Department of Psychology, University of Alabama, Birmingham, Alabama, United States.
Indiana University School of Medicine, Rehabilitation Hospital of Indiana, Indianapolis, Indiana, United States.
Brain Inj. 2021 Aug 24;35(10):1284-1291. doi: 10.1080/02699052.2021.1972153. Epub 2021 Sep 13.
Examine effects of age cohort on post-injury life satisfaction in elderly persons with TBIDesign: Retrospective cohortSetting: TBI Model Systems centers.
5,109 elderly participants with TBI in the TBI Model Systems National DatabaseInterventions: Not applicableMain Outcome Measures: Demographics, injury characteristics and cause, outcomes, age at time of analysis, time to follow commands, maximum follow-up period, and scores on the Satisfaction With Life Scale (SWLS) and Participation Assessment with Recombined Tools-Objective (PART-O) scores at 1, 2, 5, or 10 years post-injury.
Life satisfaction post-TBI across groups increased with age. The young-old sub-group demonstrated the poorest life satisfaction outcomes, while the oldest sub-group experienced greatest life satisfaction. In contrast, participation decreased with age.
Findings show diversity in satisfaction with life following moderate to severe TBI for three elderly age-cohorts. Differences may be due to variations in generation-based lived experience, in perceived meaningfulness of participation, could echo prior evidence of greater resilience in the oldest group, or could reflect bias within the study sample. Further research into between- and within- differences for elderly TBI age cohorts is needed to more precisely meet their needs for physical and functional rehabilitation as well as psychological supports.
研究年龄队列对老年创伤性脑损伤患者伤后生活满意度的影响。
回顾性队列研究。
创伤性脑损伤模型系统中心。
创伤性脑损伤模型系统国家数据库中 5109 名老年创伤性脑损伤患者。
无。
人口统计学、损伤特征和原因、结局、分析时的年龄、听从指令的时间、最长随访期以及创伤后 1、2、5 或 10 年的生活满意度量表（SWLS）和参与评估与重组工具-客观（PART-O）评分。
各组创伤后生活满意度随年龄增长而提高。年轻老年人亚组的生活满意度最差，而最年长的亚组则体验到最大的生活满意度。相比之下，参与度随年龄增长而下降。
研究结果表明，在三个老年年龄队列中，中度至重度创伤性脑损伤后生活满意度存在差异。差异可能归因于基于代际的生活经历、参与感的认知意义、最年长组更大的适应力的先前证据，或者可能反映了研究样本中的偏差。需要进一步研究老年创伤性脑损伤年龄队列之间和内部的差异，以更好地满足他们对身体和功能康复以及心理支持的需求。
