{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390285697606414976.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.24597/jcts.19.1_3"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"030139100"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/030139100"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I030139100"}},{"identifier":{"@type":"NAID","@value":"130007919827"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2020195547"}}],"dc:title":[{"@language":"en","@value":"Family burden of patients 10 years or more after traumatic brain injury"},{"@language":"ja","@value":"外傷性脳損傷後10年以上経過した患者の家族の介護負担感"},{"@language":"ja-Kana","@value":"ガイショウセイ ノウ ソンショウ ゴ 10ネン イジョウ ケイカ シタ カンジャ ノ カゾク ノ カイゴフタンカン"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Objectives: Traumatic brain injury（TBI）has a substantial impact on caregivers, and the effects of moderate to severe TBI can be long-lasting or even permanent. This study describes the burden experienced by family caregivers of 344 patients who had suffered traumatic brain injury over 10 years previously.\nMethods: Family caregivers of the 344 patients who suffered traumatic brain injury 10 years or more previously were asked to fill in an unpublished self-report questionnaire in order to explore their burdens and the patients’ records.\nResults: In 313 patients（91.0％）, loss of consciousness after injury continued for over 4 days. Of the total 344 patients（289 male and 55 female; current age: 43.6±12.3 years old; age at injury: 24.0±13.3 years old）, 296 （86.0％）lived with a parent. Family burden was found to be associated with increased cognitive, emotional, and behavioral disorders of TBI patients（correlation coefficient＝0.61）. Most patients（78.5％）were independent in the activities of daily living（ADL）, and no statistically significant difference was found between family burden and ADL abilities of TBI patients（correlation coefficient＝－0.18）. Of the 344 patients, 220 were employed, including welfare employment（53.6％）. The non-employment group demonstrated more considerable feeling of burden to family than the employment group（<i>p</i>＜0.01）.\nConclusions: The feeling of burden to family is immense even now, after more than 10 years since the accident. The feeling is much influenced by cognitive, emotional, and behavioral disorders as TBI sequelae that are caused by frontal damage, and psychosocial problems after injury. Furthermore, the employment situation of patients is also an important factor for the feeling of burden of long-term care. In Japan, the length of hospital stay cannot exceed more than six months after injury by law. Therefore, it is necessary to focus medical intervention for an outpatient on psychosocial problems, and if possible, vocational rehabilitation is necessary for moderate to severe TBI patients, as part of community rehabilitation."},{"@language":"ja","@value":"【はじめに】交通事故や転倒転落を主な原因とする外傷性脳損傷（traumatic brain injury；TBI）は、とくに中等度から重度の場合、後遺する身体障害および高次脳機能障害により、介護する家族の負担は深刻である。しかし、外傷後の経過とともに、これらの障害は、改善していくことから、家族の介護負担感も軽減していくと考えられる。本研究は、TBI後、10年以上が経過した事例について、その家族の介護負担感を調査した。【対象および方法】TBI後、10年以上が経過した344例の患者の家族に、質問紙によるアンケート調査を行った。344例（男性289例、女性55例）は、受傷時平均年齢は24.0±13.3歳、現在の平均年齢は、43.6±12.3歳、TBIからの平均経過年数は、19.6±7.5歳であった。【結果】現在、296例（86.0％）が家族と同居していた。このうち、34例（全体の9.9％）が配偶者と同居していた。単身者は48例であった。バーセルインデックス（barthel index；BI）は、平均89.3±19.3で、日常生活が自立しているとされる85点以上は、270例（78.5％）であった。認知行動障害とZarit介護負担尺度は正の相関を認めた。一方、BIとZarit介護負担尺度には相関は認められなかった。就労群の受傷時年齢は非就労群に比し若年であった。そして、現在の年齢も、就労群のほうが若年であった。一方、介護負担感は、有意に就労群のほうが低かった。外出頻度別に介護負担感を比較すると、高頻度外出群のほうが、介護負担感は低かった。【結語および考察】受傷後、10年が経過しても介護する両親（あるいは主に妻）の負担感が大きい。介護負担感と認知行動面の障害には正の相関があり、さらに介護負担感には有意に就労の有無、外出頻度が関連していた。