Analysis of functional status, quality of life and community integration in earthquake survivors with spinal cord injury at hospital discharge and one-year follow-up in the community

Autor: Xiaorong Hu, James E. Gosney, Xia Zhang, Sijing Chen, Jianan Li, Jan D. Reinhardt, Hong Jin
Rok vydání: 2012
Předmět:
Male
Activities of daily living
Survival
Health Status
medicine.medical_treatment
Poison control
Walking
Cognition
Return to Work
Quality of life
Residence Characteristics
Surveys and Questionnaires
Activities of Daily Living
Spinal cord injury
Pressure Ulcer
education.field_of_study
Rehabilitation
Depression
General Medicine
Middle Aged
Social Participation
Patient Discharge
Female
Independent Living
Adult
Urologic Diseases
China
medicine.medical_specialty
Population
Pain
Physical Therapy
Sports Therapy and Rehabilitation
Community integration
Environment
Physical medicine and rehabilitation
Injury prevention
Earthquakes
medicine
Humans
Mobility Limitation
education
Spinal Cord Injuries
Aged
business.industry
medicine.disease
Quality of Life
Physical therapy
Self Report
business
Follow-Up Studies
Zdroj: Journal of Rehabilitation Medicine. 44:200-205
ISSN: 1650-1977
Popis: Objective: This study compares functional status, quality of life and community integration in 2008 Sichuan earthquake survivors with spinal cord injury at hospital discharge and at 1-year follow-up in the community. Methods: Twenty-six subjects with spinal cord injury completed demographic and medical questionnaires and underwent medical examination at discharge from a hospital rehabilitation department and after 1 year in the community. Functional status, quality of life and community integration were assessed by appropriate instruments over this period. Results: Functional status measures showed significantly increased (p < 0.05) scores for the Modified Barthel Index and Walking Index for Spinal Cord Injury II; depression and pain scores were reduced with no statistical significance. After discharge, nearly half of patients developed a new pressure sore and most patients had urinary complications. Selfreported quality of life, overall health, and satisfaction with social relationships increased significantly (p < 0.05), while the environment domain was reduced (p < 0.05). Social participation (i.e. community integration) results showed an improvement in physical independence and mobility (p < 0.05), but a decline in cognitive independence (p < 0.05). Only 15% of the population returned to work. Conclusion: Special attention should be paid to cognitive and emotional function, occupational training and social integration during rehabilitation measures after earthquakes.
Databáze: OpenAIRE
Externí odkaz: