Dainter K M, McKinlay A, Grace R C
Department of Psychology, University of Canterbury, Christchurch, New Zealand.
The University of Melbourne, Melbourne School of Psychological Sciences, Parkville, Melbourne, VIC, Australia.
Work. 2019;62(2):299-307. doi: 10.3233/WOR-192864.
Traumatic Brain Injury (TBI) is a major health problem for adults aged 50-65 years. Mild/moderate TBI in older adults has implications for the workforce and the individual's quality of life (QOL).
To compare changes in life roles, QOL, daily activity performance, perceptions of support available and rehabilitative experiences among older adults with predominantly mTBI and orthopaedic injury (OI).
The study included 15 individuals with TBI (13 mild, 2 moderate) and 15 with OI (50-65 years), with injuries sustained more than 6 months prior to. A semi-structured interview retrieved background information, and satisfaction with life roles and daily activities. The World Health Organisation Quality of Life Questionnaire - 100 Version was used to examine QOL, and The Role Checklist was administered to assessed change in life roles.
Independent samples t-tests revealed older adults with mTBI experienced more role losses, had lower QOL, and were less satisfied with daily activity performance than those with OI. Regression analysis revealed mTBI significantly predicts QOL (except physical domain) when controlling for gender, age at injury and time since injury.
Findings demonstrate the detrimental impact of predominantly mild TBI on older adults' life roles and QOL, and highlights need for services that adequately support older adults who have experienced mTBI, so they can return to their pre-injury life roles and maintain QOL.
创伤性脑损伤（TBI）是50 - 65岁成年人面临的一个主要健康问题。老年人的轻度/中度创伤性脑损伤对劳动力和个人生活质量（QOL）都有影响。
比较以轻度创伤性脑损伤为主的老年人与骨科损伤（OI）老年人在生活角色、生活质量、日常活动表现、可获得支持的认知以及康复经历方面的变化。
该研究纳入了15名创伤性脑损伤患者（13例轻度，2例中度）和15名骨科损伤患者（年龄在50 - 65岁），他们的损伤均发生在6个月以上之前。通过半结构化访谈获取背景信息，以及对生活角色和日常活动的满意度。使用世界卫生组织生活质量问卷 - 100版本来评估生活质量，并使用角色清单来评估生活角色的变化。
独立样本t检验显示，与骨科损伤患者相比，轻度创伤性脑损伤的老年人经历了更多的角色丧失，生活质量较低，对日常活动表现的满意度也较低。回归分析显示，在控制性别、受伤年龄和受伤时间后，轻度创伤性脑损伤显著预测生活质量（身体领域除外）。
研究结果表明，以轻度为主的创伤性脑损伤对老年人的生活角色和生活质量有不利影响，并强调需要有足够的服务来支持经历过轻度创伤性脑损伤的老年人，使他们能够恢复到受伤前的生活角色并维持生活质量。