社会性の確立こそがTBIで表れやすい認知行動障害を改善に導く。患者ごとにそれぞれの目標に沿って、地域リハビリテーション、職業リハビリテーションを提供していくことが、家族の介護負担感を軽減することになると考えられる。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410285697606414981","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000410315181"}],"foaf:name":[{"@language":"en","@value":"WATANABE Shu"},{"@language":"ja","@value":"渡邉 修"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation, the Tokyo Jikei Medical University"},{"@language":"ja","@value":"東京慈恵会医科大学リハビリテーション医学講座"}]},{"@id":"https://cir.nii.ac.jp/crid/1410285697606414979","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000410315182"}],"foaf:name":[{"@language":"en","@value":"AKIMOTO Hideaki"},{"@language":"ja","@value":"秋元 秀昭"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京慈恵会医科大学リハビリテーション医学講座"},{"@language":"en","@value":"Department of Rehabilitation, the Tokyo Jikei Medical University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410285697606414980","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000410315183"}],"foaf:name":[{"@language":"en","@value":"FUKUI Ryota"},{"@language":"ja","@value":"福井 遼太"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京慈恵会医科大学リハビリテーション医学講座"},{"@language":"en","@value":"Department of Rehabilitation, the Tokyo Jikei Medical University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410285697606414977","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000410315184"}],"foaf:name":[{"@language":"en","@value":"IKEDA Kumi"},{"@language":"ja","@value":"池田 久美"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京慈恵会医科大学リハビリテーション医学講座"},{"@language":"en","@value":"Department of Rehabilitation, the Tokyo Jikei Medical University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410285697606414978","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000410315185"}],"foaf:name":[{"@language":"en","@value":"HONDA Arimasa"},{"@language":"ja","@value":"本田 有正"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation, the Tokyo Jikei Medical University"},{"@language":"ja","@value":"東京慈恵会医科大学リハビリテーション医学講座"}]},{"@id":"https://cir.nii.ac.jp/crid/1420564276158212992","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00266587"},{"@type":"NRID","@value":"1000000266587"},{"@type":"NDL_AUTHOR_ID","@value":"01166763"},{"@type":"CINII_AUTHOR_ID","@value":"DA16594232"},{"@type":"URI","@value":"https://ci.nii.ac.jp/author/DA16594232#entity"},{"@type":"URI","@value":"https://viaf.org/viaf/NII%7CDA16594232"},{"@type":"NRID","@value":"9000255333280"},{"@type":"NRID","@value":"9000345236426"},{"@type":"NRID","@value":"9000345241659"},{"@type":"NRID","@value":"9000283771834"},{"@type":"NRID","@value":"9000258353438"},{"@type":"NRID","@value":"9000258375192"},{"@type":"NRID","@value":"9000257756687"},{"@type":"NRID","@value":"9000263466377"},{"@type":"NRID","@value":"9000414081948"},{"@type":"NRID","@value":"9000399803170"},{"@type":"NRID","@value":"9000398408994"},{"@type":"NRID","@value":"9000413742270"},{"@type":"NRID","@value":"9000413742278"},{"@type":"NRID","@value":"9000398438735"},{"@type":"NRID","@value":"9000398438715"},{"@type":"NRID","@value":"9000399169244"},{"@type":"NRID","@value":"9000391783194"},{"@type":"NRID","@value":"9000345232511"},{"@type":"NRID","@value":"9000345242318"},{"@type":"NRID","@value":"9000345406668"},{"@type":"NRID","@value":"9000412022904"},{"@type":"NRID","@value":"9000258364115"},{"@type":"NRID","@value":"9000258377047"},{"@type":"NRID","@value":"9000258381931"},{"@type":"NRID","@value":"9000258378276"},{"@type":"NRID","@value":"9000263467216"},{"@type":"NRID","@value":"9000263466533"},{"@type":"NRID","@value":"9000263464834"},{"@type":"NRID","@value":"9000397