Correlative study of cognitive dysfunction, activities of daily living and quality of life in patients with traumatic brain injury

Abstract

Objective To investigate the current situation and correlation of cognitive dysfunction, activities of daily living (ADL) and quality of life in patients with traumatic brain injury (TBI) . Methods A total of 148 patients hospitalized in the Rehabilitation Department of the Second Affiliated Hospital of Kunming Medical University from January to December 2016 were included in this study. The Montreal cognitive assessment scale (MoCA) , modified Barthel Index scale (MBI) and WHO quality of life scale (WHO-QOL) were used to investigate the status of patients with traumatic brain injury. Results There were 78 of 148 patients with cognitive dysfunction and the incidence rate was 52.98%. Cognitive dysfunction after TBI was significantly positively related to the ADL ability (r=0.968, P<0.01) ; the visual space and executive function, attention, abstraction, delayed recall and orientation had the prediction effect on the ADL ability. Cognitive dysfunction after TBI was significantly positively related to the quality of life (r=0.973, P<0.01) ; cognitive items except the name could predict the quality of life. Conclusions There is a high incidence of cognitive dysfunction in patients with traumatic brain injury, which can affect their ADL ability and quality of life. It is necessary to take effective measures to improve the rehabilitation training of the cognitive function in early stage. Key words: Traumatic brain injury; Cognitive dysfunction; Activities of daily living; Quality of life