创伤性脑损伤军人和退伍军人的护理人员复原力低与健康相关生活质量下降有关：一项纵向研究。

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2024-08-01 Epub Date: 2024-06-06 DOI:10.1007/s11136-024-03680-6

Tracey A Brickell, Megan M Wright, Jamie K Sullivan, Nicole V Varbedian, Alicia A Rogers-Yosebashvili, Louis M French, Rael T Lange

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引用次数: 0

摘要

目的：研究[a]照顾者健康相关生活质量（HRQOL）和军人/退伍军人（SMV）神经行为结果与照顾者复原力之间的关联；[b]群体和个体层面复原力的纵向变化；以及[c]个体层面变化的幅度：脑外伤SMV患者的照顾者（N = 232）在基线评估和三年后的随访评估中完成了复原力测量、18项照顾者HRQOL和SMV神经行为结果测量。照顾者在基线和随访时被分为两个复原力组：[1] 低复原力组（≤ 45 T，基线 n = 99，随访 n = 93）和 [2] 高复原力组（> 45 T，基线 n = 133，随访 n = 139）：结果：在基线和随访中，低抗逆力组和高抗逆力组在大多数结果指标上都有显著影响。在组均水平上，从基线到随访，抗逆力没有明显差异。在个人层面，护理人员被分为四个纵向抗逆力组别：[1]持续低复原力（基线+随访=低复原力，n=60），[2]降低复原力（基线=高复原力+随访=低复原力，n=33），[3]提高复原力（基线=低复原力+随访=高复原力，n=39），以及[4]持续高复原力（基线+随访=高复原力，n=100）。从基线到随访，复原力下降组和复原力提高组中约有三分之一的人报告复原力发生了有意义的变化（≥ 10 T）。几乎所有的持续高复原力组和持续低复原力组都没有报告出有意义的复原力变化（结论：复原力并不是一个固定的状态，而是一个不断变化的过程：复原力并非所有护理人员的固定状态。早期干预可能会阻止护理压力-健康的负面轨迹，并提高护理人员的复原力。

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Low resilience is associated with worse health-related quality of life in caregivers of service members and veterans with traumatic brain injury: a longitudinal study.

Purpose: To examine [a] the association of caregiver health-related quality of life (HRQOL) and service member/veteran (SMV) neurobehavioral outcomes with caregiver resilience; [b] longitudinal change in resilience at the group and individual level; and [c] the magnitude of change at the individual level.

Methods: Caregivers (N = 232) of SMVs with traumatic brain injury completed a resilience measure, and 18 caregiver HRQOL and SMV neurobehavioral outcome measures at a baseline evaluation and follow-up evaluation three years later. Caregivers were divided into two resilience groups at baseline and follow-up: [1] Low Resilience (≤ 45 T, baseline n = 99, follow-up n = 93) and [2] High Resilience (> 45 T, baseline n = 133, follow-up n = 139).

Results: At baseline and follow-up, significant effects were found between Low and High Resilience groups for the majority of outcome measures. There were no significant differences in resilience from baseline to follow-up at the group-mean level. At the individual level, caregivers were classified into four longitudinal resilience groups: [1] Persistently Low Resilience (Baseline + Follow-up = Low Resilience, n = 60), [2] Reduced Resilience (Baseline = High Resilience + Follow-up = Low Resilience, n = 33), [3] Improved Resilience (Baseline = Low Resilience + Follow-up = High Resilience, n = 39), and [4] Persistently High Resilience (Baseline + Follow-up = High Resilience, n = 100). From baseline to follow-up, approximately a third of the Reduced and Improved Resilience groups reported a meaningful change in resilience (≥ 10 T). Nearly all of the Persistently High and Persistently Low Resilience groups did not report meaningful change in resilience (< 10 T).

Conclusion: Resilience was not a fixed state for all caregivers. Early intervention may stall the negative caregiving stress-health trajectory and improve caregiver resilience.

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.