外伤性脑损伤后的认知康复:澳大利亚当前实践的调查

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2018-09-13 DOI:10.1017/BrImp.2018.12

Marina G. Downing, P. Bragge, J. Ponsford

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引用次数: 16

摘要

背景和目的:认知障碍是中重度创伤性脑损伤(TBI)后参与的最大障碍，认知康复至关重要。已经出版了几套认知康复指南，包括2014年的INCOG。然而，我们对目前治疗TBI患者的临床实践知之甚少。本研究旨在通过对从事TBI患者康复治疗的治疗师的在线调查来描述当前认知康复实践的特征。方法:调查记录了人口统计信息、当前认知康复实践、用于认知康复的资源以及对认知康复的反思。结果:221名澳大利亚受访者主要是职业治疗师、神经心理学家和语言病理学家，在认知康复和TBI方面平均有9年的临床经验。认知再训练和代偿策略是认知康复中最常用的方法。执行功能主要以再训练为目标，而记忆则以补偿策略为目标。注意力问题较少被提及。客户自我意识、家庭参与、团队协作和目标设定被视为成功的重要因素。结论:澳大利亚认知康复的临床实践与指南基本一致。然而，解决其交付的障碍对于提高TBI患者的生活质量非常重要。

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Cognitive Rehabilitation Following Traumatic Brain Injury: A Survey of Current Practice in Australia

Background and Objective: As cognitive impairments represent the greatest impediment to participation following moderate–severe traumatic brain injury (TBI), cognitive rehabilitation is vital. Several sets of guidelines for cognitive rehabilitation have been published, including INCOG in 2014. However, little is known about current practice by therapists working with individuals with TBI. This study aimed to characterise current cognitive rehabilitation practices via an online survey of therapists engaged in rehabilitation in individuals with TBI. Method: The survey documented demographic information, current cognitive rehabilitation practice, resources used to inform cognitive rehabilitation, and reflections on cognitive rehabilitation provided. Results: The 221 Australian respondents were predominantly occupational therapists, neuropsychologists, and speech pathologists with an average 9 years of clinical experience in cognitive rehabilitation and TBI. Cognitive retraining and compensatory strategies were the most commonly identified approaches used in cognitive rehabilitation. Executive functioning was mostly targeted for retraining, whereas memory was targeted with compensatory strategies. Attentional problems were less frequently addressed. Client self-awareness, family involvement, team collaboration, and goal-setting were seen as important ingredients for success. Conclusion: Clinical practice of cognitive rehabilitation in Australia is broadly consistent with guidelines. However, addressing the impediments to its delivery is important to enhance the quality of life for individuals with TBI.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.