The Relationships between Resilience, Coping, Injury Severity Score and the Health-Related Quality of Life in Patients with Multiple Trauma
Keywords:
multiple trauma, health-related quality of life, resilience, coping, injury severityAbstract
Descriptive research investigated the relationships among resilience, coping, injury severity score, and the health-related quality of life of patients with multiple trauma. The samples of the study were 106 patients, recruited using a multistage random sampling technique from those who were followed up at out-patient departments of Trauma Clinics, Neurosurgery Clinic, and Orthopaedics Clinics from King Chulalongkorn Memorial Hospital, Phramongkutklao Hospital, and Vajira Hospital. The instruments used for data collection were the patients’ demographic data and the illness data form, the Connor-Davidson Resilience Scale, the Jalowiec Coping Scale, and Trauma Outcome Profile. Data were analyzed by using descriptive statistics and Pearson’s product moment correlation coefficient.
The results were as follows: 1) The mean score of health-related quality of life in patients with multiple trauma was at the poor level (=725.21, SD=140.57); 2) Resilience was positively correlated with the health-related quality of life at the significant level of .05 (r=.442) 3) Emotional coping was negatively correlated with health-related quality of life at the level of .05 (r = -.472); 4) The injury severity score was not significantly correlated with health-related quality of life.
Recommendations: Nurses should organize group activities to increase skills for resilience after injury and develop appropriate coping skills; encourage patients with multiple trauma to reduce the use of emotional coping for patients with good health-related quality of life.
References
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30. The Working Group on Polytrauma of the German Society of Traumatology. Quality of Life after Multiple Trauma. In R. Lefering, T. Tecic, Y. Schmidt, N. Pirente, B. Bouillon & E. Neugebauer,. Quality of life after multiple trauma: validation and population norm of the polytrauma outcome (POLO) chart. 38: Eur J Trauma Emerg Surg; 1999. p. 403-15.
31. Neugebauer E, Bouillon B, Bullinger M, Wood-Dauphinee S. Quality of life after multiple trauma–summary and recommendations of the consensus conference. Restor Neurol Neurosci 2002;20(3-4):161-7.
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34. Norasan S, Rattanasuk D. Lower extremity injury. In: Norasan S, Saimai P, editors. Trauma nursing. Bangkok: Beyond-enterprise; 2016. p.305-54. (in Thai)
35. Norasan S. Head injury. In: Norasan S, Saimai P, editors. Trauma nursing. Bangkok:
Beyond-enterprise; 2016. p.101-32. (in Thai)
36. Kilic SA, Dorstyn DS, Guiver NG. Examining factors that contribute to the process of resilience following spinal cord injury. Spinal Cord 2013;51(7):553-7.
37. Lukow HR, Godwin EE, Marwitz JH, Mills A, Hsu NH, Kreutzer JS. Relationship between resilience, adjustment, and psychological functioning after traumatic brain injury: a preliminary report. J Head Trauma Rehabil 2015;30(4):241-8.
38. Christensen MC, Banner C, Lefering R, Vallejo-Torres L, Morris S. Quality of life after severe trauma: results from the global trauma trial with recombinant factor VII. J Trauma 2011;70(6):1524-31.
39. Nintachan P. Resilience: Concept, assessment, and application. Bankok: Judthong; 2016.
40. Soberg HL, Bautz-Holter E, Finset A, Roise O, Andelic N. Physical and mental health 10 years after multiple trauma: a prospective cohort study. J Trauma Acute Care Surg 2015;78(3):628-33.
41. Littleton H, Horsley S, John S, Nelson DV. Trauma coping strategies and psychological distress: a meta-analysis. J Traumatic Stress 2007;20(6):977-88.
42. Sasse N, Gibbons H, Wilson L, Martinez R, Sehmisch S, von Wild K, et al. Coping strategies in individuals after traumatic brain injury: associations with health-related quality of life. Disabil Rehabil 2014;36(25):2152-60.
43. Fu XY, Chen M, Yu T, Liu XK. Health-related quality of life of trauma patients after intensive care: A 2-year follow-up study. Eur J Trauma Emerg Surg 2011;37(6):629-33.
44. Larsen P, Goethgen CB, Rasmussen S, Iyer AB, Elsoe R. One-year development of QOL following orthopaedic polytrauma: a prospective observational cohort study of 53 patients. Arch Orthop Trauma Surg 2016;136(11):1539-46.
2. Soberg HL, Finset A, Roise O, Bautz-Holter E. The trajectory of physical and mental health from injury to 5 years after multiple trauma: A prospective, longitudinal cohort study. Arch Phys Med Rehabil 2012;93(5):765-74.
3. Strategy and Planning Division, Ministry of Public Health. Illness report 2013. Bangkok: WVO Officer of Printing Mill; 2014. (in Thai)
4. Strategy and Planning Division, Ministry of Public Health. Illness report 2014. Bangkok: WVO Officer of Printing Mill; 2015. (in Thai)
5. Strategy and Planning Division, Ministry of Public Health. Illness report 2015. Bangkok: Samcharoen Panich (Bangkok); 2016. (in Thai)
6. Bureau of Non Communicable Diseases, Ministry of Public Health. Annual Report 2015. Bangkok: WVO Officer of Printing Mill; 2016. (in Thai)
7. Suriyawongpaisarn P. Full Report: Research for evaluation and development emergency medical service. Nonthaburi: Health Insurance System Research Office; 2009. (in Thai)
8. Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187-96.
9. Kaske S, Lefering R, Trentzsch H, Driessen A, Bouillon B, Maegele M, et al. Quality of life two years after severe trauma: a single-centre evaluation. Injury 2014;45 Suppl 3:S100-5.
10. Soberg HL, Bautz-Holter E, Roise O, Finset A. Long-term multidimensional functional consequences of severe multiple Injuries two years after trauma: a prospective longitudinal cohort study. J Trauma 2007;62(2):461-70.
11. Rainer TH, Yeung JH, Cheung SK, Yuen YK, Poon WS, Ho HF, et al. Assessment of quality of life and functional outcome in patients sustaining moderate and major trauma: a multicentre, prospective cohort study. Injury 2014;45(5):902-9.
12. Aitken LM, Chaboyer W, Kendall E, Burmeister E. Health status after traumatic injury. J Trauma Acute Care Surg 2012;77(6):1702-8.
13. Lee BO, Chaboyer W, Wallis M. Predictors of health-related quality of life 3 months after traumatic injury. J Nurs Scholarsh 2008;40(1):83-90.
14. King CR, Hinds PS. Quality of life from nursing and patient perspectives: theory, research, practice. United States of America: Jones and Bartlett Publishers; 1998. 364-80.
15. Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davison resilience scale (CD-RISC). Depress Anxiety 2003;18(2):76-82.
16. Quale AJ, Schanke AK. Resilience in the face of coping with a severe physical injury: a study of trajectories of adjustment in a rehabilitation setting. Rehabil Psychol 2010;55(1):12-22.
17. Christensen ME. Resilience and health outcomes in patients with traumatic injury [dissertation]. Texas: University of North Texas; 2011.
18. Battalio SL, Silverman AM, Ehde DM, Amtmann D, Edwards KA, Jensen MP. Resilience and function in adults with physical disabilities: an observational study. Arch Phys Med Rehabil 2017;98(6):1158-64.
19. Losoi H, Silverberg ND, Waljas M, Turunen S, Rosti-Otajarvi E, Helminen M, et al. Resilience is associated with outcome from mild traumatic brain injury. J Neurotrauma 2015;32(13):942-9.
20. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer Publishing; 1984.
21. Soberg HL, Bautz-Holter E, Roise O, Finset A. Mental health and posttraumatic stress symptoms 2 years after severe multiple trauma: self-reported disability and psychosocial functioning. Arch Phys Med Rehabil 2010;91(3):481-8.
22. Wolter G, Stapert S, Brands N, Van Heugten C. Coping styles in relation to cognitive rehabilitation and quality of life after brain injury. Neuropsychological Rehabil 2010;20(4):587-600.
23. Tomberg T, Toomela A, Ennok M, Tikk A. Changes in coping strategies, social support, optimism and health-related quality of life following traumatic brain injury: a longitudinal study. Brain Inj 2007;21(5):479-88.
