| Objective：To explore the related factors influencing activities of daily living (ADL) ability of patients with traumatic brain injury (TBI). Methods：The clinical data of 106 patients with TBI in rehabilitation medicine department were analyzed retrospectively, including course of disease, type of injury, side of paralysis, degree of injury, mode of treatment, pulmonary infection, urinary tract infection, inflammatory indexes, coagulation indexes, biochemical indexes (blood sodium and albumin), whether there was rehabilitation intervention and cognitive function, speech function, swallowing function, evaluation results of limb motor function, etc. The Barthel Index (BI) was used as the dependent variable, and the related factors of ADL in TBI patients were filtered out by single factor analysis and linear stepwise regression analysis. Results：Single factor analysis showed the degree of injury, lung infection, urinary tract infection, white blood cell count, neutrophil count, D-dimer, fibrinogen, blood sodium, serum albumin and cognitive function, speech function, swallowing function, evaluation results of limb motor function were all correlated with BI in TBI patients (P<0.05). Linear stepwise regression analysis showed that the degree of injury, lung infection, cognitive function grades, grades of aphasia severity and Brunnstrom stage of lower limb motor function were associated with BI in TBI patients. Conclusion：The degree of injury, lung infection, cognitive impairment, speech disorder and lower limb movement disorder are the related factors influencing ADL in TBI patients. |
