Cascade of Traumatic Brain Injury: A Correlational Study of Cognition, Postconcussion Symptoms, and Quality of Life

Reddy, Rajakumari P.; Rajeswaran, Jamuna; Devi, Bhagavatula Indira; Thennarasu, Kandavel

doi:10.4103/0253-7176.198940

Cited by 13 publications

(17 citation statements)

References 36 publications

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“…To date, few studies attempt to find out the correlates of neurocognitive functions in TBI patients and reported contradictory results. [3][4][5][6] In the study on TBI patients, it was found that affective symptoms affect attentional task requiring simple processing 5,6 whereas impact of injury-related factors is reflected in complex, flexibility demanding tasks. 7 Head injury symptoms often follow mild TBI; thus, most of researches on head injury symptoms have been conducted on patients with mild TBI.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Affective Correlates of Cognitive Functioning in Complicated Mild and Moderate Traumatic Brain Injury Patients Belonging to Rural Areas

Chaurasiya

Ranjan

Pandey

et al. 2020

JNRP

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Abstarct Background/Objective Mild and moderate traumatic brain injury (TBI) is a neglected field especially with reference to its association with cognitive, behavioral, and emotional sequelae. The present study aimed to investigate the association of affective symptoms and clinical factors with neurocognitive functioning in complicated mild and moderate TBI patients. Materials and Methods The sample comprised 39 complicated mild and moderate TBI patients with age range of 18 to 59 years. The study was conducted in the Department of Neurosurgery, Banaras Hindu University, Varanasi. The patients were assessed with the neurocognitive tests, Rivermead Post Concussion Symptom Questionnaire, and Hospital Anxiety and Depression Scale. Statistical Analysis Partial correlations and zero order correlations were used to test the relationships between variables. Results The injury-related factors, namely level of consciousness and Glasgow Coma Scale were found to be associated with divided attention and memory dysfunction (p < 0.05), respectively. Anxiety was found to be associated with impairment on all domains of neurocognitive function (p < 0.05) except divided attention. Depressive symptoms were found to be correlated with all the neurocognitive functions (p < 0.05) except focused and divided attention, whereas head injury symptoms correlated with impairment on focused and divided attention (p < 0.05). Conclusion Present study highlights the need to acknowledge affective symptoms along with clinical factors in the planning of the rehabilitation programs for such patients in rural scenario.

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Section: Introductionmentioning

confidence: 99%

Clinical and Affective Correlates of Cognitive Functioning in Complicated Mild and Moderate Traumatic Brain Injury Patients Belonging to Rural Areas

Chaurasiya

Ranjan

Pandey

et al. 2020

JNRP

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“…Patients who have cognitive impairments may experience problems with memory, attention, executive functioning, comprehension and processing speed (Babikian & Asarnow, ). Impairments in behaviour can manifest as agitation, aggression, impulsivity and hypo‐/hyper‐activity (Reddy, Rajeswaran, Devi, & Kandavel, ). As behaviour involves cognition, cognitive and behavioural problems often occur together (Reddy et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Common emotional impairments include anxiety, depression, irritability, motivation and personality changes. Finally, patients with physical impairments often report headaches and problems with vision, hearing, motor skills, balance and fatigue (Reddy et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Given the high prevalence of cognitive impairments among individuals with TBI (Babikian & Asarnow, ; Reddy et al, ), adapting care plans to accommodate cognitive limitations is particularly important for nursing care; however, there is a dearth of literature on strategies nurses use when caring for adult patients with moderate‐to‐severe TBI who have cognitive impairments. Similar to the limited research on this topic, there are gaps in evidence‐based clinical guidelines for nursing management of adult patients with moderate‐to‐severe TBI who have cognitive impairments.…”

Section: Introductionmentioning

confidence: 99%

“…Impairments in behaviour can manifest as agitation, aggression, impulsivity and hypo‐/hyper‐activity (Reddy, Rajeswaran, Devi, & Kandavel, ). As behaviour involves cognition, cognitive and behavioural problems often occur together (Reddy et al, ). Communication impairments may include difficulties with word finding, expressing oneself, understanding what others are saying or picking up on verbal and nonverbal cues (McDonald, Code, & Togher, ).…”

