How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients
| Autor: | Allard J. F. Hosman, Sven Hirschfeld, H. van de Meent, C. Kaphengst, M.H. Pouw, B. Kienast, Roland Thietje, R. Giese |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Human Movement & Fatigue DCN 1: Perception and Action [NCEBP 10] MEDLINE Cohort Studies Young Adult Patient Education as Topic medicine Humans Prospective Studies Urinary Bladder Neurogenic Young adult Prospective cohort study Spinal cord injury Spinal Cord Injuries Aged Pressure Ulcer Human Movement & Fatigue [NCEBP 10] Urinary bladder Descriptive statistics business.industry General Medicine Middle Aged Spinal cord medicine.disease medicine.anatomical_structure Neurology Urinary Tract Infections Physical therapy Female Human Movement & Fatigue Perception and Action [NCEBP 10] Neurology (clinical) business Cohort study |
| Zdroj: | Spinal Cord, 49, 1, pp. 43-8 Spinal Cord, 49, 43-8 |
| ISSN: | 1476-5624 1362-4393 |
| DOI: | 10.1038/sc.2010.96 |
| Popis: | Monocentric cohort study.To investigate the acquisition of knowledge about spinal cord injury (SCI)-related complications in SCI patients.Level 1 trauma center.All patients with a traumatic or non-traumatic SCI were included in the study. Data were collected at admission, post-admission at 1 and 3 months and post-discharge at 6, 18 and 30 months. The discharge of all patients was between 3 and 6 months post-admission. Knowledge about pressure ulcers and bladder management was tested using the 'Knowledge' score. This score has a minimum and maximum of 0 and 20 points. To detect differences across the multiple time intervals, the Friedman test was used. Differences in the number of patients with poor (0-8), average (9-12) and good knowledge (13-20) between the different age classifications (age at injury) were calculated using a χ (2)-test.A total of 214 patients were included. At discharge subjects had increased their knowledge score to 11.2 compared with 5.4 on admission (P0.001). After 30 months, however, the mean score decreased to 10.8 points. At the time of discharge, the number of patients who achieved poor, average or good knowledge were 48 (22.4%), 65 (30.4%) and 101 (47.2%), respectively. Subjects of ∼50 years old and tetraplegics had better (P0.001) knowledge compared with subjects of ∼50 years old and paraplegics, respectively.In this study, less than 50% of SCI patients had good knowledge about bladder management and pressure ulcers after being discharged. |
| Databáze: | OpenAIRE |
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