The Experience of Caregivers Following a Moderate to Severe Traumatic Brain Injury Requiring ICU Admission
- PMID: 31479080
- PMCID: PMC10346118
- DOI: 10.1097/HTR.0000000000000525
The Experience of Caregivers Following a Moderate to Severe Traumatic Brain Injury Requiring ICU Admission
Abstract
Objectives: Survivors of moderate and severe traumatic brain injury (TBI) require substantial care, much of which is ultimately provided by friends and family. We sought to describe the unmet needs of informal caregivers.
Design: Qualitative, semistructured interviews with informal caregivers of moderate and severe TBI survivors were conducted 72 hours, 1 month, 3 months, and 6 months after injury.
Setting: Intensive care unit of a level 1 trauma center.
Participants: Informal caregivers were friends or family who planned to provide care for the patient. Patients were 18 years or older with a moderate to severe TBI, and not expected to imminently die of their injuries.
Measurements and main results: Eighteen patient-caregiver dyads were enrolled. Fifty-three interviews with caregivers were completed and analyzed over the course of 6 months. Three themes were identified in the qualitative analysis: caregiver burden, caregiver health-related quality of life, and caregiver needs for information and support.
Conclusions: This study provides new information about the experience of informal caregivers during the 6 months after their friend or family member survived a moderate to severe TBI. Interventions to promote caregiving may be a substantial opportunity to improve patient-centered outcomes following TBI.
Conflict of interest statement
The authors declare no conflicts of interest.
Figures
Similar articles
-
Long-Term Follow-Up of Critically Ill Patients With Traumatic Brain Injury: From Intensive Care Parameters to Patient and Caregiver-Reported Outcome.J Neurotrauma. 2024 Jan;41(1-2):123-134. doi: 10.1089/neu.2022.0474. Epub 2023 Oct 10. J Neurotrauma. 2024. PMID: 37265152
-
Health care utilization and needs after pediatric traumatic brain injury.Pediatrics. 2006 Apr;117(4):e663-74. doi: 10.1542/peds.2005-1892. Epub 2006 Mar 13. Pediatrics. 2006. PMID: 16533894
-
Supporting caregivers of veterans with Alzheimer's disease and traumatic brain injury: study protocol for a randomized controlled trial.Trials. 2020 Apr 19;21(1):340. doi: 10.1186/s13063-020-4199-1. Trials. 2020. PMID: 32306982 Free PMC article.
-
Systematic Review of Caregiver and Dyad Interventions After Adult Traumatic Brain Injury.Arch Phys Med Rehabil. 2018 Nov;99(11):2342-2354. doi: 10.1016/j.apmr.2018.04.016. Epub 2018 May 9. Arch Phys Med Rehabil. 2018. PMID: 29752909 Free PMC article.
-
Caregivers' perspectives of the challenges faced with survivors of traumatic brain injury: A scoping review.NeuroRehabilitation. 2021;49(3):349-362. doi: 10.3233/NRE-210099. NeuroRehabilitation. 2021. PMID: 34308914
Cited by
-
Iterative Development of the Caregiver Wellness After Traumatic Brain Injury Program (CG-Well).J Head Trauma Rehabil. 2023 Nov-Dec 01;38(6):E424-E436. doi: 10.1097/HTR.0000000000000869. Epub 2023 Mar 23. J Head Trauma Rehabil. 2023. PMID: 36951450 Free PMC article.
-
Caregiver Wellness after Traumatic Brain Injury (CG-Well): Protocol for a randomized clinical trial.Contemp Clin Trials Commun. 2024 Aug 24;41:101356. doi: 10.1016/j.conctc.2024.101356. eCollection 2024 Oct. Contemp Clin Trials Commun. 2024. PMID: 39280784 Free PMC article.
-
The Psychological Impact on Relatives of Critically Ill Patients: The Influence of Visiting Hours.Crit Care Explor. 2022 Feb 8;4(2):e0625. doi: 10.1097/CCE.0000000000000625. eCollection 2022 Feb. Crit Care Explor. 2022. PMID: 35156047 Free PMC article.
-
Biopsychosocial factors of quality of life in individuals with moderate to severe traumatic brain injury: a scoping review.Qual Life Res. 2024 Apr;33(4):877-901. doi: 10.1007/s11136-023-03511-0. Epub 2023 Nov 5. Qual Life Res. 2024. PMID: 37925675 Free PMC article.
-
Thematic Analysis of Psychosocial Stressors and Adaptive Coping Strategies Among Informal Caregivers of Patients Surviving ICU Admission for Coma.Neurocrit Care. 2024 Apr;40(2):674-688. doi: 10.1007/s12028-023-01804-3. Epub 2023 Jul 31. Neurocrit Care. 2024. PMID: 37523110 Free PMC article.
References
-
- Zaloshnja E, Miller T, Langlois JA, Selassie AW. Prevalence of long-term disability from traumatic brain injury in the civilian population of the United States, 2005. J Head Trauma Rehabil. 2008;23(6):394–400. - PubMed
-
- Thurman DJ, Alverson C, Dunn KA, Guerrero J, Sniezek JE. Traumatic brain injury in the United States: a public health perspective. J Head Trauma Rehabil. 1999;14(6):602–615. - PubMed
-
- Keenan A, Joseph L. The needs of family members of severe traumatic brain injured patients during critical and acute care: a qualitative study. Can J Neurosci Nurs. 2010;32(3):25–35. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical