ワカバヤシ　ヒデタカ   Wakabayashi Hidetaka   若林　秀隆    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Social participation and quality-of-life of patients with traumatic brain injury living in the community: A mixed methods study.
掲載誌名	正式名：Brain injury 略　 称：Brain Inj ISSNコード：1362301X/02699052
掲載区分	国外
巻・号・頁	30(13-14),pp.1590-1598
著者・共著者	Takada Kaoruko, Sashika Hironobu, Wakabayashi Hidetaka, Hirayasu Yoshio
発行年月	2016
概要	OBJECTIVE:To investigate the quality-of-life (QoL) and social participation of patients with traumatic brain injury (TBI) living in the community in Japan.METHODS:A mixed-methods study of 29 post-TBI patients and 12 family members was conducted. Objective scales were used to evaluate QoL (Short Form Health Survey SF-36), depression (Zung Self-rating Depression Scale) and psychosocial function (Sydney Psychosocial Reintegration Scale, 2nd edition). Subjective views of changes in social functioning, participation and suitability of family support were obtained by a semi-structured interview. Participants were classified into 'change' and 'no-change' groups for social participation and between-group comparisons of QoL and determinant factors of QoL were evaluated.RESULTS:The SF-36 social role component was significantly associated with the suitability of family support, followed by their understanding. However, QoL was not significantly associated with changes in social participation. Social participation was particularly influenced by the absence of rehabilitation support for low-skill labourers and housewives, whether they lost their employment or not.CONCLUSIONS:Advances in rehabilitation services are required, particularly to meet the specific needs of housewives and low-skill labourers. Families should receive sufficient education and short- and long-term strategies for providing suitable support to patients and their families should be implemented.
DOI	10.1080/02699052.2016.1199901
PMID	27630033