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Browsing by Subject "ICF-luokitus"

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  • Hiltunen, Henna (2015)
    Aims. Participation after a traumatic brain injury (TBI), e.g. return to work and social roles, is regarded to be the ultimate goal of rehabilitation. At the same time patient's perception of quality of life (QoL) and a subjective satisfaction have become important perspectives in the outcome assessment after TBI. Research shows evidence of relation between participation and QoL, but little is known about the association of the activity specific participation and QoL. In addition correlations between participation activities and subjective appraisals of them are inconsistent. The aim of this study was to explore activity specific participation after TBI and investigate relations between activities and patients' satisfaction with these activities and health-related quality of life (HRQoL). Additionally, less studied effects of elements like sociodemographic factors, injury severity, functional outcome and mood disorders in the association to these were explored. Methods. The study group consisted of a total of 157 adults with brain injury, aged 20–63 years, 101 (64 %) of them being men. The patients participated in an assessment of HRQoL, mood, functional outcome, general health and participation. ICF was the framework used for defining participation. Results. In this study activity specific participation was at best moderately but consistently associated with persons' satisfaction with these activities and HRQoL. Activity specific participation accounted for 3–27 % of the variance in satisfaction and 6–23 % of the variance in total QOLIBRI score. Sociodemographic factors of the patient had no influence on the results, but functional outcome, injury severity and mood disorders changed associations with work status and independence in household finance and satisfaction and HRQoL. The number of regular hobbies and close friendships predicted greater HRQoL. In turn, additional health problems, help needed in daily activities and mood disorders predicted lower HRQoL. Together these variables accounted for 54 % of the variance in the total QOLIBRI score. Results implicate that according to the level of participation directional assumptions of satisfaction of participation and HRQoL can be made. Yet functional outcome, injury severity, mood and personal preferences have influence. Objective information of the participation and the subjective satisfaction and experience of HRQoL reflect different dimensions of a goal attainment and an outcome assessment of rehabilitation after TBI. Therefore both should be taken into account in a rehabilitation phase.