ความสัมพันธ์ระหว่างอาการปวดศีรษะ ความแปรปรวนของการนอนหลับ อาการอ่อนล้า กับคุณภาพชีวิตในผู้ป่วยบาดเจ็บทางสมองระดับเล็กน้อย ภายหลังบาดเจ็บ 3 เดือน Relationships between Headache, Sleep Disturbance, Fatigue and Quality of Life in Patients with Mild Traumatic Brain Injury at 3 Months after the Trauma

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เกศริน เทียนแก้ว นิภาวรรณ สามารถกิจ เขมารดี มาสิงบุญ

Abstract

Traumatic brain injury affects brain functions and results in lower quality of life among mild traumatic brain injury patients.This descriptive research aimed to study the relationships between headache, sleep disturbance, fatigue and quality of life in patients with mild traumatic brain injury at 3 months after the injury. Eighty-Four patients from the Traumatic ward of King Narai Hospital were recruited according to the time specification and meeting the inclusion criteria. Data collection was performed during June, 2018 to April, 2019. Instruments included the personal information questionnaire, Quality of Life after Brain Injury,  the Brief Pain Inventory (BPI) Questionnaire, the Verran and Synder-Halpern Sleep Scale, the Barrow Neurological Institute (BNI) Questionnaire, the Fatigue Scale with the Cronbach’ alpha coefficient score of reliability of .94, .93, .89 and .91 respectively. Descriptive statistic and Pearson's product moment correlation coefficients were employed for data analysis.


                    The results showed that the sample reported moderate level of quality of life after 3 months of the injury (M = 131.96, SD = 17.28), low levels of headache (M = 1.62, SD = 0.91), and sleep disturbance (M = 44.75, SD =16.62), having fatigue but not a problem (M = 1.67, SD = 0.91). The results were also found statistically negative relationships between headache, sleep disturbance, fatigue with quality of life in patients with mild traumatic brain injury at 3 months after the injury (r = -.42, -.61, and -.45, p < .01 respectively)


                    It is suggested that health care providers should assess the occurrence of the symptoms related to traumatic brain injury including headache, sleep disturbance, fatigue after brain injury and develop guidelines to reduce the severity of these symptoms which affect quality of life among this population.

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