Article

OBJECTIVE: : To identify the factors associated with perceived success of the
transition from hospital to home after traumatic brain injury (TBI). DESIGN: :
Prospective longitudinal cohort design with data collection at discharge and 1,
3, and 6 months postdischarge. PARTICIPANTS: : A total of 127 individuals with
TBI discharged to the community and 83 significant others. MAIN MEASURES: : An
analog scale (0-100) of perceived success of the transition from hospital to home
rated by individuals and significant others; Sentinel Events Questionnaire;
EuroQol Group Quality-of-Life measure visual analog scale; Sydney Psychosocial
Reintegration Scale; Mayo-Portland Adaptability Inventory-4; short form of the
Depression, Anxiety, Stress Scales; Craig Hospital Inventory of Environmental
Factors; and Caregiver Strain Index. RESULTS: : Greater perceived success of
transition for individuals with a TBI was associated with higher levels of
health-related quality of life, level of community integration, and more severe
injury. Among survivors, sentinel events such as returning to work and
independent community access and changing living situation were associated with
greater perceived success; financial strain and difficulty accessing therapy
services were associated with less success. Among significant others, lower
ratings of transition success were associated with higher significant other
stress levels as well as lower levels of community integration and changes in the
living situation of the individual with TBI. CONCLUSION: : A combination of
sentinel events and personal and environmental factors influences the perceptions
of individuals and their families regarding the success of the transition from
hospital to home.

Langue : ANGLAIS