Relationships Between Community Reintegration and Clinical and Psychosocial Attributes in Individuals With Spinal Cord Injury in a Nigerian City
Relationships Between Community Reintegration and Clinical and Psychosocial Attributes in Individuals With Spinal Cord Injury in a Nigerian City
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DOI：
10.1310/sci16-00055
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发表时间：
2018-09-01
影响因子：
2.9
通讯作者：
Hamzat, Talhatu Kolapo
中科院分区：
文献类型：
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作者：
Atobatele, Kikelomo Olawunmi;Olaleye, Olubukola Adebisi;Hamzat, Talhatu Kolapo
背景资料：全面了解脊髓损伤（SCI）患者重返社区的生物心理社会模型因社区而异。然而，尚无有关尼日利亚社区重返社会的信息。目的：探讨脊髓损伤（SCI）患者的临床和心理社会属性与社区再融合的关系。方法：50名年龄为38.6 +/- 11.1岁的SCI患者（31名女性; 19名男性）参加了这项纵向调查。在出院时和出院后1、2和3个月分别使用视觉疼痛量表（VAS）、VAS（R）和美国脊髓损伤协会损伤量表（AIS）评估疼痛、功能能力和损伤严重程度。自尊（SE），社会支持（SS）和抑郁也分别采用自尊问卷，社会支持问卷和贝克抑郁量表进行评估。在出院后1、2和3个月使用重返正常生活指数（RNLI）评估CR。使用斯皮尔曼rho相关和Friedman检验分析数据。结果如下：除SS外，心理社会和临床属性与基线和出院后3个月有显著差异（p <0.0001）。CR与出院后3个月的损伤程度、功能能力、SE和抑郁显著相关（p <0.01）。CR仅在出院后1个月与SS显著相关（p = 0.027）。结论：从出院到出院后3个月，SCI患者的临床和心理社会属性有显着改善。这些变量的改善与更好地融入社区有关。
Background: The bio-psychosocial model for comprehensive understanding of community reintegration among individuals with spinal cord injury (SCI) varies across communities. Yet, information about community reintegration in Nigeria is not available. Objective: To investigate the association between community reintegration and clinical and psychosocial attributes among Nigerians with SCI. Methods: Fifty individuals (31 females; 19 males) with SCI aged 38.6 +/- 11.1 years participated in this longitudinal survey. Pain, functional ability, and severity of injury were assessed at discharge and at 1, 2, and 3 months post-discharge from inpatient care using the Visual Analogue Scale (VAS), FIM (R), and American Spinal Injury Association Impairment Scale (AIS), respectively. Self-esteem (SE), social support (SS), and depression were also assessed using the Self-Esteem Questionnaire, Social Support Questionnaire, and Beck Depression Inventory, respectively. CR was assessed at 1, 2, and 3 months post-discharge using the Reintegration to Normal Living Index (RNLI). Data were analyzed using Spearman's rho correlation and Friedman test. Results: The psychosocial and clinical attributes were significantly different from baseline and across the 3 months post-discharge (p < .0001), except for SS. CR significantly correlated with level of injury, function ability, SE, and depression across the 3 months post-discharge (p < .01). CR was significantly correlated with SS only at 1 month post-discharge (p = .027). Conclusion: Individuals with SCI had significant improvement in clinical and psychosocial attributes from discharge to 3 months post-discharge. Improvements in these variables were associated with better reintegration into the community.