Main Article Content
This predictive study aimed to examine factors of community integration among persons with major trauma. The eighty-five major trauma persons living in communities from the lower southern region of Thailand were purposively recruited. Data were collected consisting of 4 parts: (1) The Demographic Form, (2) The Chronic Pain Assessment, (3) The Activities of Daily Living Assessment, and (4) The Community Integration Questionnaire. The content validity was examined by 5 experts and yielded a value of 1.00, and the reliabilities of part questionnaire two, three, and four obtained values of .98, .99, and .92, respectively. Data were generated using descriptive statistics, and the predictive factor data were transformed before analyzing with hierarchy multiple regression. This predictive study aimed to examine factors of community integration among persons with major trauma. The eighty-five major trauma persons living in communities from the lower southern region of Thailand were purposively recruited. Data were collected consisting of 4 parts: (1) The Demographic Form, (2) The Chronic Pain Assessment, (3) The Activities of Daily Living Assessment, and (4) The Community Integration Questionnaire. The content validity was examined by 5 experts and yielded a value of 1.00, and the reliabilities of part questionnaire two, three, and four obtained values of .98, .99, and .92, respectively. Data were generated using descriptive statistics, and the predictive factor data were transformed before analyzing with hierarchy multiple regression.
The results showed that community integration was at a moderate level (=15.73, SD=5.54)). The hierarchy multiple regression analysis showed that functional abilities in activities of daily living, return to work after injury, and chronic pain could significantly explain 71% of variance for community integration (R2adj= 0.71, F =70.51, p< .001). The most two significant predictive factors were functional abilities in activities daily living (β=-.46, p< .001) and return to work after injury (β= .43, p< .001).
Therefore, nurses and a multidisciplinary team should emphasize rehabilitation of functional abilities in activities daily living and return to work after injury to promote community integration of persons with major trauma.
World Health Organization. Global status report on road safety 2018 [Internet]. Geneva: World Health Organization; 2018 [cited 2019 Jan 28]. Available from: https://www.who.int/violence_injury_prevention/ road_safety_status/ 2018/en
Committee for Preparation Annual Report of Bureau of Non Communicable Diseases. Annual report 2017. Bangkok: Aksorn graphic and design; 2017. Thai.
Dünser M, Duranteau, J, Geeraerts T. Severe and multiple trauma clinical problem 2013. Belgium: European Society of Intensive Care Medicine; 2013 [cited 2017 Aug 10]. Available from: http://pact. esicm.org/media/Multiple_trauma_Final_Version_ 4_Dec_2013.pdf
Camica M, Ignatavicius DD. Rehabilitation concept for chronic and disabling health problem. In: Igatavicius DD, Workman ML, Rebar CR, editors. Medical-Surgical Nursing. 9 th ed. Vol.2. Philadelphia, PA: Lippincott Williams & Wilkins; 2018.
Dijkers M. Community integration: Conceptual issues and measurement approaches in rehabilitation research. Top Spinal Cord Inj Rehabil. 1998; 4(1): 1-15.
Songwathana S, Kitrungrote L, Anumas N, et al. Predictive factors for health-related quality of life among Thai traumatic brain injury patients. IJBS. 2018; 13(1): 82-92.
Pugh MJ, Swan AA, Carlson KF, et al. Traumatic brain injury severity, co-morbidity, social support, family functioning and community reintegration among veterans of the Afghanistan and Iraq wars. Arch Phys Med Rehabil. 2018; 99 (2 Suppl 1): S40-9.
Parvaneh S, Ghahari S, Cocks E. Community integration for after acquired brain injury: A literature review. IRJ. 2014; 12(21): 48-53.
Attenberger C, Amser F, Gross T. Clinical evaluation of the trauma outcome profile (TOP) in the longer-term follow-up of poly trauma patients. INJURY. 2012; 43: 1566-74.
Kaske S, Lefering R, Trentzsch H. Quality of life two years after severe trauma: A single centre evaluation. INJURY. 2014; 45(Suppl 3): S100-5.
Odgaard L, Johnsen SP, Pedersen AR, et al. Return to work after severe traumatic brain injury: A nationwide follow-up study. J Head Trauma Rehabil. 2017; 32(3): E57-64. doi: 10.1097/HTR.0000000000000239
Vongpakorn P, Kovindha A. Employment rate of Thais with spinal cord injury and predictive factors. J Thai Rehabil Med. 2014; 24(1): 29-36. Thai.
