Aging, spinal cord injury, and quality of life: Structural relationships
Aging, spinal cord injury, and quality of life: Structural relationships
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DOI：
10.1016/s0003-9993(03)00138-2
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发表时间：
2003-08-01
影响因子：
4.3
通讯作者：
Frankel, H
中科院分区：
文献类型：
--
作者：
McColl, MA;Arnold, R;Frankel, H
目标：量化 3 组因素之间的关系：人口因素、健康和残疾因素以及生活质量 (QOL)。设计：老龄化和脊髓损伤 (SCI) 纵向研究计划的一部分，涉及 3 个人群：美国、英国和加拿大。本分析使用 1999 年区间的数据。背景：加拿大样本源自加拿大截瘫协会安大略省和马尼托巴省分部的成员数据库。英国样本是从英国的国家和地区 SCI 中心招募的。美国样本是通过科罗拉多州的一家医院招募的。参与者：从 4 个大型、完善的数据库中收集了 352 名参与者的样本。样本包括至少 20 年前发生 SCI、受伤后 1 年内接受康复治疗、受伤时年龄在 15 至 55 岁之间的个体。干预措施：不适用。主要结果指标：自我完成的问卷调查和访谈相结合。数据包括人口统计、伤害相关变量、健康和残疾相关因素、生活质量以及对衰老的看法。结果：使用线性结构关系模型，我们发现生活质量直接和间接地受到年龄、健康和残疾问题以及对衰老的看法的影响。两个令人惊讶的发现如下：那些经历过较少残疾相关问题的人更有可能报告在衰老方面的质量劣势，而样本中的年轻成员更有可能报告疲劳。结论：疲劳是一个令人担忧的问题，因为疲劳与衰老、健康问题和残疾问题中感知到的时间劣势之间存在关系。这一发现凸显了那些刚刚开始经历衰老影响的人需要保持临床警惕。 (C) 2003 年由美国康复医学大会和美国物理医学与康复学会颁发。
Objective: To quantify relationships among 3 sets of factors: demographic factors, health and disability factors, and quality of life (QOL).Design: Part of a program of longitudinal research on aging and spinal cord injury (SCI) involving 3 populations: American, British, and Canadian. The present analysis uses data from the 1999 interval.Setting: The Canadian sample was derived from the member database of the Ontario and Manitoba divisions of the Canadian Paraplegic Association. The British sample was recruited from a national and a regional SCI center in England. The American sample was recruited through a hospital in Colorado.Participants: A sample of 352 participants was assembled from 4 large, well-established databases. The sample included individuals who had incurred an SCI at least 20 years earlier, were admitted to rehabilitation within 1 year of injury, and were between the ages of 15 and 55 at the time of injury.Interventions: Not applicable.Main Outcome Measures: A combination of self-completed questionnaires and interviews. Data included demographics, injury-related variables, health and disability-related factors, QOL, and perceptions about aging.Results: Using linear structural relationships modeling, we found that QOL was affected both directly and indirectly by age, health and disability problems, and perceptions of aging. Two surprising findings were as follows: those who experienced fewer disability-related problems were more likely to report a qualitative disadvantage in aging, and the younger members of the sample were more likely to report fatigue.Conclusions: Fatigue is a concern because of the relationship of fatigue with perceived temporal disadvantage in aging, health problems, and disability problems. This finding highlights the need for clinical vigilance among those just beginning to experience the effects of aging. (C) 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.