Headache and Dizziness, Symptom Management, and Quality of Life of Patients with Mild Traumatic Brain Injury

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Sumalee Ponjaras
Sudsiri Hirunchunha
Chennet Phonphet


This study aimed to examine headache and dizziness, symptom management of patients with mildtraumatic brain injury (TBI) and their quality of life. The sample consisted of 85 mild TBI patients who were admitted in hospital. A purposive sampling technique was used to select the sample in this study. Data were collected using a questionnaire consisted of three parts: Symptom after TBI, Symptom Management after TBI, and The Quality of Life after Brain Injury Overall Scale. Cronbach’s alpha was used to calculate
the reliability of the Questionnaire. The reliability was .81, .81 and .86, respectively. Data were analyzed using descriptive statistics. Nonparametric statistics, including Chi-square, The Wilcoxon Test and Fisher’s exact test.
The results showed that:
1. There were statistically significant difference on the frequency and the severity levels of the headache and the dizziness between hospitalization and one month after hospital discharge (χ2(2)=63.87, p< .001 and χ2(2)=20.18, p< .001, respectively and χ2(2)=40.47, p< .001 and χ2(2)=17.29, p< .001, respectively).
2. There were statistically significant differences on the frequency of symptom management of the headache and dizziness between hospitalization and one month after hospital discharge (Z=-4.19, p< .001;Z= -6.45, p< .001, respectively).
3. At the hospital, 90.5% of headache subjects were treated by bed rest. One month after discharge,79.7% of the subjects were treated with drugs for pain relievers management method. As for dizziness while in the hospital and one month after discharge, the most commonly used method of management was bed rest at 85.2%, and 84.8% respectively.
4. The overall quality of the subjects’ lives were 60% at a moderate level, 35.3% the lowest score , and 4.7% the highest level.
5 There was a significant correlation between subjects’ severity of dizziness and their quality of life at one month after hospital discharge (fisher’s exact test value=13.56, p< .01).
The findings of this study are information for headache and dizziness symptom management for nursing plan in mild traumatic brain injury patients during hospitalization and continuity of care in the patient’s home to improve their quality of life further.



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Ponjaras, S., Hirunchunha, S., & Phonphet, C. (2018). Headache and Dizziness, Symptom Management, and Quality of Life of Patients with Mild Traumatic Brain Injury. Songklanagarind Journal of Nursing, 38(3), 65–78. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/148301
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