SECONDARY HEALTH CONDITIONS AND QUALITY OF LIFE IN PERSONS LIVING WITH SPINAL CORD INJURY FOR AT LEAST TEN YEARS
SECONDARY HEALTH CONDITIONS AND QUALITY OF LIFE IN PERSONS LIVING WITH SPINAL CORD INJURY FOR AT LEAST TEN YEARS
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DOI：
10.2340/16501977-2166
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发表时间：
2016-11-01
影响因子：
3.5
通讯作者：
Post, Marcel W. M.
中科院分区：
文献类型：
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作者：
Adriaansen, Jacinthe J. E.;Ruijs, Laura E. M.;Post, Marcel W. M.
目的：描述长期脊髓损伤患者中继发性健康状况的患病率，以及这些继发性健康状况与生活质量之间的关系。设计：多中心、横断面研究。受试者：创伤性或非创伤性脊髓损伤≥10年的个体（n=282），受伤时年龄 18-35 岁，当前年龄 28-65 岁，使用轮椅。方法：13 次继发性健康状况的发生在与康复医生协商期间评估了健康状况。生活质量通过国际脊髓损伤生活质量基本数据集进行测量。结果：受伤后的中位时间为 22.0 年。继发性健康状况的中位数为 4。最常见的继发性健康状况是：肌肉骨骼疼痛（63.5%）、水肿（38.7%）、神经性疼痛（34.1%）和尿路感染（33.3%）。只有水肿与受伤后时间的增加显着相关。生活质量基本数据集总分中位数为 7。多元回归分析显示，肌肉骨骼疼痛、压疮、问题性痉挛和便秘与生活质量存在独立关联，但总体而言，这些关联较弱。结论：继发性健康状况在长期脊髓损伤患者中很常见，以下继发性健康状况与较低的生活质量独立相关：肌肉骨骼疼痛、压疮、问题性痉挛和便秘。最大限度地减少继发性健康状况的影响应成为脊髓损伤患者长期护理的首要任务。
Objectives: To describe the prevalence of secondary health conditions among persons with long-term spinal cord injury, and the relationship between these secondary health conditions and quality of life.Design: Multicentre, cross-sectional study.Subjects: Individuals (n=282) with traumatic or non-traumatic spinal cord injury for >= 10 years, age at injury 18-35 years, current age 28-65 years, and using a wheelchair.Methods: Occurrence of 13 secondary health conditions was assessed during a consultation with a rehabilitation physician. Quality of life was measured with the International Spinal Cord Injury Quality of Life Basic Data Set.Results: Median time since injury was 22.0 years. Median number of secondary health conditions was 4. The most prevalent secondary health conditions were: musculoskeletal pain (63.5%), oedema (38.7%), neuropathic pain (34.1%) and urinary tract infections (33.3%). Only oedema showed a significant association with increasing time since injury. Median Total Quality of Life Basic Data Set score was 7. Musculoskeletal pain, pressure ulcers, problematic spasticity and constipation showed an independent association with quality of life in multiple regression analysis, but in general, these associations were weak.Conclusion: Secondary health conditions are common among persons with long-term spinal cord injury and the following secondary health conditions were independently associated with lower quality of life: musculoskeletal pain, pressure ulcers, problematic spasticity, and constipation. Minimizing the impact of secondary health conditions should be a priority in the long-term care of persons with spinal cord injury.