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A qualitative study of rehabilitation needs and participation limitations of chronic phase subjects with cognitive disorder due to traumatic brain injury discharged from the level-1 trauma center.

Research Project

Project/Area Number 24500599
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionYokohama City University

Principal Investigator

SASHIKA HIRONOBU  横浜市立大学, 医学研究科, 客員教授 (50235298)

Co-Investigator(Kenkyū-buntansha) KIKUCHI Naohisa  横浜市立大学, 市民総合医療センター, 准教授 (90315789)
Research Collaborator KOIKE Jyunko  社会福祉法人横浜市リハビリテーション事業団, 横浜市北部地域療育センター長
TAKADA Kaoruko  横浜市立大学, 大学院医学研究科医科学専攻
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords外傷性脳損傷 / 高次脳機能障害 / 心理社会的要因 / 社会参加 / QOL / リハビリテーション / 質的記述法 / 半構造化面接 / 心理社会的問題 / 地域リハビリテーション
Outline of Final Research Achievements

Purpose: To clarify social participation (SP), QOL, and rehabilitation needs (REHA-N) of the chronic TBI with cognitive disorder discharged from our level-1 trauma center (TC).
Subject Selection: Carried in the TC and acute REHA from 2006/11 to 2011/10. Injured age; more than 18 years old. More than a year elapsed after TBI. mRS; 0-3. Method: Examining of cognitive function. Semi-structured interviews for evaluating SP and REHA-N. SPRS and SF-36. Outcome evaluation of chronic REHA.
Result: Subjects: 31. Age: 33.4 years. Male/female: 17/14. From TBI to interview: 51 months. Exclusion: 8 (no cognitive disorder). Group B: 11 (achieving SP; employed 8, etc.). Group C: 12 (SP difficulties; no job 8, etc.). Group C: greater TBI severity and more severe cognitive dysfunction than B. SPRS and RCS (SF-36): groups B/C; 64.9/50.0, 44.3/30.4 (p<.05). There was no change in the SPRS and SF-36 score by chronic REHA. Chronic TBI had many REHA-N. Psychosocial issues and improving QOL create challenges.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (9 results)

All 2015 2014 2013

All Presentation (9 results)

  • [Presentation] 高度救命救急センターから退院した軽中度の外傷性脳損傷(TBI)の参加制約とリハニーズに関する質的研究2015

    • Author(s)
      佐鹿 博信、菊地 尚久、高田薰子
    • Organizer
      第52回日本リハビリテーション医学会学術集会
    • Place of Presentation
      朱鷺メッセ(新潟県新潟市)
    • Year and Date
      2015-05-28 – 2015-05-30
    • Related Report
      2014 Annual Research Report
  • [Presentation] Relation of participation limitation and rehabilitation needs of mild to moderate traumatic brain injured persons (TBI) discharged from the advanced critical emergency center: a qualitative study.2014

    • Author(s)
      Sashika H, Kikuchi N, Takada K.
    • Organizer
      10th World Congress on Brain Injury (IBIA)
    • Place of Presentation
      San Francisco, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Combined qualitative study and cognitive evaluation of social participation for community living TBI persons.2013

    • Author(s)
      Takada K, Kikuchi N, Wakabayashi H, Sashika H.
    • Organizer
      7th World Congress of International Society of Physical and Rehabilitation Medicine (ISPRM)
    • Place of Presentation
      Beijing, China
    • Related Report
      2013 Research-status Report
  • [Presentation] 脳外傷後自宅退院した患者に対する社会参加状況の質的研究.2013

    • Author(s)
      高田薫子、菊地尚久、若林秀隆、佐鹿博信
    • Organizer
      第50回日本リハビリテーション医学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 第3次応需救命救急センターから退院した軽中度の外傷性脳損傷(TBI)の参加制約とリハニーズに関する質的研究.2013

    • Author(s)
      佐鹿博信、菊地尚久、高田薫子
    • Organizer
      第50回日本リハビリテーション医学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 高次脳機能障害をもつ地域在住脳外傷者の社会参加に関する質的研究:SF-36によるQOLの検討.2013

    • Author(s)
      高田薫子、菊地尚久、若林秀隆、佐鹿博信
    • Organizer
      第 55 回日本リハビリテーション医学会関東地方会
    • Place of Presentation
      甲府
    • Related Report
      2013 Research-status Report
  • [Presentation] Combined qualitative and cognitive research of social participation for community living TBI patients2013

    • Author(s)
      Kaoruko Takada, Naohisa Kikuchi, Hironobu Sashika
    • Organizer
      7th World Congress of International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      北京
    • Related Report
      2012 Research-status Report
  • [Presentation] 第3次応需救命救急センターから退院した軽中度の外傷性脳損傷(TBI)の参加制約とリハニーズに関する質的研究2013

    • Author(s)
      佐鹿博信、菊地尚久、高田薰子
    • Organizer
      第50回日本リハビリテーション医学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
  • [Presentation] 脳外傷後自宅退院した患者に対する社会参加状況の質的研究2013

    • Author(s)
      高田薰子、佐鹿博信、菊地尚久、若林秀隆
    • Organizer
      第50回日本リハビリテーション医学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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