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标题：An evaluation of health-related quality of life of patients aroused from prolonged coma when treated by physiotherapists with or without training in the ‘Academy of Life’ programme
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作者：Wiesław Tomaszewski ; Grzegorz Mańko ; Artur Ziółkowski 等
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2013
卷号：20
期号：2
页码：361-365
出版社：Institute of Agricultural Medicine in Lublin
摘要：Objective: To evaluate the health-related quality of life (HRQOL) in patients aroused from prolonged coma af ter a severe traumatic brain injury (TBI) treated by physiotherapists trained in the 'Academy of Life' programme. It was assumed that physiotherapists who acquired this knowledge and experience would create a better therapeutic milieu, and would be more effective than physiotherapists who had not received this training. Material and methods: 40 patients who had suffered a severe TBI in a motor vehicle accident and had been aroused from prolonged coma were examined. All the patients underwent long-term rehabilitation according to a standard, phased programme. They were divided into two numerically even groups: an experimental group, treated by therapists trained in the 'Academy of Life' programme, and a control group, treated by physiotherapists who were not trained in this programme. The research instruments included an analysis of documentation, a structured clinical interview, and the Quality of Life Scale. Results: As hypothesized, the experimental group showed significant improvement in HRQOL, whereas in the control group improvement was statistically non-significant. Conclusions: The patients from the experimental group, treated by physiotherapists trained in the 'Academy of Life', obtained a significantly greater improvement in physical and social functioning, and thus in HRQOL, than patients from the control group
关键词：social isolation; aphasia; dysarthria; memory; paresis; akinetic mutism