周后再次完成KHTP。KHTP评分系统包含54个代表绘画特征的项目。两个独立的评分者决定了图纸的分数，随后通过Rasch和传统分析检查KHTP评分系统的有效性和可靠性。结果结果表明，该评分系统具有良好的效度和单维性，重测信度可接受。评分系统的等级间信度的班级内相关系数为0.76，大学生与精神障碍个体的KHTP得分存在显著的统计学差异。结论KHTP评分系统具有良好的结构效度、量表间信度和重测信度。由于绘画测试具有表达非语言特征的优势，因此评分系统对那些不愿或无法口头交流的人非常有用。因此，本研究为临床应用提供了有价值的信息，特别是对精神康复专业。

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引用次数: 5

Effects of Productive Activities with Reminiscence in Occupational Therapy for People with Dementia: A Pilot Randomized Controlled Study 具有回忆的生产活动对痴呆患者职业治疗的影响:一项随机对照试验研究

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 DOI: 10.1016/j.hkjot.2014.01.003

Toshimichi Nakamae , Kayano Yotsumoto , Eri Tatsumi , Takeshi Hashimoto

Objective/Background

Although a number of studies have considered the effects of reminiscence therapy, none have examined whether a therapy that combines reminiscence with productive activity has a beneficial effect on elderly dementia patients. This study tests our hypothesis that productive activities with reminiscence in occupational therapy (PAROT) can alleviate depressive symptoms and improve task performance of elderly dementia patients.

Methods

Thirty-six patients with dementia were randomly divided into two groups, namely, an intervention group (n = 17) and a control group (n = 19). The intervention group had six activity sessions (making rice balls and cakes; one session/week) while reminiscing about the activity. Measurements were performed using the Cornell Scale for Depression in Dementia (CSDD), Multidimensional Observation Scale for Elderly Subjects (MOSES), Vitality Index, and Mini-Mental State Examination (MMSE). The performance of the patients was assessed based on photographs of the products after the first and sixth sessions.

Results

Six patients dropped out while the study was in progress, thus leaving 15 patients in the intervention group and 15 patients in the control group. The scores of depression symptoms in CSDD and MOSES were significantly improved for the intervention group, while within-group comparison showed no significant differences in CSDD, MOSES, or MMSE total scores. In terms of task performance, 88% of the patients in the intervention group, including two patients with severe dementia, showed significant improvement in making the product.

Conclusion

Our study suggests that PAROT may alleviate depressive symptoms and improve the task performance of elderly people with dementia.

虽然许多研究都考虑了回忆疗法的效果，但没有一个研究考察了将回忆与生产性活动相结合的疗法是否对老年痴呆患者有益。本研究验证了我们的假设，即具有回忆的生产性活动在职业治疗(PAROT)中可以减轻老年痴呆患者的抑郁症状并改善任务绩效。方法36例痴呆患者随机分为干预组(n = 17)和对照组(n = 19)。干预组有六个活动环节(制作饭团和蛋糕;一个疗程/周)，同时回忆活动。采用康奈尔痴呆抑郁量表(CSDD)、老年受试者多维观察量表(MOSES)、活力指数和简易精神状态检查(MMSE)进行测量。在第一次和第六次疗程后，根据产品的照片评估患者的表现。结果6例患者在研究进行中退出，干预组15例，对照组15例。干预组CSDD、MOSES抑郁症状评分均有显著改善，组内比较CSDD、MOSES、MMSE总分无显著差异。在任务表现方面，干预组88%的患者，包括两名重度痴呆患者，在制作产品方面有显著改善。结论PAROT可以缓解老年痴呆患者的抑郁症状，改善其任务表现。

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引用次数: 34

Long-term Efficacy of Occupational Lifestyle Redesign Programme for Strokes 职业生活方式再设计方案对中风的长期疗效

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2013.09.001

Serena S.W. Ng, Dora Y.L. Chan, Marko K.L. Chan, Kathy K.Y. Chow

Objective/Background

To devise an Occupational Lifestyle Redesign Programme (OLSR), in addition to the existing conventional therapy programme, in a local rehabilitation hospital in order to help stroke outpatients improve their self-efficacy and commitment in self-management after a stroke attack using goal-oriented, challenging, and well-being building activities. The long-term effect on the poststroke quality of life (QOL) and community integration has to be explored.

