Return to Work and Social Communication Ability Following Severe Traumatic Brain Injury
Return to Work and Social Communication Ability Following Severe Traumatic Brain Injury
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DOI：
10.1044/2015_jslhr-l-15-0025
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发表时间：
2016-06-01
影响因子：
2.6
通讯作者：
Snow, Pamela C.
中科院分区：
文献类型：
--
作者：
Douglas, Jacinta M.;Bracy, Christine A.;Snow, Pamela C.
目的：重返有竞争力的就业机会是创伤性脑损伤（TBI）幸存者面临的主要挑战。本研究是为了更好地了解影响就业结果的因素，通过比较回归并保持就业的成年人与那些没有就业的成年人的沟通概况和沟通缺陷的自我意识。方法：根据TBI参与者的就业状况（在职或失业），将46对（成年TBI患者46对，亲属46对）分为两组。各组在性别、年龄、受教育程度、受伤前工作、受伤严重程度或受伤后时间方面没有差异。使用La Trobe沟通问卷（Douglas， O'Flaherty, & Snow, 2000）来测量沟通。采用混合2 × 2方差分析（因子间：就业状况；因子内：感知来源）分析拉筹伯沟通问卷得分的组间比较。结果：组间主效应显著（p = 0.002），交互作用显著（p = 0.004）。有工作的一组报告的困难较少（自己和亲戚）。与相互作用一致的是，失业参与者认为自己遇到的困难比他们的亲戚少，而就业参与者报告的困难比他们的亲戚多。结论：沟通效果和沟通缺陷意识在创伤性脑损伤后重返工作场所中起重要作用。
Purpose: Return to competitive employment presents a major challenge to adults who survive traumatic brain injury (TBI). This study was undertaken to better understand factors that shape employment outcome by comparing the communication profiles and self-awareness of communication deficits of adults who return to and maintain employment with those who do not.Method: Forty-six dyads (46 adults with TBI, 46 relatives) were recruited into 2 groups based on the current employment status (employed or unemployed) of participants with TBI. Groups did not differ in regard to sex, age, education, preinjury employment, injury severity, or time postinjury. The La Trobe Communication Questionnaire (Douglas, O'Flaherty, & Snow, 2000) was used to measure communication. Group comparisons on La Trobe Communication Questionnaire scores were analyzed by using mixed 2 x 2 analysis of variance (between factor: employment status; within factor: source of perception).Results: Analysis yielded a significant group main effect (p = .002) and a significant interaction (p = .004). The employed group reported less frequent difficulties (self and relatives). Consistent with the interaction, unemployed participants perceived themselves to have less frequent difficulties than their relatives perceived, whereas employed participants reported more frequent difficulties than their relatives.Conclusion: Communication outcome and awareness of communication deficits play an important role in reintegration to the workplace following TBI.