Sharbafshaaer Minoo
Young Researchers and Elite Club, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
Dement Neuropsychol. 2018 Oct-Dec;12(4):415-420. doi: 10.1590/1980-57642018dn12-040012.
Traumatic brain injury (TBI) is one of main causes of death and disability among many young and old populations in different countries.
The aim of this study were to consider and predict the cognitive impairments according to different levels and causes of TBI, and education status.
The study was performed using the Mini-Mental State Examination (MMSE) to estimate cognitive impairment in patients at a trauma center in Zahedan city. Individuals were considered eligible if 18 years of age or older. This investigation assessed a subset of patients from a 6-month pilot study.
The study participants comprised 66% males and 34% females. Patient mean age was 32.5 years and SD was 12.924 years. One-way analysis of variance between groups indicated cognitive impairment related to different levels and causes of TBI, and education status in patients. There was a significant difference in the dimensions of cognitive impairments for different levels and causes of TBI, and education status. A regression test showed that levels of traumatic brain injury (b=.615, p=.001) and education status (b=.426, p=.001) predicted cognitive impairment.
Different levels of TBI and education status were useful for predicting cognitive impairment in patients. Severe TBI and no education were associated with worse cognitive performance and higher disability. These data are essential in terms of helping patients understand their needs. Therefore, the factors identified can help plan effective rehabilitation programs.
创伤性脑损伤(TBI)是不同国家许多年轻人和老年人死亡和残疾的主要原因之一。
本研究的目的是根据创伤性脑损伤的不同程度、原因以及教育状况来考虑和预测认知障碍。
本研究采用简易精神状态检查表(MMSE)对扎黑丹市一家创伤中心的患者进行认知障碍评估。年龄在18岁及以上的个体被认为符合条件。本调查评估了一项为期6个月的试点研究中的部分患者。
研究参与者中男性占66%,女性占34%。患者平均年龄为32.5岁,标准差为12.924岁。组间单因素方差分析表明,认知障碍与创伤性脑损伤的不同程度、原因以及患者的教育状况有关。不同程度和原因的创伤性脑损伤以及教育状况在认知障碍维度上存在显著差异。回归测试表明,创伤性脑损伤程度(b = 0.615,p = 0.001)和教育状况(b = 0.426,p = 0.001)可预测认知障碍。
创伤性脑损伤的不同程度和教育状况有助于预测患者的认知障碍。重度创伤性脑损伤且未受过教育与较差的认知表现和较高的残疾率相关。这些数据对于帮助患者了解自身需求至关重要。因此,所确定的因素有助于制定有效的康复计划。