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目的:描述脑外伤(TBI)后生活质量(QOL)和心理结局,并观察变量之间的关系。方法:选择50例社区居住的成年TBI患者,进行QOL、社会支持、社会结合能力、情感精神性、人口学变量方面的评定与分析。结果:患者伤后平均QOL低于正常。与标准值和非残疾样本比较,其QOL和社会支持明显降低,而消极情感较高,积极情感和精神性相似。其社会结合能力比其他TBI样本明显要高,回归分析显示其社会支持、社会结合能力、积极情感对伤后QOL有明显促进作用(R2=0.492),加上精神性变量后这种促进作用减弱。结论:本组样本的QOL值范围较大,与高QOL值显著相关的影响因素包括社会结合能力、积极情感和社会支持。人口变量与QOL无相关性,采用原本不是为TBI患者设计的标准化量表的反应结果表明,TBI患者可采用此进行相似的QOL调查。
Objective: To describe the quality of life (QOL) and psychological outcomes after traumatic brain injury (TBI) and to observe the relationship between variables. Methods: Fifty adult TBI patients living in community were selected for assessment and analysis of QOL, social support, social cohesion, emotional psychology and demographic variables. Results: The mean QOL of patients after injury was lower than normal. Compared with the standard and non-disability samples, QOL and social support decreased significantly, while negative emotions were higher, positive emotions and spiritual similarities. The social cohesion was significantly higher than other TBI samples. Regression analysis showed that social support, social cohesion and positive emotion had a significant effect on post QOL QOL (R2 = 0.492), which was weakened after the spiritual variables . Conclusion: The range of QOL values in this group of samples is large. The influential factors significantly correlated with high QOL include social cohesion, positive emotion and social support. No correlation was found between demographic variables and QOL. The results of a standardized scale that was not originally designed for TBI patients suggest that TBI patients may use this for similar QOL surveys.