Pain following spinal cord injury: the impact on community reintegration
Pain following spinal cord injury: the impact on community reintegration
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DOI：
10.1038/sj.sc.3101702
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发表时间：
2005-05-01
期刊：
影响因子：
2.2
通讯作者：
Eng, JJ
中科院分区：
文献类型：
--
作者：
Donnelly, C;Eng, JJ
研究设计：前瞻性、相关性。目的：(1)描述从入院到脊髓损伤（SCI）康复、出院以及社区生活6个月后疼痛的变化；(2)在社区生活6个月时检查疼痛与社区融入之间的关系。地点：加拿大温哥华脊髓损伤科三级康复中心。方法：采用国家康复报告系统（NRS）的数据，对2000 - 2002年间连续66例在某三级康复中心接受创伤性脊髓损伤治疗的患者进行随访。信息来自于对入院、出院和6个月社区生活进行的NRRS标准化评估。早期社区生活定义为出院后6个月。采用“重返正常生活指数”（RNL）评估社区重返社会情况。疼痛存在、疼痛影响和疼痛强度采用单项likhert量表进行评估。结果：总的来说，86%的脊髓损伤患者在出院后6个月报告疼痛，其中27%的患者报告疼痛影响了许多或大部分活动。疼痛影响和疼痛强度与社区重返相关(r = - 0.39和- 0.55，P
Study design: Prospective, correlational.Objectives: ( 1) Describe how pain changes over recovery from admission to spinal cord injury (SCI) rehabilitation, discharge and after 6 months of community living and ( 2) examine the relationship between pain and community integration at 6 months of community living.Setting: Tertiary rehabilitation centre, SCI unit, Vancouver, Canada.Methods: Subjects from 66 consecutive admissions to the SCI Program of a tertiary rehabilitation centre for the treatment of a traumatic SCI during the years 2000 - 2002 were followed using data from the National Rehabilitation Reporting System (NRS). Information was obtained from NRRS standardized assessments performed on admission, discharge and 6 months of community living. Early community living was defined as 6 months postdischarge. Community reintegration was assessed by the Reintegration to Normal Living Index (RNL). Pain presence, pain impact and pain intensity were assessed using single item Likhert-type scales.Results: In all, 86% of individuals with a SCI reported pain at 6 months postdischarge, with 27% of these individuals reporting pain that impacted on many or most activities. Pain impact and pain intensity were related to the community reintegration ( r = - 0.39 and - 0.55, P