Article

Scant research has examined the relationship between posttraumatic confusion
(PTC) and cooperation during rehabilitation from moderate to severe traumatic
brain injury. In this study, PTC and cooperation were examined in a prospective
cohort of 74 inpatients with traumatic Brain Injury. Confusion was measured using
the Confusion Assessment Protocol. Cooperation was rated on a 0-100 scale by
rehabilitation therapists. Using multiple regression analysis,
PTC significantly
predicted cooperation
(R(2) = 0.33, P < 0.001). Age at injury, education, days
since injury, and Glasgow Come Scale scores were not significant predictors.
Bivariate analyses indicated that four PTC symptoms significantly predicted
poorer cooperation: daytime hypersomnolence (rho = -0.42,
P < 0.001), agitation
(rho = -0.39, P = 0.001), psychosis (rho = -0.39, P = 0.001), and cognitive
impairment (rho = -0.24, P = 0.04). Results provide empirical support that PTC is
associated with poorer cooperation and empirical justification for interventions
to manage confusion during early recovery from traumatic brain injury.

Langue : ANGLAIS