SPINAL-CORD INJURIES - CLINICAL, FUNCTIONAL, AND EMOTIONAL STATUS
SPINAL-CORD INJURIES - CLINICAL, FUNCTIONAL, AND EMOTIONAL STATUS
复制标题
DOI：
10.1097/00007632-199101000-00014
复制
发表时间：
1991-01-01
期刊：
影响因子：
3
通讯作者：
SULLIVAN, M
中科院分区：
文献类型：
--
作者：
LUNDQVIST, C;SIOSTEEN, A;SULLIVAN, M
98例创伤性脊髓损伤患者，中位年龄33.5岁（范围16-72岁），神经系统特征分布不显著，在损伤后中位2.3年（范围0.1-23年）进行研究。用已建立的自我评估工具记录功能、情绪障碍和整体生活质量。身体功能障碍水平中等，与神经功能障碍成比例。心理社会功能、情绪状态和生活质量感知与对照人群样本没有差异。在受伤后的前4年，心理社会功能和情绪障碍变化很大，但患者后来的记录主要表达了平衡的情绪状态和有益的社交生活。这方面的进展包括受伤后1年身体功能障碍明显减轻，2年后社会心理功能和幸福感有所改善，而社交活动和接触模式在受伤后4年逐渐减少。对患者病史中影响功能和情绪的并发症的分析显示，严重疼痛是唯一与生活质量评分较低相关的并发症。尿失禁、感染和自主反射障碍与抑制自我保健表现有关；与行走和进食技能受损有关的痉挛。有报酬的就业是唯一与高生活质量得分相关的人口因素。
Ninety-eight patients with traumatic spinal cord injury, at a median age of 33.5 years (range, 16-72 years), with nonremarkable distributions of neurologic characteristics were investigated at a median of 2.3 years (range, 0.1-23 years) after injury. Functioning, mood disturbances, and overall quality of life were recorded with established self-assessment instruments. Physical dysfunction levels were moderate, being proportionate to neurologic impairment. Psychosocial functions, mood states, and quality-of-life perceptions did not differ from those of a control population sample. Psychosocial function and mood disturbances varied greatly during the first 4 years after injury, but patients' later recordings expressed predominantly a balanced emotional state and a rewarding social life. Progress in this direction consisted of clearly lessened physical dysfunction 1 year after injury and better psychosocial function and well-being after 2 years, whereas patterns of social activities and contacts became gradually less inhibited during a 4-year period after injury. Analysis of complications in patients' histories that affected function and mood showed severe pain to be the only complication that related to lower quality-of-life scores. Urinary incontinence and infection and autonomous dysreflexia related to inhibited self-care performance; spasticity related to impaired ambulation and feeding skills. Gainful employment was the only demographic factor linked to high quality-of-life scores.