Predicting quality of life 5 years after medical discharge for traumatic spinal cord injury
Predicting quality of life 5 years after medical discharge for traumatic spinal cord injury
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DOI：
10.1111/bjhp.12063
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发表时间：
2014-11-01
影响因子：
7.9
通讯作者：
Fine, Philip R.
中科院分区：
文献类型：
--
作者：
Erosa, Norma A.;Berry, Jack W.;Fine, Philip R.
ObjectivesThis study tested a priori contextual model of mediating effects of participation on the predictive relationships of functional impairment，family satisfaction，and pain to quality of life（QoL）after traumatic spinal cord injury（SCI）.DesignA longitudinal design was used to study 144 persons after discharge for traumatic SCI.预测变量包括功能障碍和家庭满意度（出院后12个月）和疼痛的存在（24个月），中介变量是参与的两个指标（出院后48个月评估）。生活满意度和自我评价的健康状况在60个月后出院的outcome variables.MethodsA路径模型测试的功能障碍，家庭满意度和疼痛的参与和随后的影响参与对生活质量variables.ResultsGreater的功能障碍和疼痛预测较少的参与，参与显着预测两个指标的生活质量。这两个参与变量介导了功能障碍和疼痛与生活满意度之间的关系。家庭满意度有一个间接的影响生活质量，通过其与社会integration.ConclusionsParticipation调解功能障碍，家庭满意度，疼痛生活质量在SCI后的几年的前瞻性影响。这些研究结果提供了深入了解的因素，可以预测生活质量后SCI和支持使用上下文模型来了解残疾和心理变量的参与和随后的生活质量的时间影响。
ObjectivesThis study tested an a priori contextual model of the mediating effects of participation on the predictive relationships of functional impairment, family satisfaction, and pain to quality of life (QoL) following traumatic spinal cord injury (SCI).DesignA longitudinal design was used to study 144 persons following discharge for traumatic SCI. Predictor variables included functional impairment and family satisfaction (at 12months post-discharge) and the presence of pain (at 24months), and mediating variables were two indicators of participation (assessed 48months post-discharge). Life satisfaction and self-rated health status at 60months post-discharge were the outcome variables.MethodsA path model tested hypothesized prospective effects of functional impairment, family satisfaction and pain on participation and the subsequent effects of participation on the QoL variables.ResultsGreater functional impairment and pain were predictive of less participation, and participation significantly predicted both indicators of QoL. The two participation variables mediated the relationship of functional impairment and pain to life satisfaction over time. Family satisfaction had an indirect effect on QoL through its association with social integration.ConclusionsParticipation appears to mediate the prospective influence of functional impairment, family satisfaction, and pain on QoL in the years following SCI. These findings provide insight into factors that can predict QoL post-SCI and support the use of contextual models to understand the temporal influence of disability and psychological variables on participation and subsequent QoL.