Stenberg Maud, Stålnacke Britt-Marie, Saveman Britt-Inger
Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, 901 87 Umeå, Sweden.
Department of Nursing, Umeå University, 901 87 Umeå, Sweden.
J Clin Med. 2022 Feb 27;11(5):1306. doi: 10.3390/jcm11051306.
To explore the health and well-being of persons seven years after severe traumatic brain injury (STBI).
Follow-up of 21 persons 1 and 7 years after STBI using surveys for functional outcome, anxiety/depression, health and mental fatigue. Interviews were conducted and analysed using qualitative content analysis. Convergent parallel mixed method then merged and analysed the results into an overall interpretation.
Good recovery, high functional outcome and overall good health were relatively unchanged between 1 and 7 years. Well-being was a result of adaptation to a recovered or changed life situation. Persons with good recovery had moved on in life. Persons with moderate disability self-estimated their health as good recovery but reported poorer well-being. For persons with severe disability, adaptation was an ongoing process and health and well-being were low. Only a few persons reported anxiety and depression. They had poorer health but nevertheless reported well-being. Persons with moderate and severe mental fatigue had low functional outcomes and overall health and none of them reported well-being.
The life of a person who has suffered STBI is still affected to a lesser or greater degree several years after injury due to acceptance of a recovered or changed life situation. Further studies are needed on how health and well-being can be improved after STBI in the long-term perspective.
探讨重度创伤性脑损伤（STBI）七年后患者的健康状况和幸福感。
对21例STBI患者在伤后1年和7年进行随访，采用功能结局、焦虑/抑郁、健康和精神疲劳调查问卷。进行访谈并采用定性内容分析法进行分析。然后采用收敛平行混合法将结果合并并分析，形成总体解释。
1年至7年间，良好恢复、高功能结局和总体良好健康状况相对未变。幸福感是适应恢复或改变的生活状况的结果。恢复良好的患者已在生活中继续前行。中度残疾患者自我评估其健康状况为恢复良好，但报告幸福感较差。对于重度残疾患者，适应是一个持续的过程，健康和幸福感较低。只有少数患者报告有焦虑和抑郁。他们健康状况较差，但仍报告有幸福感。中度和重度精神疲劳患者功能结局和总体健康状况较差，且均未报告有幸福感。
STBI患者受伤数年之后，由于接受了恢复或改变的生活状况，其生活仍或多或少受到影响。从长远角度来看，需要进一步研究如何改善STBI后的健康状况和幸福感。
