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KMID : 0371719980140010003
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Wonkwang Psychiatry
1998 Volume.14 No. 1 p.3 ~ p.20
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Clinical Review on the Quality of Life in Patients with Traumatic Brain Injury
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Rho Seung-Ho
Cheon Young-Hoon
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Abstract
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This study was designed to investigate the quality of life(QOL) level of the patients with TBI after the symptoms of sequelae was stabilized, and the differences between the patients with higher QOL and those with lower QOL and those with lower QOL in demographic variables, psychosocial functioning, and neurobehavioral symptoms. The subjects were composed of patients with higher QOL(N=15, Group 1) and those with lower QOL(N=15, Group 2), who were assigned according to the level of QOL among 46 patients with TBI, and 30 normal control group. The levels of QOL, psychosocial functioning, purpose in life, and subjective and objective neurobehavioral symptoms were rated by QOLI, SIP, PIL, HISC, and NRS.
The results was as follows.
1)In comparing to the normal control group, QOL level of TBI group remained about 1/3 of that of control(66.1±23.4 : 6.5±2.5, respectively). The brain injured patients had significantly lower levels of psychosocial functioning and purpose in life(p<.01), and more severe subjective and objective neurobehavioral symptoms(p<.01).
2)In comparing demographic and clinical variables between Group 1 and 2, pre- and post- injury IQ of Group 1 were significantly higher than those of Group 2(p<.05, p<.01, respectively). But significant differences were not found in other variables(e.g., age, sex, education, marital status, cause and severity of injury, and duration after injury).
3)Group 1 had significantly higher psychosocial function and purpose in life levels, and less subjective and objective symptoms than Group 2(p<.01, p<.05, p<.01, p<.05, respectively).
4)STBI experienced more severe psychosocial impairment and subjective symptoms than MTBI(p<.05, p<.05). However, in QOL and purpose in life level and objective symptoms there were no difference between STBI and MTBI.
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KEYWORD
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traumatic brain injury, quality if life, rehabilitation
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Listed journal information
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