Evaluating quality of life in traumatic brain injury patients

Małgorzata Wiśniewska, Wiesław Tomaszewski, Ireneusz M. Kowalski, Teresa Wiśniewska

Małgorzata Wiśniewska, Wiesław Tomaszewski, Ireneusz M. Kowalski, Teresa Wiśniewska – Evaluating quality of life in traumatic brain injury patients. Fizjoterapia Polska 2006; 6(1); 13-21

Abstract

Background. According to the World Health Organization (WHO), quality of life (QOL) depends on how individuals perceive their position in life, in the context of the culture and value system in which they live, taken together with their own individual goals, standards, expectations and fears. As a result of traumatic brain injury (TBI), all aspects of the patient’s QOL undergo change to some extent. Neurosurgical treatment, followed by the long hard work of rehabilitation, speech therapy, psychotherapy – all these factors can contribute to significantly improved QOL, which can be measured using questionnaires developed for this purpose. Material and methods. The clinical material consisted of 30 patients (14 female, 16 male) ranging in age from 11 to 50 years, hospitalized in the Department of Rehabilitation at the UMK Collegium Medicum University Hospital in Bydgoszcz. All these patients filled out two widely used questionnaires pertaining to QOL: the WHOQOL-Bref and the SF-36. Results. Both the women and the men in the study population indicated a high QOL in the context of their immediate environment, but a low QOL in respect to social life. Conclusions. The WHOQOL-Bref is more suitable than the SF-36 for the evaluation of QOL in TBI patients, because the former contains questions pertaining to different aspects of life.

Key words:
questionnaire, coma, rehabilitation
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How do physiotherapists define health? – results of a questionnaire study

Łukasz J. Krzych, Mateusz Ziemba, Michał Wyder, Krystian Oleszczyk, Anna Zielińska-Meus, Jacek Durmała

Ł. J. Krzych, M. Ziemba, M. Wyder, K. Oleszczyk, A. Zielińska-Meus, J. Durmała: How do physiotherapists define health? – results of a questionnaire study. Fizjoterapia Polska 2015;15(3);56-63

Abstract

Introduction. A physiotherapist should know methods used in health assessment, basic definitions and psychosocial mechanism driving health and its prevention. The aim of this study was to assess opinions of physiotherapist about health with aligned basic determinants.
Methods. This cross-sectional study involved 117 subjects, 91 (77.7%) females and 28 (22.3%) males, aged 38 ± 10 years. Polish version of a standardized Ewles and Simnett questionnaire was applied. The poll consisted of 23 questions about 4 components of health: physical (7 questions), mental (6 questions), social (5 questions) and health as a lack of disease (5 questions). Subject chose all of possible 23 answers their agreed with. Percentage of given answers was calculated. On this basis, a dominant domain was established.
Results. Subjects agreed with 64.5% of all opinions of a questionnaire. Most frequently they chose those related to social (80%), then physical (71.4%) and finally to mental (66.7%) components of health. Health as a lack of disease was declared less frequently (60%). After categorization of individual answers, we found that physiotherapists defined health as the bio-psycho-social condition (38.9% of persons). Age, education level, marital status, place of work and number of years in profession were not associated with given opinions.
Conclusions. More than half of investigated physiotherapists define health inappropriately. Gender influences subjects’ opinions about health. Questionnaire formula of the study is its limitation, so the results need to be verified in further researches.

Key words:
health, questionnaire, opinions, physiotherapy, physiotherapist

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