Fatigued through everyday life. Interprofessional intervention approaches for dealing with long-term outcomes of fatigue after moderate and severe traumatic brain injury / Erschöpft durch den Alltag. Interprofessionelle Interventionsansätze im Umgang mit Langzeitfolgen von Fatigue nach mittlerem und schwerem Schädel-Hirn-Trauma

Abstract

Abstract Background Fatigue is a common long-term consequence of moderate and severe traumatic brain injury (TBI). Until now, there are intervention approaches for fatigue after TBI, but not specifically for fatigue after moderate and severe TBI in the outpatient setting. According to the demands of multiple studies, the severity and time since the TBI should be addressed more specifically. Objectives The aim of this study is to provide an overview of the possibilities for interprofessional intervention approaches in fatigue after moderate and severe TBI in the outpatient long-term setting. Based on the International Classification of Functioning, Disability and Health (ICF) the intervention approaches should be made accessible to the interprofessional team. Methods The research question was answered with a systematic review. The databases CINAHL, Pubmed, Medline, Cochrane Library, PsychINFO, Web of Science, AMED and OTseeker were used. The included studies were critically appraised using Law et al. (1998). Results Fatigue after moderate and severe TBI can lead to restrictions in daily life and general productivity. There is also a significant association with sleep disorders, depression, anxiety and vitamin D deficiency. In addition, fatigue persists for several years in more than half of the people affected. Daily light therapy with blue-enriched white light is an effective way to reduce fatigue after TBI. Conclusions Intervention approaches exist in the field of sleep management and coping strategies. Sleep disorders, depression, anxiety and vitamin D deficiency should also be treated if necessary. Due to the limited evidence, the implications for practice are limited.