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Adaptation six months after multiple trauma: a pilot study

L L Strohmyer1, E L Noroian, L M Patterson

  • 1University of Nebraska Medical Center, Department of Nursing, Omaha 68198-2385.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|February 1, 1993
PubMed
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Multiple trauma survivors achieved functional independence but faced psychosocial challenges post-discharge. Employment status significantly predicted better psychosocial adjustment, highlighting the need for tailored support.

Area of Science:

  • Trauma rehabilitation
  • Psychosocial adaptation
  • Functional independence

Background:

  • Multiple trauma survivors often face long-term challenges beyond physical recovery.
  • Understanding adaptation post-discharge is crucial for effective rehabilitation strategies.

Purpose of the Study:

  • To investigate the functional and psychosocial adaptation of multiple trauma survivors at home, 6 months after hospital discharge.
  • To identify factors influencing psychosocial adjustment in this population.

Main Methods:

  • Pilot study involving 18 multiple trauma survivors.
  • Assessment of functional independence using the Modified Barthel Index.
  • Evaluation of psychosocial adaptation using the Psychosocial Adjustment to Illness Scale (PAIS).

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Main Results:

  • 17 of 18 survivors reported complete functional independence.
  • All subjects reported some level of psychosocial adaptation difficulties.
  • Higher PAIS scores indicated poorer adaptation, with specific domain issues noted.
  • Gender, household composition, and employment status were significant factors associated with lower PAIS scores (better adaptation).
  • Employment status emerged as the strongest predictor of better psychosocial adjustment.

Conclusions:

  • While functional recovery is often achieved, multiple trauma survivors experience significant psychosocial adaptation challenges.
  • Employment status is a key factor influencing psychosocial adjustment after trauma.
  • Interventions should address psychosocial needs and consider employment support for trauma survivors.