A Longitudinal Study of Post - Concussion Syndrome in Patients with Mild Head Injury

การศึกษาติดตามอาการภายหลังสมองได้รับการกระทบกระเทือนใน ผู้ป่วยบาดเจ็บที่ศีรษะระดับเล็กน้อย

  • นิภาวรรณ สามารถกิจ Faculty of Nursing, Burapha University
Keywords: post-concussion symptoms, physical symptoms, cognitive symptoms, behavioral symptoms, mild head injury patients


This descriptive research aimed to explore and compare the occurrence of post-concussion symptoms of patients with mild head injury at 24 hours, 1 month, 2 month, 3 month and 6 month after the injury. Fifty-nine patients were consecutively recruited by the inclusion criteria at a Trauma ward of Chonburi Hospital during June 2016 to June 2017. Research instruments included the Personal Information questionnaire, and the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). Data were analyzed by using descriptive statistics, and Repeated Measures ANOVA.

          The results showed that at 24 hours, the 1st month, 2nd month, 3th month and 6th month after head injury, the samples reported having all post-concussion symptoms. At 24 hours, most of them reported having physical symptoms more often than cognitive symptoms and behavioral symptoms. However, at the 1st, 2nd, 3th, and 6th month after head injury, the samples reported decreasing physical symptoms while increasing cognitive symptoms and behavioral symptoms. The mean scores of the severity of physical symptoms at 24 hours and the 1st month were significantly different (p < .05, p < .01), from those in the 2nd month, 3th month and 6th month post injury. The mean scores of the severity of cognitive symptoms at 24 hours was significantly different (p < .01, p < .05), from those in the 1st month and 2nd month post injury. However, the mean score of the severity of behavioral symptoms was not significantly different at all the time of the study.

The findings recommend that, nurses and health care providers should be aware that the patients post mild head injury may have post-concussion symptoms including physical symptoms, cognitive symptoms and behavioral symptoms. Symptoms assessment should be continuously performed in order to early manage any symptoms occurred and to provide appropriate care, for decreasing symptom severity and prevention persistent post-concussion symptoms, which is disable that can affect the long-term performance and quality of life among this population.


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Research Articles; บทความวิจัย