Factors influencing the quality of life in traumatic brain injury: Tunisian experience

Bahlouli, Emna; Rekik, Mariem; Krifa, Bassam; Achour, Khawla; Lebib, S.; Salah, Fatma Ezzahra Ben; Dziri, C.

doi:10.1016/j.rehab.2016.07.306

Cited by 2 publications

(2 citation statements)

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“…The scoring of MMSE is from 0 to 30, where lower the score higher the degree of cognitive impairment. A score of 24 or more describes the normal cognition and the cognitive deficit is graded based on the score as mild (20)(21)(22)(23)(24)(25), moderate (10)(11)(12)(13)(14)(15)(16)(17)(18)(19), or severe (≤9). 19 We used the Neuropsychiatric Inventory Questionnaire (NPI-Q) to quantify the number of behavioral changes in the patients.…”

Section: Instrumentsmentioning

confidence: 99%

“…Functional problems faced by TBI survivors that affect rehabilitation and personal or social life include difficulty in walking, voiding, feeding, and inability to self-care. [11][12][13] TBI recovery and outcomes generally affect the caregiver's well-being and can lead to caregiver burden. The caregiver burden is stress, which is perceived by caregivers due to the patient's chronic illness or disabilities during the home care situation.…”

Section: Introductionmentioning

confidence: 99%

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Cognitive, Behavioral, and Functional Impairments among Traumatic Brain Injury Survivors: Impact on Caregiver Burden

Devi

Khan

Rana

et al. 2020

JNRP

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Background The burden of cognitive, behavioral, and functional impairments after traumatic brain injury (TBI) is still not highlighted much, but its impact on caregivers is socio-economically relevant. The objectives of the study were to assess cognitive, behavioral, and functional impairments in patients of TBI and its impact on caregiver burden. Materials and Methods A descriptive cross-sectional study was conducted using a total enumeration sampling technique. Mini-mental status examination, neuropsychiatric inventory and Rappaport’s disability rating scale were used to assess patients’ cognitive, behavioral, and functional impairments, respectively. Zarit Caregiver Burden Scale was executed to quantify the caregiver burden. Results Fifty patients of TBI and their caregivers were enrolled. Among these, 24% had moderate cognitive impairments. Among behavioral symptoms, 40% had agitation, 24% had depression, 18% had anxiety, and 16% had irritability. Moderate functional disability was reported by 18% of the patients, while 2% reported severe functional disability. Moderate to severe caregiver burden was reported by 8% of caregivers. Patients’ behavioral (r = 0.507, p < 0.001), functional (r = 0.473, p = 0.001), and cognitive (r = –0.438, p = 0.001) impairments had significant correlations with caregiver burden. Conclusion Patients develop cognitive, behavioral, and functional disability after TBI. The caregiver burden increases significantly with cognitive dysfunction, behavioral symptoms, and impaired functional status of patients. Therefore, appropriate support is to be provided to caregivers as well as patients.

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