神経外傷
Online ISSN : 2434-3900
原著
デイケアによる高次脳機能障害者の生活訓練
山里 道彦飯田 あゆみ井上 浩希山倉 敏之西澤 めぐみ穴久保 明子西澤 香苗高橋 晶子小林 栄喜
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2012 年 35 巻 1 号 p. 9-15

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We have been taking the form of day care for group training of individuals with traumatic brain injury in chronic phase. 23 cases attended the six months group training in these four years.

In this form, we could be allowed medical insurance billing, so that we could have full-time staffs consisting of occupational therapist, nurse, clinical psychologist. We could teach these cases various practical training and interpersonal coping of communication in long time schedule.

Uncomfortable sentiment (depressed mood and irritability) and inappropriate behavior (untidy appearance and not understanding of other's emotion) reduced. They improved the motivation and the ability for self-expression.

Before the training, only 4 cases were employed, in the other hand 19 cases were not employed. After six months training, 8 cases would be employed, 8 cases could join welfare work or general group participation, 7 cases continued the day care schedule.

Day care formed group training could be useful for individuals with cognitive dysfunction in chronic phase.

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© 2012 日本脳神経外傷学会
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