頭部外傷患者健康相關生活品質之探討

頭部外傷患者健康相關生活品質之探討



工作、社交及休閒活動、和家庭及朋友關係等為評估的指標。）來評估生活品質各範疇 均達到統計上顯著，但經過訪視時間點的分層分析，受傷後未滿一年，發現輕度頭部外 傷病患的生活品質較高，在社會關係、環境範疇有達到統計上的差異（ P ＝ 0.007,0.02 7 ）；受傷後一年以上，發現嚴重及中度頭部外傷病患的生活品質較高，在環境範疇有 達到統計上的差異（ P ＝ 0.025 ）。在高度復原良好（ Upper GR ）的頭部外傷患者，

其生活品質每一個範疇都有較高的分數；顯示 GOSE 對於頭部外傷患者受傷後的預後 評估與 WHOQOL-BREF 問卷的結果一致，可作為良好的預後評分標準。

Assessing Health-related Quality of Life



The health correlation and quality of life research has become an extremely popular topic, the quality of life represents the total effects the disease has on the patient. It is gradually becoming a standard or symbol for either successful or unsuccessful treatment of different classes of disease. Patients with mild, moderate or severe brain injuries suffer from physical, cognitive, behavioral, emotional and social problems.

External head injuries can cause the cognition function barrier. Often times, external head injuries are not completely treatable and must use long-term medical control, consequently the importance of health related quality of life research is even more so evident. This research chose 22 hospitals from northern Taiwan, time of injury from January 1, 2002 to June 30, 2003, hospitalized because of the external head injuries, and with age 18 years old and above. 676 individuals were randomly chosen to make use of the World Health Organization Quality of Life questionnaire, or called WHOQOL-BREF, by the making telephone calls to collect a total 135 samples. The result showed that by using the level of injures to evaluate the various categories of quality of life did not show any statistical value, but by using Extended Glasgow Outcome Scale (GOSE) (it is the eight-point, to use GOS subdivide the upper three categories of the scale. These criteria evolved through pilot work and, in the final version, they are easy to apply and reliable, and give a division of the patients in each category.) to evaluate the quality of life achieved statistical results. But through the telephone time survey analysis, those injured for less then one year showed that patients with mild head injuries demonstrated a higher quality of life in the environment and society category has achieved statistical significance (P = 0.007,0.027); Those injured for more than one year, discovered that moderate and severe head injured patients had a higher quality of life and has

achieved statistical significance in the environment category (P = 0.025). Head injury patients with upper good recovery presented higher score in all domains of quality of life. The evaluations of prognosis

between GOSE and WHOQOL-BREF questionnaire were consistent. GOSE could be a good instrument of

prognosis evaluating.