Browsing by Subject "International Classification Framework of Functioning"

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  • Laine, Hanna (Helsingfors universitet, 2016)
    Previous studies have examined quality of life among people with traumatic brain injury (TBI) using quantitative measures and/or structured questionnaires. Recently some studies have focused on the patient's own perception of TBI and used the International Classification of Functioning, Disabilities and Health (ICF) framework to examine quality of life from a wider perspective of functioning. The aim of this study was to examine: What kind of occasions do the participants report as the happiest or unhappiest after TBI, and how are these related to the life areas within the ICF framework. An additional aim was to examine how are these life areas, as well as demographics variables, injury severity, and emotional state associated with the individuals' quality of life. A total of 233 Finnish persons with TBI participated in the Wave 1 of the international QOLIBRI (Quality of Life after Brain Injury) validation study in 2004—2006. The individuals' own descriptions about the happiest/unhappiest occasions were linked to the most precise ICF categories. Correlation and regression analysis were used to examine the association with demographic variables, injury related variable, emotional state, most frequently reported life areas and perceived quality of life. The most frequently reported life areas for both happy and unhappy occasions were Interpersonal interactions and relationships, followed by Community, social and civic life in happy occasions, and Mental functions and Services, systems and policies in both happy and unhappy occasions. Regression analysis showed that younger age, longer post-traumatic amnesia, fewer symptoms of anxiety and depression, happy occasion related Mental functions and Community, civic and social life, and not reporting an unhappy occasion related to Mental functions, yet reporting unhappy occasions related to Interpersonal interactions and relationships, were associated with higher perceived quality of life. The results of this study are in line with previous studies that have shown emotional state, age, and injury severity as factors relevant to quality of life after TBI. Additionally, this study informs clinicians about the life areas that individuals with TBI themselves experience as most relevant to their quality of life. From the individuals' perspective, rehabilitation should focus on supporting social relationships, participation in community activities, using services and helping the persons to cope with the demands of the environment. Furthermore, individuals need emotional support to adapt to their new life situation.