Prevalence of Post-Concussion and Post-Traumatic Stress Symptoms One Month after Mild TBI: A Descriptive Observational Study
DOI:
https://doi.org/10.19166/nc.v13i2.10359Kata Kunci:
Demografi, cedera kepala ringan, prevalensi, gejala pasca gegar otak, stres pasca traumaAbstrak
Cedera kepala ringan (CKR) sering kali menimbulkan gejala pasca gegar otak (post-concussion symptoms/PCS) dan gangguan stres pasca trauma (post-traumatic stress disorder/PTSD), yang dapat menghambat pemulihan apabila tidak dikenali sejak dini. Penelitian ini bertujuan untuk mengetahui prevalensi PCS dan PTSD satu bulan setelah CKR serta menggambarkan karakteristik demografis dan klinis, termasuk usia, jenis kelamin, pendidikan, status pekerjaan, mekanisme cedera, dan komorbiditas. Penelitian ini menggunakan desain deskriptif cross-sectional yang dilakukan dalam kurun waktu satu bulan pasca cedera pada pasien dengan CKR. Teknik pengambilan sample adalah purposive sampling untuk merekrut total 65 pasien. Data dikumpulkan pada bulan Agustus hingga Oktober 2024 di RSUP Prof. Dr. R.D. Kandou Manado, Sulawesi Utara. Statistik deskriptif digunakan untuk menganalisis PCS, PTSD, dan karakteristik demografis. Hasil penelitian menunjukkan bahwa dari 65 pasien dengan mTBI (rata-rata usia 30,69 tahun, 67,7% laki-laki), sebagian besar memiliki pendidikan >9 tahun (60,0%) dan tidak bekerja (61,5%). Kecelakaan lalu lintas merupakan penyebab cedera terbanyak (46,2%). Satu bulan pasca cedera, 33,8% mengalami gejala PCS dan 21,5% melaporkan gejala PTSD. Kesimpulan, PCS dan PTSD merupakan kondisi yang sering terjadi pada fase awal setelahCKR, terutama pada laki-laki muda dan mereka yang mengalami cedera akibat kecelakaan lalu lintas. Temuan ini menekankan pentingnya pengenalan gejala secara dini, edukasi pasien, dukungan psikologis, serta penguatan upaya keselamatan berkendara untuk mengurangi dampak CKR.
Referensi
Cuthbert, J. P., Harrison-Felix, C., Corrigan, J. D., Bell, J. M., Haarbauer-Krupa, J. K., & Miller, A. C. (2015). Unemployment in the United States after traumatic brain injury for working-age individuals: prevalence and associated factors 2 years postinjury. J Head Trauma Rehabil, 30(3), 160-174. https://doi.org/10.1097/htr.0000000000000090
Dewan, M. C., Rattani, A., Gupta, S., Baticulon, R. E., Hung, Y. C., Punchak, M., Agrawal, A., Adeleye, A. O., Shrime, M. G., Rubiano, A. M., Rosenfeld, J. V., & Park, K. B. (2019). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery, 130(4), 1080-1097. https://doi.org/10.3171/2017.10.Jns17352
Eman Abdulle, A., & van der Naalt, J. (2020). The role of mood, post-traumatic stress, post-concussive symptoms and coping on outcome after MTBI in elderly patients. Int Rev Psychiatry, 32(1), 3-11. https://doi.org/10.1080/09540261.2019.1664421
Fikriyanti, Kitrungrote, L., & Songwathana, P. (2014). The Post Concussion Symptom Experience and Quality of Life in Indonesian Persons With Mild Traumatic Brain Injury. Songklanagarind Journal of Nursing, Vol. 34 No.2
Gu, D., Ou, S., & Liu, G. (2025). Global burden of road injuries and their attributable risk factors from 1990 to 2021: A systematic analysis for the global burden of disease study 2021. Prev Med Rep, 53, 103051. https://doi.org/10.1016/j.pmedr.2025.103051
Hiploylee, C., Dufort, P. A., Davis, H. S., Wennberg, R. A., Tartaglia, M. C., Mikulis, D., Hazrati, L. N., & Tator, C. H. (2017). Longitudinal Study of Postconcussion Syndrome: Not Everyone Recovers. Journal of Neurotrauma, 34(8), 1511-1523. https://doi.org/10.1089/neu.2016.4677
Iverson, G. L., Gardner, A. J., Terry, D. P., Ponsford, J. L., Sills, A. K., Broshek, D. K., & Solomon, G. S. (2017). Predictors of clinical recovery from concussion: a systematic review. Br J Sports Med, 51(12), 941-948. https://doi.org/10.1136/bjsports-2017-097729
King, N. S., Crawford, S., Wenden, F. J., Moss, N. E. G., & Wade, D. T. (1995). The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. Journal of Neurology 242 : 587-592.
