代菁,郝克,肖露,等.脑外伤患者的执行功能与社区融入的相关性分析[J].中华物理医学与康复杂志,2021,43(10):880-884
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| 脑外伤患者的执行功能与社区融入的相关性分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.10.004 |
| 中文关键词: 执行功能 社区融入 脑外伤 |
| 英文关键词: Executive functioning Community integration Traumatic brain injury |
| 基金项目: |
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| 中文摘要: |
| 目的 调查脑外伤患者的执行功能与社区融入的关系，并探寻社区融入的主要影响因素。 方法 横断面研究脑外伤患者30例，记录其性别、年龄、教育年限、昏迷天数、生活状态和移动能力，使用执行功能失常问卷（DEX）与威斯康星卡片分类测验（WCST）评估执行功能，社区融入问卷（CIQ）评估社区融入情况。通过相关性分析和多重线性回归分析一般资料、生活状态、移动能力分级和执行功能与CIQ各项得分的相关性和独立影响因素。 结果 CIQ总分与WCST-RP评分（r=-0.47,P<0.01）、DEX评分（r=-0.44, P<0.01）、WCST-RPE评分（r=-0.41, P<0.05）呈负相关，与移动能力（r=0.39, P<0.05）呈正相关，与生活状态存在显著相关性（P<0.05），执行功能（DEX评分和WCST-RP评分）是社区融入的独立影响因素。CIQ家庭融入得分与昏迷天数（r=-0.31, P<0.05）呈负相关，与生活状态存在显著相关性（P<0.05），生活状态和昏迷天数是CIQ家庭融入得分的独立影响因素。CIQ社交融入得分与移动能力呈正相关（r=0.61, P<0.01），与DEX评分（r=-0.39, P<0.05）、WCST-RP评分（r=-0.67, P<0.01）和WCST-RPE评分（r=-0.52, P<0.01）呈负相关，WCST-RP评分和移动能力是CIQ社交融入得分的独立影响因素。CIQ生产活动融入得分与DEX评分（r=-0.58, P<0.01）、WCST-RP评分（r=-0.42, P<0.05）和WCST-RPE评分（r=-0.38, P<0.05）呈负相关，执行功能（DEX评分和WCST-RP评分）是CIQ生产活动融入得分的独立影响因素。 结论 执行功能可独立影响社区融入，尤其在社交融入维度，执行功能有着至关重要的作用。 |
| 英文摘要: |
| Objective To explore the relationship between executive functioning and community integration after a traumatic brain injury and to identify the main factors influencing community integration. Methods A cross-sectional study of 30 traumatic brain injury survivors was conducted recording their gender, age, years of education, days in coma, living status and mobility. Their executive functioning was assessed using the Disorders of Executive Function Questionnaire (DEX) and the Wisconsin Card Sorting Test (WCST). Their community integration was evaluated using the Community Integration Questionnaire (CIQ). The independent correlations of demographic characteristics, life status, mobility and executive functioning with CIQ score were quantified. Results The average total CIQ score was negatively correlated with the average WCST-RP, DEX and WCST-RPE scores, but it was positively correlated with mobility. It was also significantly correlated with life status. DEX scores and WCST-RP scores were significant independent predictors of community integration. The average CIQ family integration score was negatively correlated with days spent in a coma and significantly correlated with living status. The average CIQ social integration score was positively correlated with mobility (and negatively correlated with DEX, WCST-RP and WCST-RPE score. WCST-RP score and mobility were significant independent predictors of CIQ social integration scores. The average CIQ productive activity scores correlated negatively with the DEX, WCST-RP and WCST-RPE scores, and with the DEX and WCST-RP executive function scores. They were significant independent predictors of CIQ productive activity scores. Conclusions Executive functioning can predict community integration, especially its social integration dimension. |
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