24. Ulvik A, Kvale R, Wentzen-Larsen T, Flaatten H. Quality of life 2–7 years after major trauma. Acta Anaesthesiol Scand 2008;52(2):195-210.
25. Janssen C, Ommen O, Neugebauer E, Lefering R, Pfaff H. Predicting health-related quality of life of severely injured patients: sociodemographic, economic, trauma, and hospital stay-related determinants. Eur J Trauma Emerg Surg 2008;34(3):277-86.
26. Nemunaitis G, Roach MJ, Claridge J, Mejia M. Early predictors of functional outcome after trauma. PM R 2016;8(4):314-20.
27. Thorndike RM. Correlational procedures for research. New York: Gardner Press; 1978.
28. Civil ID, Schwab CW. The abbreviated injury scale, 1985 revision: a condensed chart for clinical use. Trauma 1988;28(1):87-90.
29. Mingkwan P. Stress and coping in the elderly stroke patients. [dissertation]. Chang Mai: Chang Mai University; 1999.
30. The Working Group on Polytrauma of the German Society of Traumatology. Quality of Life after Multiple Trauma. In R. Lefering, T. Tecic, Y. Schmidt, N. Pirente, B. Bouillon & E. Neugebauer,. Quality of life after multiple trauma: validation and population norm of the polytrauma outcome (POLO) chart. 38: Eur J Trauma Emerg Surg; 1999. p. 403-15.
31. Neugebauer E, Bouillon B, Bullinger M, Wood-Dauphinee S. Quality of life after multiple trauma–summary and recommendations of the consensus conference. Restor Neurol Neurosci 2002;20(3-4):161-7.
32. Holtslag HR, van Beeck EF, Lindeman E, Leenen LP. Determinants of long-term functional consequences after major trauma. J Trauma 2007;62(4):919-27.
33. Harris IA, Young JM, Rae H, Jalaludin BB, Solomon MJ. Predictors of general health after major trauma. J Trauma 2008;64(4):969-74.
34. Norasan S, Rattanasuk D. Lower extremity injury. In: Norasan S, Saimai P, editors. Trauma nursing. Bangkok: Beyond-enterprise; 2016. p.305-54. (in Thai)
35. Norasan S. Head injury. In: Norasan S, Saimai P, editors. Trauma nursing. Bangkok:
Beyond-enterprise; 2016. p.101-32. (in Thai)
36. Kilic SA, Dorstyn DS, Guiver NG. Examining factors that contribute to the process of resilience following spinal cord injury. Spinal Cord 2013;51(7):553-7.
37. Lukow HR, Godwin EE, Marwitz JH, Mills A, Hsu NH, Kreutzer JS. Relationship between resilience, adjustment, and psychological functioning after traumatic brain injury: a preliminary report. J Head Trauma Rehabil 2015;30(4):241-8.
38. Christensen MC, Banner C, Lefering R, Vallejo-Torres L, Morris S. Quality of life after severe trauma: results from the global trauma trial with recombinant factor VII. J Trauma 2011;70(6):1524-31.
39. Nintachan P. Resilience: Concept, assessment, and application. Bankok: Judthong; 2016.
40. Soberg HL, Bautz-Holter E, Finset A, Roise O, Andelic N. Physical and mental health 10 years after multiple trauma: a prospective cohort study. J Trauma Acute Care Surg 2015;78(3):628-33.
41. Littleton H, Horsley S, John S, Nelson DV. Trauma coping strategies and psychological distress: a meta-analysis. J Traumatic Stress 2007;20(6):977-88.
42. Sasse N, Gibbons H, Wilson L, Martinez R, Sehmisch S, von Wild K, et al. Coping strategies in individuals after traumatic brain injury: associations with health-related quality of life. Disabil Rehabil 2014;36(25):2152-60.
43. Fu XY, Chen M, Yu T, Liu XK. Health-related quality of life of trauma patients after intensive care: A 2-year follow-up study. Eur J Trauma Emerg Surg 2011;37(6):629-33.
44. Larsen P, Goethgen CB, Rasmussen S, Iyer AB, Elsoe R. One-year development of QOL following orthopaedic polytrauma: a prospective observational cohort study of 53 patients. Arch Orthop Trauma Surg 2016;136(11):1539-46.
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2018-12-31
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