Effectiveness of a head injury program for children - A preliminary investigation
Effectiveness of a head injury program for children - A preliminary investigation
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DOI：
10.1097/00002060-200009000-00002
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发表时间：
2000-09-01
影响因子：
3
通讯作者：
Montes, JL
中科院分区：
文献类型：
--
作者：
Swaine, BR;Pless, IB;Montes, JL
目的：本研究的目的是调查儿童创伤中心提供的更协调、更全面的头部损伤康复计划是否比不太协调、不太全面的计划产生更好的结果。 设计：采用准实验设计，使用儿童功能独立测量 (WeeFIM(TM))/功能独立测量对 1995 年或 1993 年入住该中心并接受康复服务的 64 名头部受伤儿童进行评估(FIM(TM))（例如，主要结果指标）。次要结局包括“心理社会调整”、“重返正规学校”和“当前与头部受伤相关的问题”。结果：在控制年龄和受伤严重程度后，各组之间的平均 WeeFIM/FIM 分数没有发现统计学上的显着差异。1993 年组在心理社会测量的退缩分量表上得分较差 (P = 0.02)，但这些儿童中进入特殊教育班级的比例较小 (P = 0.02).结论：这项研究为头部受伤儿童康复有效性的更大规模、明确的研究提供了模型。趋势表明，更全面的护理可能会带来更好的结果。
Objective: The purpose of this study was to investigate whether a more coordinated, comprehensive head injury rehabilitation program provided at a children's trauma center yielded better outcomes than a less coordinated, less comprehensive program.Design: Using a quasi-experimental design, 64 children with head injury admitted to the center and who received rehabilitation services in either 1995 or 1993 were evaluated by using the Functional Independence Measure for children (WeeFIM(TM))/The Functional Independence Measure (FIM(TM)) (e.g., primary outcome measure). Secondary outcomes included "psychosocial adjustment," "return to regular school," and "current problems related to the head injury.Results: No statistically significant differences were found between the groups with respect to mean WeeFIM/FIM scores after controlling for age and injury severity. The 1993 group had poorer scores on the withdrawal subscale of the psychosocial measure (P = 0.02), yet a smaller proportion of these children were enrolled in a special education class (P = 0.02).Conclusions: This study serves as a model for a larger, definitive study of the effectiveness of rehabilitation for children with head injury. The trends suggest that more comprehensive care may lead to better outcomes.