神经心理康复的重点是在一个极端严重的脑损伤患者的日常活动

Francesca Centomo, M. V. D. Linden, G. Wicky, A. Bellmann
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引用次数: 0

摘要

尽管严重创伤性脑损伤(TBI)在日常生活中有致残的后果,但很少有研究关注这些患者的特定“工具性活动”的再教育。在这个定性研究中,我们提出了一个生态康复的病人受害者极其严重的创伤性脑损伤,并提出严重和弥漫性认知障碍。康复计划的重点是准备蔬菜汤,分为三个步骤,结合各种策略:获得基本知识和程序的阶段,应用于实际准备汤的阶段,以及致力于使活动成为患者生活中有目的的一部分的适应阶段。结果表明,通过个性化、情境化和强化康复,可以提高严重损伤患者的日常工作能力和自我意识。然而,必须考虑到几个限制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuropsychological rehabilitation focused on a daily activity in an extremely severe brain-injured patient
Despite the disabling consequences of severe traumatic brain injury (TBI) in daily life, very few studies focused on the re-education of specific “instrumental activities” in these patients. In this qualitative study, we present an ecological rehabilitation of a patient victim of an extremely severe TBI and presenting severe and diffuse cognitive impairment. The rehabilitation program, focused on the preparation of a vegetable soup, was structured in three steps conjugating various strategies: a phase of acquisition of basic knowledge and procedures, a phase of application to the actual preparation of the soup, and an adaptation phase devoted to making the activity a purposeful part of the patient’s life. Results showed that it is possible to increase the abilities of severely impaired patients in a daily task, as well as their self-awareness, by means of an individualized, contextualized and intensive rehabilitation. However, several limitations must be considered.
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