McInnes, K., Friesen, C. L., MacKenzie, D. E., Westwood, D. A., & Boe, S. G. (2017). Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review. PLoS One, 12(4), e0174847. https://doi.org/10.1371/journal.pone.0174847
McIntosh, S. J., Vergeer, M. H., Galarneau, J.-M., Eliason, P. H., & Debert, C. T. (2025). Factors Associated With Persisting Symptoms After Concussion in Adults With Mild TBI: A Systematic Review and Meta-Analysis. JAMA Network Open, 8(6), e2516619-e2516619. https://doi.org/10.1001/jamanetworkopen.2025.16619
Ministry of Health. (2018). Indonesia Basic Health Survey (Riskesdas) 2018. Jakarta: Badan Litbangkes Retrieved from https://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil%20Riskesdas%202018.pdf
Mulyadi, M., Harianto, S., Tonapa, S. I., & Lee, B. O. (2023). Early Quality-of-Life Changes in Mild Traumatic Brain Injury: A Prospective Study. Journal of Trauma Nursing, 30(2), 75-82. https://doi.org/10.1097/JTN.0000000000000706
Patricios, J. S., Schneider, K. J., Dvorak, J., Ahmed, O. H., Blauwet, C., Cantu, R. C., Davis, G. A., Echemendia, R. J., Makdissi, M., McNamee, M., Broglio, S., Emery, C. A., Feddermann-Demont, N., Fuller, G. W., Giza, C. C., Guskiewicz, K. M., Hainline, B., Iverson, G. L., Kutcher, J. S.,…Meeuwisse, W. (2023). Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. Br J Sports Med, 57(11), 695-711. https://doi.org/10.1136/bjsports-2023-106898
Polinder, S., Cnossen, M. C., Real, R. G. L., Covic, A., Gorbunova, A., Voormolen, D. C., Master, C. L., Haagsma, J. A., Diaz-Arrastia, R., & von Steinbuechel, N. (2018). A Multidimensional Approach to Post-concussion Symptoms in Mild Traumatic Brain Injury. Front Neurol, 9, 1113. https://doi.org/10.3389/fneur.2018.01113
Stein, M. B., Jain, S., Giacino, J. T., Levin, H., Dikmen, S., Nelson, L. D., Vassar, M. J., Okonkwo, D. O., Diaz-Arrastia, R., Robertson, C. S., Mukherjee, P., McCrea, M., Mac Donald, C. L., Yue, J. K., Yuh, E., Sun, X., Campbell-Sills, L., Temkin, N., Manley, G. T.,…Zafonte, R. (2019). Risk of Posttraumatic Stress Disorder and Major Depression in Civilian Patients After Mild Traumatic Brain Injury: A TRACK-TBI Study. JAMA Psychiatry, 76(3), 249-258. https://doi.org/10.1001/jamapsychiatry.2018.4288
Suwaryo, P. A. W., Kadir, F., Omar, A., & Singh, S. K. D. (2024). Prevalence of Persistent Post-Concussion Syndrome in Adults After Mild Traumatic Brain Injury. Nurse Media Journal of Nursing, 14(2). https://doi.org/10.14710/nmjn.v14i2.56529
Thomas, M., Skilbeck, C., Cannan, P., & Slatyer, M. (2017). The Structure of the Rivermead Post-Concussion Symptoms Questionnaire in Australian Adults with Traumatic Brain Injury. Brain Impairment, 19(2), 166-182. https://doi.org/10.1017/BrImp.2017.26
van der Naalt, J., Timmerman, M. E., de Koning, M. E., van der Horn, H. J., Scheenen, M. E., Jacobs, B., Hageman, G., Yilmaz, T., Roks, G., & Spikman, J. M. (2017). Early predictors of outcome after mild traumatic brain injury (UPFRONT): an observational cohort study. The Lancet Neurology, 16(7), 532-540. https://doi.org/10.1016/s1474-4422(17)30117-5
van der Vlegel, M., Polinder, S., Mikolic, A., Kaplan, R., von Steinbuechel, N., Plass, A. M., Zeldovich, M., van Praag, D., Bockhop, F., Cunitz, K., Mueller, I., Haagsma, J. A., The Center-Tbi, P., & Investigators. (2021). The Association of Post-Concussion and Post-Traumatic Stress Disorder Symptoms with Health-Related Quality of Life, Health Care Use and Return-to-Work after Mild Traumatic Brain Injury. J Clin Med, 10(11). https://doi.org/10.3390/jcm10112473
van der Vlegel, M., Polinder, S., Toet, H., Panneman, M. J. M., & Haagsma, J. A. (2021). Prevalence of Post-Concussion-Like Symptoms in the General Injury Population and the Association with Health-Related Quality of Life, Health Care Use, and Return to Work. J Clin Med, 10(4). https://doi.org/10.3390/jcm10040806
Van Praag, D. L. G., Cnossen, M. C., Polinder, S., Wilson, L., & Maas, A. I. R. (2019). Post-Traumatic Stress Disorder after Civilian Traumatic Brain Injury: A Systematic Review and Meta-Analysis of Prevalence Rates. J Neurotrauma, 36(23), 3220-3232. https://doi.org/10.1089/neu.2018.5759
Voormolen, D. C., Haagsma, J. A., Polinder, S., Maas, A. I. R., Steyerberg, E. W., Vuleković, P., Sewalt, C. A., Gravesteijn, B. Y., Covic, A., Andelic, N., Plass, A. M., & von Steinbuechel, N. (2019). Post-Concussion Symptoms in Complicated vs. Uncomplicated Mild Traumatic Brain Injury Patients at Three and Six Months Post-Injury: Results from the CENTER-TBI Study. J Clin Med, 8(11). https://doi.org/10.3390/jcm8111921
Voormolen, D. C., Polinder, S., von Steinbuechel, N., Vos, P. E., Cnossen, M. C., & Haagsma, J. A. (2019). The association between post-concussion symptoms and health-related quality of life in patients with mild traumatic brain injury. Injury, 50(5), 1068-1074. https://doi.org/10.1016/j.injury.2018.12.002
World Health Organization. (2023). Road traffic injuries. https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries
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Hak Cipta (c) 2025 Mulyadi Mulyadi, Lenny Gannika, Rizki Rivaldo Najoan, Rahmat Hidayat Djalil, Santo Imanuel Tonapa

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