809264"},{"@type":"NRID","@value":"9000414081960"},{"@type":"NRID","@value":"9000414077758"},{"@type":"NRID","@value":"9000398427210"},{"@type":"NRID","@value":"9000398427200"},{"@type":"NRID","@value":"9000319551165"},{"@type":"NRID","@value":"9000283769078"},{"@type":"NRID","@value":"9000283773662"},{"@type":"NRID","@value":"9000345406721"},{"@type":"NRID","@value":"9000412026404"},{"@type":"NRID","@value":"9000403987142"},{"@type":"NRID","@value":"9000396115658"},{"@type":"NRID","@value":"9000258357164"},{"@type":"NRID","@value":"9000258376105"},{"@type":"NRID","@value":"9000258336812"},{"@type":"NRID","@value":"9000263469554"},{"@type":"NRID","@value":"9000263466505"},{"@type":"NRID","@value":"9000399803267"},{"@type":"NRID","@value":"9000380431220"},{"@type":"NRID","@value":"9000256906596"},{"@type":"NRID","@value":"9000398415025"},{"@type":"NRID","@value":"9000398443198"},{"@type":"NRID","@value":"9000391685412"},{"@type":"NRID","@value":"9000350549182"},{"@type":"NRID","@value":"9000345415675"},{"@type":"NRID","@value":"9000345411737"},{"@type":"NRID","@value":"9000345406891"},{"@type":"NRID","@value":"9000302391541"},{"@type":"NRID","@value":"9000253544210"},{"@type":"NRID","@value":"9000253545403"},{"@type":"NRID","@value":"9000240066085"},{"@type":"NRID","@value":"9000410315186"},{"@type":"NRID","@value":"9000409903872"},{"@type":"NRID","@value":"9000408790075"},{"@type":"NRID","@value":"9000258377914"},{"@type":"NRID","@value":"9000258354772"},{"@type":"NRID","@value":"9000258378740"},{"@type":"NRID","@value":"9000259837251"},{"@type":"NRID","@value":"9000257760002"},{"@type":"NRID","@value":"9000263468451"},{"@type":"NRID","@value":"9000263464642"},{"@type":"NRID","@value":"9000257991737"},{"@type":"NRID","@value":"9000414077691"},{"@type":"NRID","@value":"9000414077732"},{"@type":"NRID","@value":"9000398430390"},{"@type":"NRID","@value":"9000398430372"},{"@type":"NRID","@value":"9000350549015"},{"@type":"NRID","@value":"9000350552889"},{"@type":"NRID","@value":"9000345238698"},{"@type":"NRID","@value":"9000345236493"},{"@type":"NRID","@value":"9000258381900"},{"@type":"NRID","@value":"9000258335196"},{"@type":"NRID","@value":"9000283614690"},{"@type":"NRID","@value":"9000263466059"},{"@type":"NRID","@value":"9000263468368"},{"@type":"NRID","@value":"9000399803446"},{"@type":"NRID","@value":"9000256906465"},{"@type":"NRID","@value":"9000398412205"},{"@type":"NRID","@value":"9000398412213"},{"@type":"NRID","@value":"9000398418333"},{"@type":"NRID","@value":"9000414266711"},{"@type":"NRID","@value":"9000414266725"},{"@type":"NRID","@value":"9000398444205"},{"@type":"NRID","@value":"9000398444203"},{"@type":"NRID","@value":"9000350548729"},{"@type":"NRID","@value":"9000345235454"},{"@type":"NRID","@value":"9000345242190"},{"@type":"NRID","@value":"9000283753780"},{"@type":"NRID","@value":"9000258364894"},{"@type":"NRID","@value":"9000258354747"},{"@type":"NRID","@value":"9000258363200"},{"@type":"NRID","@value":"9000258338005"},{"@type":"NRID","@value":"9000263465926"},{"@type":"NRID","@value":"9000263468223"},{"@type":"NRID","@value":"9000399802866"},{"@type":"NRID","@value":"9000008067080"},{"@type":"NRID","@value":"9000413742254"},{"@type":"NRID","@value":"9000413742266"},{"@type":"NRID","@value":"9000345198392"},{"@type":"NRID","@value":"9000345234248"},{"@type":"NRID","@value":"9000345233492"},{"@type":"NRID","@value":"9000345232120"},{"@type":"NRID","@value":"9000258378233"},{"@type":"NRID","@value":"9000414077589"},{"@type":"NRID","@value":"9000399552201"},{"@type":"NRID","@value":"9000256906638"},{"@type":"NRID","@value":"9000399841530"},{"@type":"NRID","@value":"9000399841518"},{"@type":"NRID","@value":"9000345245942"},{"@type":"NRID","@value":"9000283760696"},{"@type":"NRID","@value":"9000345410939"},{"@type":"NRID","@value":"9000412024451"},{"@type":"NRID","@value":"9000409013352"},{"@type":"NRID","@value":"9000404540545"},{"@type":"NRID","@value":"9000258352988"},{"@type":"NRID","@value":"9000258379617"},{"@type":"NRID","@value":"9000258380524"},{"@type":"NRID","@value":"9000263464798"},{"@type":"NRID","@value":"9000263468525"},{"@type":"NRID","@value":"9000415405746"},{"@type":"NRID","@value":"9000414079281"},{"@type":"NRID","@value":"9000365490304"},{"@type":"NRID","@value":"9000413373970"},{"@type":"NRID","@value":"9000413373962"},{"@type":"NRID","@value":"9000390429796"},{"@type":"NRID","@value":"9000350552336"},{"@type":"NRID","@value":"9000345236449"},{"@type":"NRID","@value":"9000283774662"},{"@type":"NRID","@value":"9000345420699"},{"@type":"NRID","@value":"9000345409203"},{"@type":"NRID","@value":"9000243888444"},{"@type":"NRID","@value":"9000412023023"},{"@type":"NRID","@value":"9000256759174"},{"@type":"NRID","@value":"9000258380432"},{"@type":"NRID","@value":"9000258215761"},{"@type":"NRID","@value":"9000272996302"},{"@type":"NRID","@value":"9000263470644"},{"@type":"NRID","@value":"9000414079276"},{"@type":"NRID","@value":"9000414077558"},{"@type":"NRID","@value":"9000411268053"},{"@type":"NRID","@value":"9000003156574"},{"@type":"NRID","@value":"9000398443086"},{"@type":"NRID","@value":"9000398443107"},{"@type":"NRID","@value":"9000345270938"},{"@type":"NRID","@value":"9000345238362"},{"@type":"NRID","@value":"9000283770066"},{"@type":"NRID","@value":"9000310333641"},{"@type":"NRID","@value":"9000288817468"},{"@type":"NRID","@value":"9000397864765"},{"@type":"NRID","@value":"9000402245805"},{"@type":"NRID","@value":"9000258359950"},{"@type":"NRID","@value":"9000399803524"},{"@type":"NRID","@value":"9000259334745"},{"@type":"NRID","@value":"9000283614638"},{"@type":"NRID","@value":"9000399840923"},{"@type":"NRID","@value":"9000399840907"},{"@type":"NRID","@value":"9000345236459"},{"@type":"NRID","@value":"9000345411724"},{"@type":"NRID","@value":"9000399231516"},{"@type":"NRID","@value":"9000406309700"},{"@type":"NRID","@value":"9000398410141"},{"@type":"NRID","@value":"9000345238857"},{"@type":"NRID","@value":"9000283761985"},{"@type":"NRID","@value":"9000240066112"},{"@type":"NRID","@value":"9000258362052"},{"@type":"NRID","@value":"9000258337345"},{"@type":"NRID","@value":"9000263468243"},{"@type":"NRID","@value":"9000414573113"},{"@type":"NRID","@value":"9000366122654"},{"@type":"NRID","@value":"9000356623377"},{"@type":"NRID","@value":"9000398430396"},{"@type":"NRID","@value":"9000398430408"},{"@type":"NRID","@value":"9000398443001"},{"@type":"NRID","@value":"9000283614648"},{"@type":"NRID","@value":"9000391783835"},{"@type":"NRID","@value":"9000350557151"},{"@type":"NRID","@value":"9000345230409"},{"@type":"NRID","@value":"9000283775630"},{"@type":"NRID","@value":"9000258379609"},{"@type":"NRID","@value":"9000258379666"},{"@type":"NRID","@value":"9000259837241"},{"@type":"NRID","@value":"9000258338055"},{"@type":"NRID","@value":"9000263041898"},{"@type":"NRID","@value":"9000404137724"},{"@type":"NRID","@value":"9000414077599"},{"@type":"NRID","@value":"9000392870431"},{"@type":"NRID","@value":"9000399552149"},{"@type":"NRID","@value":"9000001985238"},{"@type":"NRID","@value":"9000350557245"},{"@type":"NRID","@value":"9000345240127"},{"@type":"NRID","@value":"9000283774552"},{"@type":"NRID","@value":"9000413363249"},{"@type":"NRID","@value":"9000403404170"},{"@type":"NRID","@value":"9000258366990"},{"@type":"NRID","@value":"9000258358748"},{"@type":"NRID","@value":"9000258379