Relationships between selected factors and sleep quality of persons with history of mild traumatic brain injury
Keywords:
sleep quality, injury risk severity, post-concussion syndrome, mild traumatic brain injuryAbstract
Quality of sleep impacts rehabilitation, everyday life activities, and quality of life among persons with a history of mild traumatic brain injury (MTBI). This descriptive research aimed to examine quality of sleep and study relationships between selected factors and quality of sleep among previous MTBI persons. A sample of 80 persons who were diagnosed with mild traumatic brain injury and admitted to a tertiary hospital was recruited. Instruments included the Montreal Cognitive Assessment [MoCA], the personal data questionnaire, the Rivermead Post Concussion Symptoms Questionnaire [RPQ], the Mild Traumatic Brain Injury Risk Score (MTBIR), and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive and Spearman’s Rank Correlation.
The results showed that sleep quality was at a low level (M = 6.77, SD = 2.46). Sleep quality was related to male gender at a low level (r = 0.23, p < 0.04) and related to severity of MTBIR at a high level (r = 0.54, p < 0.001), and related to total post-concussion syndrome at a high level (r = 0.72, p < 0.001). As with sub-post-concussion syndrome, the results also revealed that sleep quality was related to physical syndrome (r = 0.67, p < .001) and cognition at a high level (r = 0.67, p < 0.001), while related to behavior and emotion at a moderate level (r = 0.32, p < 0.003).
From research results, recommendations included nurses and the health care team should evaluate and monitor sleep quality for MTBI patients from admission until discharge. Nurses and healthcare team should focus on monitoring sleep quality and developing a program for enhancing sleep quality for MTBI
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