A Longitudinal Study of Headache, Fatigue, Sleep Disturbance, and Performance in Patients with Mild Head Injury

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นิภาวรรณ สามารถกิจ อริยาวรรณ วรรณสีทอง


     This descriptive research aimed to explore and compare the occurrence of symptoms including headache, fatigue, sleep disturbance, and performance 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 Chon Buri Hospital during June 2016 to June 2017. Research instruments included the Personal Information questionnaire, the Brief Pain Inventory (BPI) questionnaire, the Barrow Neurological Institute (BNI) questionnaire, the Fatigue Scale, the Verran and Synder-Halpern Sleep Scale, and the Rivermead Head Injury Follow Up questionnaire (RHFUQ). 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 headache for

72.9 %, 51.3 %, 33.8 %, 24.2 %, and 16.9% respectively. The occurrence of fatigue were 95.1 %, 89.6 %, 77.5 %, 57.4 % and 64.4 % respectively, while 100% of samples reported that they had sleep disturbance all the time after head injury. Although the samples reported having no change in the level of their performance, they found that it was more difficult to perform activities of daily living by the 1st month, 2nd month, 3rd month and 6th month after the injury. The mean scores of the severity of headache, fatigue and sleep disturbance at 24 hours were significantly different (p < .001), from those in the 1st month, 2nd month, 3rd month and 6th month post injury. However, the mean score of the performance was not significantly different at all the time of the study. The findings reflect that nurses and health care providers should emphasize the issue of symptom occurrences including headache,

fatigue, and sleep disturbance in patients post minor head injury. Symptom assessment should be continuously performed in order to early manage any symptoms occurred in order to enhance performance among this population. 


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สามารถกิจน, วรรณสีทองอ. A Longitudinal Study of Headache, Fatigue, Sleep Disturbance, and Performance in Patients with Mild Head Injury. Nursing Journal of The Ministry of Public Health [Internet]. 31Dec.2018 [cited 25Mar.2019];28(3):115-30. Available from: https://tci-thaijo.org/index.php/tnaph/article/view/164218


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