Identifying environmental factors that influence the outcomes of people with traumatic brain injury
Identifying environmental factors that influence the outcomes of people with traumatic brain injury
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DOI：
10.1097/00001199-200405000-00001
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发表时间：
2004-05-01
影响因子：
2.4
通讯作者：
Cusick, CP
中科院分区：
文献类型：
--
作者：
Whiteneck, GG;Gerhart, KA;Cusick, CP
目的：确定创伤性脑损伤（TBI）患者报告的环境障碍类型，并确定环境障碍与就业、社区流动性、社会融合和生活满意度等社会参与要素之间的关系。设计图：73名TBI患者在克雷格医院参加了TBI模型系统项目，在1年时进行了调查，使用一种新的环境测量方法，克雷格医院环境因素清单（CHIEF），对25种障碍的频率和影响进行了评估。结果如下：交通、周围环境、政府政策、态度和自然环境是报告影响最大的环境障碍。那些已婚、年龄较大、失业或未上学的人报告的障碍最多。此外，那些报告环境障碍影响较大的人也报告了较低的参与水平和生活满意度。结论：虽然环境障碍影响TBI幸存者并在其结果中发挥作用，但它们与其他可能尚未确定的因素的相互作用需要继续研究。CHIEF可能是一个有价值的工具，用于了解环境在TBI患者生活中的作用，并确定需要干预以减少其负面影响的一般环境领域。
Objectives: To determine the types of environmental barriers reported by persons with traumatic brain injury (TBI) and to identify the relations between environmental barriers and such components of societal participation as employment, community mobility, social integration, and life satisfaction. Design: Seventy-three persons with TBI who were participating in the TBI Model Systems program at Craig Hospital were surveyed at 1 year, using a new measure of the environment, the Craig Hospital Inventory of Environmental Factors (CHIEF), which rates frequency and impact of 25 barriers. Results: Transportation, the surroundings, government policies, attitudes, and the natural environment were the environmental barriers with the greatest reported impact. Those who were married, older, and unemployed or not in school reported the most barriers overall. Additionally, those reporting a greater impact from environmental barriers also reported lower levels of participation and life satisfaction. Conclusions: Although environmental barriers affect TBI survivors and play a role in their outcomes, their interplay with other, perhaps as yet unidentified, factors requires continued research. CHIEF may be a valuable tool for understanding the environment's role in the lives of people with TBI, and identifying the general environmental domains where interventions are needed to reduce their negative impact.