Trajectories of quality of life in patients with traumatic limb injury: a 2-year follow-up study

Lin, Gong Hong; Huang, Yi Jing; Huang, Chiung Chun; Lu, Wen; Chen, Sheng Shiung; Hou, Wen Hsuan; Hsieh, Ching-Lin

doi:10.1007/s11136-016-1274-x

Cited by 4 publications

(12 citation statements)

References 29 publications

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“…Additionally, these traumatic accidents often cause patients with EI to experience a decreased quality of life (QoL). Recovery from EI may take time, and notably, the recovery process may impose an economic burden on survivors and the healthcare system (Dalal & Svanström, 2015; Lin et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…A growing body of evidence shows that individuals who have sustained EI cannot recover their pre-injury QoL (Lin et al, 2016). This is because those injured usually experience functional impairment (Busse et al, 2019), chronic pain (Griffioen et al, 2016), sleep disturbance (Shulman et al, 2015), and depression (Williams et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…This is because those injured usually experience functional impairment (Busse et al, 2019), chronic pain (Griffioen et al, 2016), sleep disturbance (Shulman et al, 2015), and depression (Williams et al, 2014). These multiple sequelae are compounded, and jointly, they provide a solid base for decreased QoL, especially at 6 months (Van Son et al, 2016), 12 months, and 2 years following hospital discharge (Lin et al, 2016). However, most studies have focused on long-term outcomes and have not explored internal or psychological factors, such as patients’ self-regulation (Willemse et al, 2019; Woodhouse et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Changes in Self-Regulation and the Predictors of Quality of Life 3 Months After Extremity Injury: A Prospective Study

et al. 2021

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This prospective study aimed to examine self-regulation’ changes (illness representations and coping strategies) and predictors of quality of life 3 months after hospital discharge. A total of 157 patients with extremity injuries from two hospitals in Indonesia completed the survey 3 months post-discharge. The results showed that patients demonstrated more positive illness representations, better coping strategies, and better quality of life 3 months post-discharge than prior discharge. Hierarchical multiple regression analysis revealed that patients’ symptom identity, personal control, and treatment control were significant predictors of quality of life 3 months after extremity injury. Patients with negative perceptions of their injury-related symptoms, personal control, and treatment control at hospital discharge were at higher risk of impaired quality of life 3 months post-discharge than those with positive perceptions. Therefore, clinicians should assess and modify patients’ illness representations before discharge from the hospital to achieve a better prognosis for post-injury quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes in Self-Regulation and the Predictors of Quality of Life 3 Months After Extremity Injury: A Prospective Study

et al. 2021

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“…Individuals who get injured often experience a decreased quality of life (QoL). Regaining preinjury QoL following extremity injury may take time and require participation in rehabilitation programs (Lin et al, 2016), which can be associated with high medical costs for both the patients and the healthcare system (Dalal & Svanström, 2015).…”

mentioning

confidence: 99%

“…Nurses at the forefront of injury care have given precise direction to their practice to maximize patients’ QoL after injury (Richmond & Aitken, 2011). Survivors of extremity injuries tend to have poor QoL during the first 2 months (de Putter et al, 2014), 6 months (Van Son et al, 2016), 12 months, and 2 years (Lin et al, 2016) following hospital discharge. Nevertheless, most of these studies have focused on long-term outcomes and did not explore how patients self-regulate during the early recovery phase following injuries that probably are vital for them to face rehabilitation programs.…”

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confidence: 99%

Mediating Effects of Coping Strategies on Quality of Life Following Extremity Injury

et al. 2022

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BackgroundFew researches have explored the self-regulation process in patients with extremity injuries. Knowledge about the role of coping in the postinjury self-regulation process remains scarce.ObjectivesWe examined the relationships between illness representations, coping, and quality of life (QoL) based on the self-regulation framework, assuming adaptive and maladaptive coping strategies play mediating roles between illness representation and QoL in patients with extremity injuries.MethodsA cross-sectional survey with a correlational model testing design was used. A sample of 192 patients with extremity injury was recruited before hospital discharge at trauma centers in Indonesia. Validated questionnaires were used to assess patients’ illness representations, coping, and QoL. Hierarchical regressions were carried out, and multiple mediation analyses were used to identify the mediating role of coping.ResultsPatients with extremity injuries who harbored negative illness representations were less focused on using adaptive coping strategies, were more focused on using maladaptive coping strategies, and tended to experience reduced QoL. The mediating effects of coping, which manifested as parallel mediations of adaptive and maladaptive coping strategies, could significantly explain the QoL variance.DiscussionIn postinjury self-regulation, coping has a parallel mediating role that can facilitate the effect of illness representations and directly influence postinjury QoL. Enhancing adaptive coping strategies, reducing maladaptive coping techniques, and reframing negative illness representations during the early recovery phase could improve postinjury QoL. Early screening and preventive efforts using psychologically driven interventions may help redirect patients’ focus toward adaptive coping strategies and reframe their illness representations before they transition back into the community.

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Effects of Case Management in Trauma Patients in Taiwan: A Randomized, Longitudinal Study

Hung

Kao

Jimenez

et al. 2023

Journal of Trauma Nursing

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Background: Case management can improve trauma patient outcomes from the acute to rehabilitation phases. However, a lack of evidence on the effects of case management in trauma patients makes it difficult to translate research findings into clinical practice. Objective: To examine the effects of case management on illness perception, coping strategies, and quality of life in trauma patients followed up to 9 months post-hospital discharge. Methods: A four-wave longitudinal experimental design was used. Patients with traumatic injury hospitalized at a regional hospital in southern Taiwan from 2019 to 2020 were randomly assigned to a case management (experimental) or a usual care (control) group. The intervention was implemented during hospitalization with a phone call follow-up about 2 weeks post-discharge. Illness perception, coping strategies, and health-related quality-of-life perceptions were measured at baseline, 3 months, 6 months, and 9 months after discharge. Generalized estimating equations were used for analysis. Results: Findings showed a significant difference in illness perception at 3 and 6 months and coping strategies used at 6 and 9 months after discharge between the two groups. No significant difference in the quality of life over time between the two groups was found. Conclusion: Although case management appears to help patients with traumatic injuries decrease illness perception and better cope with their injury, it did not significantly improve their quality of life 9 months after discharge. It is recommended that health care professionals develop long-term case management strategies for high-risk trauma patients.

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Trajectories of quality of life in patients with traumatic limb injury: a 2-year follow-up study

Cited by 4 publications

References 29 publications

Changes in Self-Regulation and the Predictors of Quality of Life 3 Months After Extremity Injury: A Prospective Study

Changes in Self-Regulation and the Predictors of Quality of Life 3 Months After Extremity Injury: A Prospective Study

Mediating Effects of Coping Strategies on Quality of Life Following Extremity Injury

Effects of Case Management in Trauma Patients in Taiwan: A Randomized, Longitudinal Study

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