Methods

This is a retrospective study performed to compare two groups of matched samples of participants (25 each) who have or have not joined the OLSR programme. A telephonic interview was performed to gather the participants' responses. Self-reported outcome measures, including sickness impact [Stroke Adapted Sickness Impact Profile-30 (SA-SIP30)], motivation for general activity [General Activity Motivation Measure (GAMM)], community integration (Community Integration Questionnaire), and subjective well-being [World Health Organization Well-Being Index (WHO-5)] scores were assessed.

Results

Subjective well-being measures had significantly higher scores in the OLSR group (F = 5.52; p = .023). The OLSR group also reported a significantly better score in social integration (F = 4.302; p = .043). The SA-SIP30 mean score of the OLSR group [mean = 6.64; standard deviation (SD) = 4.35] was much lower, however, with significant difference in Mobility (F = 4.47; p = .04) and Household Management (F = 6; p = .015) subscores. The mean score of GAMM was also high in the OLSR group (mean = 41.32; SD = 11.98; p = .06). Improving “productive activity,” “social interaction,” “home management,” and “emotion” scores (based on factor analysis) are important goals to be achieved in a stroke rehabilitation programme so as to extend its scope from just physical restoration to building a better poststroke life.

Conclusion

The positive effect of OLSR programme has been shown to be effective in filling the gap of psychosocial adaptation in conventional stroke rehabilitation programmes. The patients in the OLSR programme had improved motivation levels and predicted better QOL in long term.

目的/背景:在当地康复医院现有常规治疗方案的基础上，设计职业生活方式再设计方案(OLSR)，通过目标导向、挑战性和幸福感建设活动，帮助中风门诊患者提高卒中发作后的自我效能感和自我管理承诺。对脑卒中后生活质量(QOL)和社区融合的长期影响有待探讨。方法这是一项回顾性研究，比较两组匹配的参与者样本(每组25人)，他们有或没有参加OLSR计划。通过电话采访收集了参与者的回答。评估了自我报告的结果测量，包括疾病影响[卒中适应性疾病影响概况-30 (SA-SIP30)]、一般活动动机[一般活动动机测量(GAMM)]、社区整合(社区整合问卷)和主观幸福感[世界卫生组织幸福指数(WHO-5)]得分。结果OLSR组主观幸福感得分显著高于对照组(F = 5.52;p = .023)。OLSR组在社会整合方面的得分也显著提高(F = 4.302;p = .043)。OLSR组SA-SIP30平均评分[mean = 6.64;标准偏差(SD) = 4.35)要低得多，但流动性差异显著(F = 4.47;p = .04)和家庭管理(F = 6;P = .015)。OLSR组GAMM平均评分也较高(平均= 41.32;sd = 11.98;p = .06)。提高“生产活动”、“社会互动”、“家庭管理”和“情绪”分数(基于因素分析)是中风康复计划的重要目标，以便将其范围从仅仅是身体恢复扩展到建立更好的中风后生活。结论OLSR方案的积极作用可有效填补常规脑卒中康复方案中心理社会适应的空白。OLSR方案患者的动机水平提高，预测长期生活质量较好。

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引用次数: 13

Cynthia Tang Occupational Therapy Promotion Fund and Memorial Scholarship 邓嘉欣职业治疗推广基金及纪念奖学金

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2014.01.001

Kenneth Fong (Editor-in-Chief)

引用次数: 0

A Systematic Review on the Effectiveness of Tai Chi Exercise in Individuals with Parkinson's Disease from 2003 to 2013 2003 - 2013年太极拳运动对帕金森病患者疗效的系统评价

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2013.11.001

Sharon Fong Mei Toh

Objective/Background

This study aims to review the current evidence on the effectiveness of Tai Chi exercise in individuals with Parkinson's disease (PD) in the past 10 years.

Methods

A systematic review of studies published in English from 2003 to 2013, retrieved from three electronic databases—MEDLINE, Cumulative Index to Nursing and Allied Health Literature, and ScienceDirect—was performed. The review selected only those studies that investigated the effects of Tai Chi exercise on individuals with PD and had a full-length publication. Methodological qualities of the randomized control trials were appraised based on the modified Jadad scale.

Results

Of the 702 articles, eight publications, including four randomized controlled trials, two single-arm intervention studies, and two case reports, were reviewed. Results of this review show that there is an inconsistency of strong empirical evidence to support the efficacy of Tai Chi exercise in the PD population. Furthermore, this review reveals that there is a lack of scientific rigor in the experimental designs of the trials conducted to examine the effects of Tai Chi intervention on the PD population.

Conclusion

Because of the small sample and inconclusive results, this review cannot provide a firm conclusion to support or refute the effectiveness of Tai Chi in improving motor or nonmotor performance in patients with PD. Further research is required to investigate whether there are specific benefits of Tai Chi for people with PD in these areas and future review should include non-English studies, which examine the use of Tai Chi with this type of population.

目的/背景本研究旨在回顾过去10年来太极拳运动对帕金森病(PD)患者有效性的现有证据。方法系统回顾2003 - 2013年发表的英文文献，检索自medline、护理及相关健康文献累积索引(Cumulative Index to Nursing and Allied Health Literature)和sciencedirect三个电子数据库。该综述只选择了那些调查太极拳运动对PD患者影响的研究，并有完整的出版物。采用改良的Jadad量表评价随机对照试验的方法学质量。结果在702篇文章中，我们回顾了8篇出版物，包括4项随机对照试验、2项单臂干预研究和2例病例报告。本综述的结果显示，强有力的经验证据不一致，支持太极拳运动对PD人群的疗效。此外，这篇综述揭示了在检验太极干预对PD人群的影响的试验设计中缺乏科学的严谨性。由于样本量小，结果不确定，本综述不能提供一个坚定的结论来支持或反驳太极拳在改善PD患者运动或非运动表现方面的有效性。需要进一步的研究来调查太极拳是否对这些地区的PD患者有特殊的益处，未来的研究应该包括非英语研究，研究太极拳在这类人群中的使用。

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引用次数: 38

The Flow State Scale for Occupational Tasks: Development, Reliability, and Validity 职业任务的心流状态量表:发展、信度与效度

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2013.09.002

Kazuki Yoshida , Kiyoshi Asakawa , Taro Yamauchi , Satoshi Sakuraba , Daisuke Sawamura , Yui Murakami , Shinya Sakai

Objective/Background

The degree of a patient's absorption in tasks as a measure of rehabilitation effectiveness has yet to be studied. The objective of this study is to develop a scale that can measure a patient's flow state in a clinical situation such as occupational therapy (OT).

Methods

The final 14 items were determined from the comprehensive assessment of item analysis results by a preliminary experiment. A total of 240 participants engaged in computer games that induced three psychological states: flow, anxiety, and boredom. After performing each task, participants completed our flow scale and the State-Trait Anxiety Inventory (STAI). The reliability was calculated using Cronbach's alpha coefficient. The validity was confirmed from three viewpoints, namely, the correlation coefficient with the STAI, the discrimination power of each psychological state, and the accuracy of factor structure. An occupational analysis of various activities was also conducted to confirm that the computer game task was representative of measurable activities.

Results

Cronbach's alpha coefficient was .918. The total score of the scale was significantly negatively correlated with the total score of STAI (r = −.537, p < .01). A significant difference among each psychological state was observed (p < .01). Covariance structure analysis indicated that the model fit index showed an acceptable fit. The computer game task used in this experiment was closely related to games, crafts, learning, cooking, and playing an instrument.

