恢复,中断:脑震荡后持续的症状和阳光生成的力量
Molly A O'Reilly1,2, Jared B Hammond1, Kelsea P Marschall1,2
1Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
概括
许多脑震荡患者由于非脑震荡因素而经历持续症状,往往缺乏基于证据的护理. 以前存在的疾病,如偏头痛和焦虑症,显著影响症状严重程度和恢复.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
- 儿科 儿科 儿科
背景情况:
- 脑震荡后持续症状 (PSaC) 影响高达30%的年轻人超过一个月.
- PSaC带来了重大的临床护理挑战.
- 识别导致症状持续的因素对于有效管理至关重要.
研究的目的:
- 调查导致儿科和年轻成人脑震荡患者症状持续的因素.
- 探索先前存在的疾病和治疗坚持在PSaC中的作用.
- 评估基于证据的护理对脑震荡恢复的影响.
主要方法:
- 在54名患者的回顾性研究中,由于PSaC,他们被推进行神经心理评估.
- 分析先前存在的疾病 (偏头痛,焦虑,抑郁,精神疾病).
- 线性和逻辑回归模型用于识别症状严重程度和非脑震荡病因的预测因素.
主要成果:
- 75.9%的患者有可归因于非脑震荡因素的症状.
- 90.7%的人缺乏基于证据的伤害后护理.
- 预先存在的精神疾病和缺乏基于证据的建议预测了症状严重程度 (R=.314,p=.002).
- 偏头痛和抑郁症预测了非脑震荡的病因 (分别是Nagelkerke R=.389,p=.000和R=.124,p=.033).
结论:
- 预先存在的疾病和不充分的护理显著导致持续的脑震荡症状.
- 整体的,个性化的护理,解决脑震荡和潜在因素是必不可少的.
- 早期的神经心理评估可以通过定制的,基于证据的干预措施来优化康复.
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