Importance of the Quality of Life Assessment in the Content of Personalized Rehabilitation of Patients with Consequences of Traumatic Brain Injury

Introduction. Current research suggests that traumatic brain injury (TBI) is a chronic and progressive condition. A significant proportion of patients with TBI have long-term physical, cognitive, and emotional limitations that affect their functioning, resocialization, and quality of life. Medico-social rehabilitation of patients with the consequences of TBI can improve social integration and functional independence even in the remote period.

The purpose of the study. The purpose of the study is to develop a personalized rehabilitation routing scale, including the values of quality of life indicators, to improve the rehabilitation of patients with the consequences of TBI.

Materials and methods. The study included 414 respondents of working age (93.6% men), 62.0% of respondents had severe TBI. 54.0% of respondents had a history of TBI within the last 5 years. Longitudinal sociological study of the quality of life using the WHOQOL-100 questionnaire (WHO QOL-100) was realized by questionnaire survey. The Dembo-Rubinstein test was used to diagnose the adequacy of self-assessment of respondents with TBI. Statistical reliability of the difference between the mean quality of life indicators of the respondent groups was determined by the nonparametric Mann-Whitney test. The difference was considered statistically significant at p<0.05.

Results. Analysis of somatic condition, including assessment of the dynamics of neurological status and quality of life of the respondents, was conducted annually during 2020-2022, during which three groups of respondents with different clinical variants of the consequences of TBI were identified. A longitudinal study of the quality of life of patients with the consequences of TBI revealed the correspondence between the dynamics of clinical status and the average values of their quality of life indicators. A personalized scale of rehabilitation routing for patients with the consequences of TBI including the values of their quality of life indicators was developed.

Conclusion. The development of a personalized rehabilitation routing scale initiates the determination of interdisciplinary directions of stage-by-stage rehabilitation of patients with TBI.

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