Wasin S, Kerdwichai R, Chankong W. Factors affecting to the quality of life among disabled people in Nonthaburi province. Journal Grad VRU. 2013; 7(2): 83-96. Thai.
World Health Organization. International classification of functioning, disability, and health: ICF [Internet]. Geneva: World Health Organization; 2001 [cited 2017 Dec 10]. Available from: https:// apps.who.int/iris/bitstream/handle/10665/ 42407/ 9241545429.pdf?sequence=1
Gabbe BJ, Biostat GD, Simpson PM, et al. Evaluating time points for measuring recovery after major trauma in adults. Ann Surg. 2013; 57(1): 166 -72.
Wu E, Graham, DP. Association of chronic pain and community integration of returning veterans with and without traumatic brain injury. J Head Trauma Rehabil. 2016; 31(1): E1-12. doi: 10.1097/ HTR.0000000000000152
Gross T, Amsler F. Prevalence and incidence of longer term pain in survivors of poly trauma. Surgery. 2011; 150 (5): 985-95.
Suttiwong J, Vongsirinavarat M, Chaiyawat P, et al. Predicting community participation after spinal cord injury in Thailand. J Rehabil Med. 2015; 47(4): 325-9.
Dinh MM, Cornwall K, Bein KJ, et al. Health status and return to work in trauma patients at 3 and 6 months post discharge: an Australian major trauma centre study. Eur J Trauma Emerg Surg. 2016; 42(4): 483-90.
Mollayeva T, Shapiro CM, Mollayeva S, et al. Modeling community integration in workers with delayed recovery from mild traumatic brain injury. BMC Neurol. 2015; 15: 194. doi:101186/ s12883-015-0432-z
Kumar SK, Kumar V, Praveenraj JD. Community reintegration and quality of life in rehabilitated south Indian persons with spinal cord injury. IJOT. 2012; 44(3): 11-6.
Thato R. Nursing research: Concepts to application. 3 rd ed. Bangkok: Chulalongkorn University; 2018. Thai.
Holmes A, Williamson O, Hogg M, et al. Predictors of pain 12 months after serious injury. Pain Med. 2010; 11(11): 1599-611. doi: 10.1111/j.1526-4637.2010.00955.x
Suwapan D, Techa-apornkul W, Art-ong Y, et al. Sirindhorn National Medical Rehabilitation Center Functional Assessment. Bangkok: N.A. Rattana Trading; 2006. Thai.
Hirsh AT, Braden AL, Craggs JG, Jensen MP. Psychometric properties of the community integration questionnaire in a Heterogeneous sample of adults with physical disability. Arch Phys Med Rehabil. 2011; 92(10): 1602-10.
Urbanski P, Bauerfeind J, Pokaczajlo J. Community integration in persons with spinal cord injury participating in team and individual sports. TSS. 2013; 2(20): 95-100.
Radispong T. Research data transformation by statistical method. JDSS. 2012; 60 (189): 16-9. Thai.
Wongpanarak N, Wongpiriyayothar A. Relationship between self-esteem, social support, and quality of life among persons with disabilities in urban area. JRTAN. 2015; 16(3): 14-22. Thai.
Songwathana P, Kitrungrote L, Khupantawee N. Factors predicting quality of trauma survivors in the unrest area of the Southernmost provinces of Thailand. IJBS. 2016; 11(1): 67-76.
Von Rüden C, Wolmann A, Röse M, et al. Outcome after severe multiple trauma: A retrospective analysis. J Truama Manag Outcomes. 2013; 7 (1): 4. doi: 10.1186/1752-2897-7-4
Tuansulong T, Khupantavee N, Songwattana P. Independent living experiences of Thai Muslim traumatic patients physically disabled from terrorism in the Southern border provinces. Songklanagarind J Nurs. 2015; 35(Suppl): 114-30. Thai.
Murgatoryd DF, Harris IA, Tran Y, et al. Predictors of return to work following motor vehicle related orthopedic trauma. BMC Musculoskeletal Disorders. 2016; 17: 171. doi 10. 1186/s12891-016-1019-6