Institute for Community Inclusion, Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Salamanca, 37005 Salamanca, Spain.
Institute for Community Inclusion, Department of Basic Psychology, Psychobiology and Behavioral Sciences Methodology, Faculty of Psychology, University of Salamanca, 37005 Salamanca, Spain.
Int J Environ Res Public Health. 2021 Jan 21;18(3):927. doi: 10.3390/ijerph18030927.
The sequelae and disabilities that follow an acquired brain injury (ABI) may negatively affect quality of life (QoL). The main objective of the study is to describe the QoL after an ABI and identify the predictors of a better QoL. : Prospective cohort study with follow-up measurement after one-year. The sample comprised 203 adults with ABIs (64% male) aged 18-86 years ( = 53.01, = 14.44). Stroke was the main etiology of the injury (55.7%), followed by a TBI (32.8%), and the average time since injury was 8 years ( = 8.25, = 7.83, range = 0.5-47.5). Patients assessed their QoL through the scale (CAVIDACE self-reported version; "quality of life in brain injury" in English), an ABI-specific tool based on the eight-domain QoL model. Other variables measured were: depression, self-awareness, community integration, resilience, and social support at baseline and one-year follow-up. : The studied factors showed few significant changes over time. The analyses showed statistically significant differences in QoL scores in several sociodemographic (age, civil status, education, legal capacity, and dependency), injury-related (time, location, and comorbidity), rehabilitation, and personal-social variables (self-awareness, depression, social support, resilience, and community integration). The levels of dependency, depression, and satisfaction with social support were independent predictors of the total QoL score one-year follow-up. : QoL after ABI depends on multiple elements that must be considered. There are factors such as satisfaction with social support, depression, community integration, and resilience that must be monitored throughout the rehabilitation process.
脑外伤（ABI）后的后遗症和残疾可能会对生活质量（QoL）产生负面影响。本研究的主要目的是描述 ABI 后的 QoL，并确定预测更好 QoL 的因素。
前瞻性队列研究，随访时间为一年。样本包括 203 名年龄在 18-86 岁（ = 53.01， = 14.44）的 ABI 成人（64%为男性）。损伤的主要病因是中风（55.7%），其次是 TBI（32.8%），平均受伤时间为 8 年（ = 8.25， = 7.83，范围= 0.5-47.5）。患者通过量表评估他们的 QoL，即 CAVIDACE 自我报告版本（英文为“脑损伤后的生活质量”），这是一种基于 8 个领域 QoL 模型的 ABI 专用工具。其他测量的变量包括：基线和一年随访时的抑郁、自我意识、社区融合、韧性和社会支持。
研究因素在时间上显示出很少的显著变化。分析显示，在几个社会人口统计学（年龄、婚姻状况、教育、法律能力和依赖）、损伤相关（时间、地点和合并症）、康复和个人社会变量（自我意识、抑郁、社会支持、韧性和社区融合）方面，QoL 评分存在统计学上的显著差异。依赖程度、抑郁程度和对社会支持的满意度是一年随访时总 QoL 评分的独立预测因素。
ABI 后的 QoL 取决于多个因素，这些因素必须考虑在内。有一些因素，如对社会支持的满意度、抑郁、社区融合和韧性，在康复过程中必须进行监测。
