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首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Effectiveness of community-based rehabilitation after traumatic brain injury for 489 program completers compared with those precipitously discharged.
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Effectiveness of community-based rehabilitation after traumatic brain injury for 489 program completers compared with those precipitously discharged.

机译:相较于急速出院的外伤者,有489人完成了脑外伤后社区康复的效果。

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OBJECTIVE: To evaluate outcomes of home- and community-based postacute brain injury rehabilitation (PABIR). DESIGN: Retrospective analysis of program evaluation data for treatment completers and noncompleters. SETTING: Home- and community-based PABIR conducted in 7 geographically distinct U.S. cities. PARTICIPANTS: Patients (N=489) with traumatic brain injury who completed the prescribed course of rehabilitation (completed-course-of-treatment [CCT] group) compared with 114 who were discharged precipitously before program completion (precipitous-discharge [PD] group). INTERVENTION: PABIR delivered in home and community settings by certified professional staff on an individualized basis. MAIN OUTCOME MEASURES: Mayo-Portland Adaptability Inventory (MPAI-4) completed by means of professional consensus on admission and at discharge; MPAI-4 Participation Index at 3- and 12-month follow-up through telephone contact. RESULTS: Analysis of covariance (CCT vs PD group as between-subjects variable, admission MPAI-4 score as covariate) showed significant differences between groups at discharge on the full MPAI-4 (F=82.25; P<.001), Ability Index (F=50.24; P<.001), Adjustment Index (F=81.20; P<.001), and Participation Index (F=59.48; P<.001). A large portion of the sample was lost to follow-up; however, available data showed that group differences remained statistically significant at follow-up. CONCLUSIONS: Results provided evidence of the effectiveness of home- and community-based PABIR and that treatment effects were maintained at follow-up.
机译:目的:评估基于家庭和社区的急性脑损伤后康复(PABIR)的结果。设计:对治疗完成者和非完成者的计划评估数据进行回顾性分析。地点:在美国7个地理上不同的城市中进行的基于家庭和社区的PABIR。参加者:N = 489例脑外伤患者,他们完成了规定的康复过程(疗程[CCT]组),而在程序完成前急诊出院的患者(急诊出院[PD]组)为114例)。干预:PABIR由经过认证的专业人员在家庭和社区环境中个性化提供。主要观察指标:通过关于入院和出院的专业共识,完成梅奥-波特兰适应性清单(MPAI-4);通过电话联系进行3个月和12个月随访时的MPAI-4参与指数。结果:协方差分析(CCT与PD组为受试者间变量,入院MPAI-4得分为协变量)显示,出院时在完整MPAI-4上各组之间存在显着差异(F = 82.25; P <.001),能力指数(F = 50.24; P <.001),调整指数(F = 81.20; P <.001)和参与指数(F = 59.48; P <.001)。大部分样本丢失以进行随访;但是,现有数据显示,随访时组间差异仍具有统计学意义。结论:结果提供了基于家庭和社区的PABIR的有效性的证据,并且在随访中维持了治疗效果。

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