Early Quality-of-Life Changes in Mild Traumatic Brain Injury: A Prospective Study

Mulyadi Mulyadi, Susilo Harianto, Santo Imanuel Tonapa, Bih O. Lee

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

BACKGROUND: Postinjury symptoms and decreased quality of life are common after mild traumatic brain injury. However, few studies have examined how soon, after injury, these changes dissipate. OBJECTIVES: This study aimed to compare changes in postconcussion symptoms, posttraumatic stress, and illness representations and identify predictors of health-related quality of life before and 1 month after hospital discharge for mild traumatic brain injury. METHODS: A prospective, multicenter, correlational design was used to measure postconcussion symptoms, posttraumatic stress, illness representations, and health-related quality of life. The survey was administered to 136 patients with mild traumatic brain injury between June 2020 and July 2021 at three hospitals in Indonesia. Data were collected at discharge and 1 month later. RESULTS: Compared with before hospital discharge, data collected 1 month after discharge showed that patients experienced reduced postconcussion symptoms, posttraumatic stress, better illness perceptions, and quality of life. Those with postconcussion symptoms (β =-.35, p <.001), more posttraumatic stress symptoms (β =-.12, p =.044), more identity symptoms (β =.11, p =.008), worsened personal control (β =-.18, p =.002), worsened treatment control (β =-.16, p =.001), and negative emotional representations (β =-.17, p =.007) were significantly related to worsened health-related quality of life. CONCLUSION: This study shows that within 1 month of hospital discharge, patients with mild traumatic brain injury had decreased postconcussion symptoms, posttraumatic stress, and improved illness perceptions. Efforts to impact mild brain injury quality of life should focus on inhospital care to optimize the transition to discharge.

Original languageEnglish
Pages (from-to)75-82
Number of pages8
JournalJournal of trauma nursing : the official journal of the Society of Trauma Nurses
Volume30
Issue number2
DOIs
Publication statusPublished - 1 Mar 2023
Externally publishedYes

Keywords

  • Illness representations
  • Mild traumatic brain injury
  • Nurse
  • Postconcussion symptoms
  • Posttraumatic stress disorder
  • Quality of life
  • Trauma

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