Section: Introductionmentioning

confidence: 99%

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Strategies nurses use when caring for patients with moderate‐to‐severe traumatic brain injury who have cognitive impairments

Oyesanya

Thomas

2019

Journal of Clinical Nursing

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Aims and objectives Adults with moderate‐to‐severe traumatic brain injury (TBI) may have immediate and chronic cognitive impairments that require use of specific nursing strategies. Nurses must be knowledgeable about strategies to use to accommodate these impairments. However, available clinical guidelines and research lack information to direct nonacute nursing management of cognition, limiting guidance for nurses when developing their care plans. The purpose of this study was to investigate strategies nurses use when caring for patients with moderate‐to‐severe TBI who have cognitive impairments. Design Cross‐sectional, exploratory study. Methods A total of 692 nurses from three hospitals answered the following open‐ended question via electronic survey: “Imagine you are caring for a patient with moderate‐to‐severe TBI who has problems with cognition (e.g., issues with memory, attention, and executive function). Please state your typical nursing routine to care for this type of patient.” Data were analysed using summative content analysis. Methods are reported using COREQ guidelines (See File S1). Results Most respondents were female (89%), middle‐aged (40.3 years), staff registered nurses (77%) practicing on an inpatient unit (51%) with prior experience caring for patients with moderate‐to‐severe TBI (95%). Nurses described 189 strategies used in their care plan when caring for patients with TBI who have cognitive impairments, including the following: (a) cognitive techniques; (b) communication techniques; (c) patient safety techniques; (d) agitation and behaviour management techniques; and (e) education techniques. Conclusions Findings have implications for education and training of nurses, direction for future research aimed at determining the effectiveness of nursing strategies with this patient population, and for development of clinical guidelines for nonacute nursing management of patients with moderate‐to‐severe TBI who have cognitive impairments. Relevance to clinical practice Findings provide foundational knowledge on strategies nurses use when caring for patients with TBI who have cognitive impairments, which could be used to direct evidence‐based nursing care of this patient population.

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Biopsychosocial factors of quality of life in individuals with moderate to severe traumatic brain injury: a scoping review

Mamman,

Grewal,

Garrone

et al. 2023

Qual Life Res

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Purpose Individuals with moderate to severe traumatic brain injury (TBI) experience changes in their quality-of-life (QOL) post-injury. Given the vast literature that exists about QOL after TBI, a scoping review was performed to identify the different biopsychosocial factors that affect a person’s QOL after a moderate to severe TBI. Methods A scoping review was conducted using the following electronic databases: MEDLINE, CINAHL, Embase, and PsycINFO. Terms relating to TBI and QOL were used. Results There were 7576 articles obtained from the databases, resulting in 535 full-text articles. Ultimately, 52 articles were extracted, which consisted of biopsychosocial QOL factors after TBI. The biopsychosocial factors of QOL after TBI included 19 biological factors (i.e., sex, TBI severity, cognition), 16 psychological factors (i.e., depression, self-efficacy, coping styles), and 19 social factors (i.e., employment, social participation, social support). Factors such as fatigue, self-awareness, transition, and discharge from hospitals are known issues in TBI literature but were minimally reported in studies in this review, identifying them as potential gaps in research. Conclusion Identifying biopsychosocial factors relating to QOL after TBI can enable health services to develop targeted rehabilitation programs for individuals with TBI.

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Cascade of Traumatic Brain Injury: A Correlational Study of Cognition, Postconcussion Symptoms, and Quality of Life

Cited by 13 publications

References 36 publications

Clinical and Affective Correlates of Cognitive Functioning in Complicated Mild and Moderate Traumatic Brain Injury Patients Belonging to Rural Areas

Clinical and Affective Correlates of Cognitive Functioning in Complicated Mild and Moderate Traumatic Brain Injury Patients Belonging to Rural Areas

Strategies nurses use when caring for patients with moderate‐to‐severe traumatic brain injury who have cognitive impairments

Biopsychosocial factors of quality of life in individuals with moderate to severe traumatic brain injury: a scoping review

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