The association between health-related quality of life and noise or light sensitivity in survivors of a mild traumatic brain injury
The association between health-related quality of life and noise or light sensitivity in survivors of a mild traumatic brain injury
复制标题
轻度创伤性脑损伤幸存者的健康相关生活质量与噪音或光敏感性之间的关系
作者：
D. Shepherd;J. Landon;Mathew Kalloor;S. Barker;N. Starkey;Kelly Jones;S. Ameratunga;A. Theadom
目的感觉功能障碍是轻度创伤性脑损伤（TBI）的常见后遗症；然而，它们对治疗结果和生活质量的影响还有待调查。本研究旨在确定噪声和光敏感性对诊断为脑外伤患者生活质量的影响。方法从一项纵向研究中获得的成人横断面样本（n = 293）提供了损伤后12个月的光和噪声敏感性和生活质量的测量。敏感性取自Rivermead脑震荡后症状问卷，而生活质量则采用SF-36健康调查（Short-Form 36 health survey, SF-36）进行评估。大约42%的参与者报告了持续的噪音和光敏感性困难。此外，那些报告感觉困难的人也报告了较低的SF-36域和综合得分，与报告没有这种症状的人相比。在控制了已知的辅助因素后，分层多元回归分析表明，光和噪声敏感性的组合解释了SF-36分数中8%至35%的方差。结论光和噪声敏感性会降低轻度TBI患者的生活质量。我们的研究结果挑战了当代的康复实践，这些实践倾向于将感觉不适放在一边，而不是专注于急性创伤性脑损伤症状的修复。
Purpose Sensory impairment is a common aftereffect of mild traumatic brain injury (TBI); however, their influence upon treatment outcomes and quality of life has yet to be investigated. This study sought to determine the effects of noise and light sensitivity upon the quality of life of individuals diagnosed with a TBI. Methods A cross-sectional adult sample obtained from a longitudinal study ( n = 293) provided measures of light and noise sensitivity and quality of life 12 months post injury. Sensitivities were taken from the Rivermead Post-concussion Symptoms Questionnaire, while quality of life was estimated using the Short-Form 36 health survey (SF-36). Results Approximately 42% of participants reported ongoing difficulties with noise and light sensitivity. Additionally, those reporting sensory difficulties also reported lower SF-36 domain and composite scores compared to those reporting no such symptoms. After controlling for known co-factors, hierarchical multiple regression analyses indicated that the combination of light and noise sensitivity explained between 8 and 35% of the variance in SF-36 scores. Conclusions Light and noise sensitivity appear to degrade the quality of life of those with a mild TBI. Our findings challenge contemporary rehabilitation practices that tend to sideline sensory complaints and instead focus on the remediation of acute TBI symptoms.
DOI：
10.1097/wno.0b013e3182474548
发表时间：
2012-03
期刊：
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
影响因子：
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作者：
Digre KB;Brennan KC
通讯作者：
Brennan KC