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创伤性脑损伤后认知沟通障碍儿童和青少年的重要结果:国际多视角共识研究
Lauren Crumlish1,2,3, Anthony J Angwin1,2,3, Bridget Burton1,2,3
1School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
American journal of speech-language pathology
|September 8, 2025
概括
这项研究确定了儿童创伤性脑损伤 (TBI) 康复的关键结果. 在不同年龄组的认知沟通障碍 (CCD) 的360个基本结果上达成了共识.
科学领域:
- 儿科康复儿童康复中心
- 神经科学是一个神经科学.
- 语音语言病理学 语言病理学
背景情况:
- 在儿童和青少年中,创伤性脑损伤 (TBI) 可以导致显著的认知交流障碍 (CCD).
- 后急性康复旨在解决这些缺陷,并改善长期的功能.
- 建立关于重要结果的共识对于有效和个性化的护理至关重要.
研究的目的:
- 为了在研究人员,临床医生和管理人员之间就儿童TBI认知交流康复的关键结果达成共识.
- 为了确定儿童和青少年 (5-18岁) 在后急性阶段及以后的特定年龄结局.
- 确定结果与国际功能,残疾和健康分类 (ICF) 框架保持一致.
主要方法:
- 进行了一项国际三轮e-Delphi研究.
- 第1轮涉及开放式问题,以产生结果,随后进行定性内容分析.
- 2-3轮使用9分级来排列结果的重要性,共识由特定值定义.
主要成果:
- 在所有年龄组的360个结果上达成共识.
- 对于较小的儿童 (5-11岁),与身体功能和活动/参与相关的结果,包括入学和运作,是关键.
- 对于年长的儿童和青少年 (12-18岁),活动/参与结果如情绪安全,就业和生活技能至关重要.
结论:
- 广泛的ICF一致的结果被认为对儿科CCD很重要,反映了这些疾病的复杂性.
- 康复策略必须根据发展量身定制,因为结果的重要性随着年龄的增长而变化.
- 整体,以人为中心的护理是必不可少的,未来需要对患者和家庭优先事项进行研究.
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