551"},{"@type":"NRID","@value":"9000258214403"},{"@type":"NRID","@value":"9000346918787"},{"@type":"NRID","@value":"9000404525449"},{"@type":"NRID","@value":"9000399803173"},{"@type":"NRID","@value":"9000399816318"},{"@type":"NRID","@value":"9000019073659"},{"@type":"NRID","@value":"9000398427333"},{"@type":"NRID","@value":"9000398420631"},{"@type":"NRID","@value":"9000398420643"},{"@type":"NRID","@value":"9000350550085"},{"@type":"NRID","@value":"9000345238590"},{"@type":"NRID","@value":"9000283774544"},{"@type":"NRID","@value":"9000301717862"},{"@type":"NRID","@value":"9000243888427"},{"@type":"NRID","@value":"9000240066140"},{"@type":"NRID","@value":"9000258368097"},{"@type":"NRID","@value":"9000258357526"},{"@type":"NRID","@value":"9000263466459"},{"@type":"NRID","@value":"9000261655272"},{"@type":"NRID","@value":"9000241504038"},{"@type":"NRID","@value":"9000399802705"},{"@type":"NRID","@value":"9000399803255"},{"@type":"NRID","@value":"9000356877999"},{"@type":"NRID","@value":"9000356666524"},{"@type":"NRID","@value":"9000398438690"},{"@type":"NRID","@value":"9000398438705"},{"@type":"NRID","@value":"9000345235269"},{"@type":"NRID","@value":"9000283759302"},{"@type":"NRID","@value":"9000252895870"},{"@type":"NRID","@value":"9000263465899"},{"@type":"NRID","@value":"9000402768107"},{"@type":"NRID","@value":"9000340453969"},{"@type":"NRID","@value":"9000414079313"},{"@type":"NRID","@value":"9000404618936"},{"@type":"NRID","@value":"9000404525265"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0184212"}],"foaf:name":[{"@language":"en","@value":"ABO Masahiro"},{"@language":"ja","@value":"安保 雅博"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京慈恵会医科大学リハビリテーション医学講座"},{"@language":"en","@value":"Department of Rehabilitation, the Tokyo Jikei Medical University"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"21883874"},{"@type":"EISSN","@value":"24334545"},{"@type":"NDL_BIB_ID","@value":"025178187"},{"@type":"ISSN","@value":"21883874"},{"@type":"LISSN","@value":"21883874"},{"@type":"NCID","@value":"AA1267543X"}],"prism:publicationName":[{"@language":"ja","@value":"日本交通科学学会誌"},{"@language":"en","@value":"Journal of the Japanese Council of Traffic Science"},{"@language":"ja","@value":"日交通科会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Council of Traffic Science"},{"@language":"ja","@value":"一般社団法人 日本交通科学学会"}],"prism:publicationDate":"2019","prism:volume":"19","prism:number":"1","prism:startingPage":"3","prism:endingPage":"8"},"url":[{"@id":"http://id.ndl.go.jp/bib/030139100"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I030139100"},{"@id":"https://search.jamas.or.jp/link/ui/2020195547"}],"availableAt":"2019","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E5%A4%96%E5%82%B7%E6%80%A7%E8%84%B3%E6%90%8D%E5%82%B7","dc:title":"外傷性脳損傷"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%BB%8B%E8%AD%B7%E8%B2%A0%E6%8B%85%E6%84%9F","dc:title":"介護負担感"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%AE%B6%E6%97%8F","dc:title":"家族"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%AA%8D%E7%9F%A5%E8%A1%8C%E5%8B%95%E9%9A%9C%E5%AE%B3","dc:title":"認知行動障害"},{"@id":"https://cir.nii.ac.jp/all?q=traumatic%20brain%20injury","dc:title":"traumatic brain injury"},{"@id":"https://cir.nii.ac.jp/all?q=caregiver%20burden","dc:title":"caregiver burden"},{"@id":"https://cir.nii.ac.jp/all?q=family","dc:title":"family"},{"@id":"https://cir.nii.ac.jp/all?q=cognitive%20behavioral%20disorders","dc:title":"cognitive behavioral disorders"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2008063616"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I030139100"},{"@type":"CIA","@value":"130007919827"}]}