Conclusion

Our flow scale appears to have satisfactory reliability and validity to verify quantitatively whether the occupational tasks used in OT can effectively provide a flow experience for patients.

目的/背景:将患者对任务的专注程度作为衡量康复效果的一项指标还有待研究。本研究的目的是开发一种量表，可以测量患者在临床情况下的心流状态，如职业治疗(OT)。方法通过初步实验对项目分析结果进行综合评价，确定最终的14个项目。共有240名参与者参与了电脑游戏，这些游戏引发了三种心理状态:心流、焦虑和无聊。在完成每个任务后，参与者完成了我们的心流量表和状态-特质焦虑量表(STAI)。信度采用Cronbach’s alpha系数计算。从量表与心理状态的相关系数、各心理状态的辨析能力和因子结构的准确性三个方面验证了量表的效度。对各种活动进行的职业分析也证实了电脑游戏任务是可测量活动的代表。结果scronbach’s α系数为0.918。量表总分与STAI总分呈显著负相关(r = -)。537, p <. 01)。各心理状态间差异有统计学意义(p <. 01)。协方差结构分析表明，模型拟合指标为可接受的拟合。本实验中使用的电脑游戏任务与游戏、手工艺、学习、烹饪和演奏乐器密切相关。结论本量表具有满意的信度和效度，可以定量地验证门诊工作任务是否能有效地为患者提供心流体验。

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引用次数: 38

A Survey of How Occupational Therapy Fieldwork Influences Future Professional Preference 职业治疗实地工作如何影响未来职业偏好的调查

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2013.09.003

Hsin-Yu (Ariel) Chiang, Chien-Hsiuo Liu, Yi Chen, Shih-Han Wang, Wei-Shan Lin, Fan-Ya Su, Chia-Ting Su, Chien-Hsuan Pan, Chieh-An Wang

Objective/Background

Although fieldwork experience plays an important role in an occupational therapy (OT) student's choice of future area of practice, studies on the influences of fieldwork on the preference of practice areas remain limited. The goal of the study was to further understand how OT students choose their future areas of practice.

Methods

A questionnaire, “The preferred future practice areas of occupational therapy students”, was created by systematic review of the relevant literature and collection of opinions from occupational therapists, students, and faculty. In total, 152 OT students undergoing their Level II fieldwork participated in the survey. Reliability tests, factor analysis tests, and discrimination analysis were carried out.

Results

The questionnaire demonstrated good to moderate reliability and validity. The factorial analysis indicated that the most influential factors for the preference of future practice areas of senior occupational therapy students are as follows: fieldwork experiences with clinical supervisors, fieldwork experiences with peers, social factors, college courses, and pressure from future work. The discrimination analysis revealed that social factors and college courses are the best factors for discriminating the variable “Choosing physical dysfunction, paediatric, or psychiatric OT as the most preferred future practice area.”

Conclusion

The choice of future area of practice is proved to be influenced by the experience in fieldwork for OT students. The psychometric properties of the questionnaire used in this study are supported, and it is recommended for use in future studies.

虽然实习经历在职业治疗(OT)学生选择未来的实践领域中起着重要作用，但关于实习对实践领域偏好的影响的研究仍然有限。这项研究的目的是进一步了解OT学生如何选择他们未来的实践领域。方法系统查阅相关文献，收集职业治疗师、学生和教师的意见，制作问卷“职业治疗学生未来首选的实践领域”。共有152名正在进行二级实地考察的OT学生参与了调查。进行信度检验、因子分析检验和判别分析。结果问卷具有良好至中等的信度和效度。析因分析显示，影响职业治疗高年级学生未来实习领域偏好的主要因素为:临床督导实习经历、同伴实习经历、社会因素、大学课程和未来工作压力。歧视分析显示，社会因素和大学课程是区分“选择身体功能障碍、儿科或精神科作为最优先的未来实践领域”变量的最佳因素。结论实习经验影响了实习学生对未来实习领域的选择。本研究中使用的问卷的心理测量特性得到了支持，并建议在未来的研究中使用。

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引用次数: 4

Are “Smart Pressure Monitored Suits” “Smarter” than Conventional Garments in Clinical Applications? 在临床应用中，“智能压力监测服”比传统服装“更智能”吗?

