Family needs in the chronic phase after severe brain injury in Denmark

Brain Inj. 2014;28(10):1230-7. doi: 10.3109/02699052.2014.915985. Epub 2014 Jun 2.

Abstract

Objective: This preliminary study aimed at investigating (1) changes in the status of family members between time of injury and follow-up in the chronic phase and (2) the most important needs within the family in the chronic phase and whether the needs were perceived as met.

Participants: The sample comprised 42 relatives (76% female, mean age = 53 years) of patients with severe brain injury, who had received intensive sub-acute rehabilitation. The relatives were contacted in the chronic phase after brain injury.

Outcome measure: A set of questions about demographics and time spent caregiving for the patient was completed. The relatives completed the revised version of the Family Needs Questionnaire, a questionnaire consisting of 37 items related to different needs following brain injury.

Results: Significant changes in status were found in employment (z = -3.464, p = 0.001) and co-habitation (z = -3.317, p = 0.001). The sub-scale 'Health Information' (Mean = 3.50, SD = 0.73) had the highest mean importance rating, whereas the sub-scale 'Emotional support' (Mean = 3.07, SD = 0.79) had the lowest. When combining importance and met ratings, it was found that the five most important needs were only met in 41-50% of the total sample.

Conclusion: Occupational and co-habitation status of the relatives was significantly affected by brain injury. A high number of relatives reported family needs not satisfied in the chronic phase. This requires an interventional approach for families to get these needs fulfilled individually, even after rehabilitation.

Keywords: Brain injury; Caregivers needs; co-habitation status; demographic changes; follow-up; occupational status; relative; time spent caregiving.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Brain Injury, Chronic* / psychology
  • Brain Injury, Chronic* / rehabilitation
  • Denmark / epidemiology
  • Employment* / psychology
  • Family / psychology*
  • Female
  • Follow-Up Studies
  • Health Services Needs and Demand*
  • Humans
  • Injury Severity Score
  • Interpersonal Relations
  • Life Change Events*
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Quality of Life
  • Sickness Impact Profile
  • Stress, Psychological / etiology*
  • Surveys and Questionnaires