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2013.11.002

Beibei Feng , Wing Yi Pao , Anna Wu , Hercy Chi Kong Li , Cecilia Wai Ping Li-Tsang

Objective/Background

There is still no standardized regime to prescribe pressure garments with quantifiable pressure dosage to patients with different medical conditions. This study aimed to examine the efficacy of a newly developed system [a smart pressure monitored suit (SPMS)] for pressure intervention when compared with the conventional method of pressure garment production (conventional garment or CG). The SPMS is designed with a set of standard methods of measurements and computerized pattern drafting software (YUKA) to adjust the pressure range through computation of the percentage of strain directly on the drafted pattern. The CG was fabricated by occupational therapists in clinical settings.

Methods

A selected group of patients who required pressure therapy intervention was recruited through convenience sampling. They were provided with both a SPMS and a CG, each to be worn for 1 month. The interface pressure levels of both garments were measured before the implementation. Patients' feedback was collected using a standardized questionnaire on the comfort of wear, elasticity, and durability of the garments.

Results

There was a significant difference in the deterioration of pressure between the SPMSs and the CGs (p < .05) before and after 1 month of wear. The satisfaction on overall efficacy of the SPMSs was significantly higher than that of CGs (p < .05).

Conclusion

This standardized system using a SPMS appeared to provide a more accurate and consistent pressure range and long-lasting effect to the patients. It also appeared to be more efficient and effective in terms of production and fabrication.

目的/背景对于不同医疗状况的患者，目前还没有标准化的方案来处方具有可量化压力剂量的压力服。本研究旨在检验一种新开发的系统[智能压力监测服(SPMS)]在压力干预方面的效果，并与传统的压力服装生产方法(传统服装或CG)进行比较。SPMS设计了一套标准的测量方法和计算机化的图案绘制软件(YUKA)，通过计算直接在绘制的图案上的应变百分比来调整压力范围。CG由职业治疗师在临床环境中制作。方法采用方便抽样的方法，选择一组需要压力治疗干预的患者。分别佩戴SPMS和CG，佩戴时间为1个月。在实施之前，测量了两种服装的界面压力水平。使用标准化问卷收集患者的反馈，问卷内容涉及服装的穿着舒适度、弹性和耐用性。结果SPMSs组与CGs组在压力恶化方面存在显著差异(p <.05)磨损前后1个月。患者对SPMSs整体疗效的满意度显著高于CGs (p <. 05)。结论采用SPMS的标准化系统可为患者提供更准确、一致的压力范围和持久的效果。在生产和制造方面，它似乎也更有效率。

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引用次数: 7

Social Interaction and Atypical Sensory Processing in Children with Autism Spectrum Disorders 自闭症谱系障碍儿童的社会互动与非典型感觉加工

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-12-01 DOI: 10.1016/j.hkjot.2013.11.003

Kanae Matsushima, Toshihiro Kato

Objective/Background

Many children with autism spectrum disorders (ASDs) have sensory processing disorders (SPDs), which may limit many facets of daily life, including social interaction, an important domain of occupational therapy. Therefore, we examined the relationship between social interaction deficits and SPD in 4–6-year-old children with ASD without intellectual disorders.

Methods

The Social Responsiveness Scale (SRS) and the Japanese Sensory Inventory-Revised (JSI-R) questionnaires were administered to parents of children with ASD and children in the control group (n = 42 each).

Results

Response analyses revealed significant intergroup differences in scores for the questionnaires, with more atypical sensory processing patterns and social interaction deficits observed in children with ASD. Significant correlations were observed between the SRS total raw scores and subcategory scores of all sensory modalities of the JSI-R in the entire experimental group. The SPD symptoms were significantly associated with social interaction deficits in children with ASD.

Conclusion

It is important that occupational therapists consider SPD symptoms in children with ASD to provide early intervention for social interaction deficits.

许多自闭症谱系障碍(asd)儿童有感觉加工障碍(SPDs)，这可能会限制日常生活的许多方面，包括社会互动，这是职业治疗的一个重要领域。因此，我们研究了4 - 6岁无智力障碍的ASD儿童的社会互动缺陷与SPD的关系。方法采用社会反应量表(SRS)和日本感官量表(JSI-R)问卷调查ASD患儿家长和对照组儿童(n = 42)。结果反应分析显示，问卷得分在组间存在显著差异，在ASD儿童中观察到更多的非典型感觉加工模式和社会互动缺陷。在整个实验组中，JSI-R各感觉模态的SRS总原始得分与亚类得分之间存在显著相关。SPD症状与ASD儿童的社会互动缺陷显著相关。结论职业治疗师应考虑ASD患儿SPD症状，为社会交往缺陷提供早期干预。

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引用次数: 45

Factors That Influence Functional Mobility Outcomes of Patients After Traumatic Brain Injury 影响创伤性脑损伤后患者功能活动结局的因素

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2013-06-01 DOI: 10.1016/j.hkjot.2013.08.001

Sameera Haffejee, Veronica Ntsiea, Witness Mudzi

Objective/Background

The consequences of traumatic brain injury (TBI) include physical, cognitive, psychological, behavioural, and emotional deficits. Prognostic factors such as age, mechanism of injury, and severity of injury assist in determining the outcome of the patient. It is believed that predictors of recovery assist both the patient as well as family members in determining the potential outcomes for the patient. The objective of this study was to identify factors that influence functional mobility outcome of patients after TBI.

Methods

This was a cross-sectional study. Participants were assessed predischarge. The Glasgow Coma Scale on admission was noted to establish the severity of the TBI. The Rivermead Mobility Index was used to establish the functional mobility outcome.

Results

The sample consisted of 60 participants of which 56 (93%) were males. The average age of the participants in the study was 28 ± 8.5 years. More than 50% of the participants were unable to walk outside and 37% were able to climb a flight of stairs without help at the time of discharge from the hospital. Younger age (p < .001), male gender (p = .001), Grade 12 education (p = .001), being self employed (p < .001), having bowel and bladder continence (p < .001), not smoking and drinking (p < .001), and having occupational therapy sessions (p = .002) had a positive impact on function after TBI.

Conclusion

Previous studies have identified a multitude of factors and this study has served to confirm factors that have a positive impact on physical function after TBI within this study group.

目的/背景外伤性脑损伤(TBI)的后果包括身体、认知、心理、行为和情感缺陷。诸如年龄、损伤机制和损伤严重程度等预后因素有助于决定患者的预后。人们相信，康复的预测因素有助于患者和家属确定患者的潜在结果。本研究的目的是确定影响TBI后患者功能活动能力的因素。方法采用横断面研究。出院前对参与者进行评估。入院时的格拉斯哥昏迷评分用于确定TBI的严重程度。使用Rivermead流动性指数来建立功能流动性结果。结果共60人，其中男性56人(93%)。研究参与者的平均年龄为28±8.5岁。超过50%的参与者在出院时无法在室外行走，37%的人能够在没有帮助的情况下爬楼梯。更年轻的年龄(p <.001)，男性(p = .001)， 12年级教育(p = .001)，自主创业(p <.001)、大小便失禁(p <.001)，不吸烟和饮酒(p <.001)，接受职业治疗(p = .002)对TBI后的功能有积极影响。结论先前的研究已经确定了许多因素，而本研究已经证实了在该研究组中对脑外伤后身体功能有积极影响的因素。

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引用次数: 9