ALCOHOL USE AND SPINAL CORD INJURY OUTCOME

对残疾人饮酒情况知之甚少。 然而，一些残疾人可能有酗酒的风险。 滥用、依赖或成瘾。 一项试点研究， 住院康复患者饮酒模式分析 发现脊髓损伤的人可能特别 风险医疗和职业康复结果可能是 受酒精滥用的深刻影响;然而，这种关系 还有待确定。 这个为期三年的前瞻性项目将研究 酒精使用和康复结果之间的关系， 初次、6个月、12个月、18个月和30个月受伤者 计划进行评价;迄今，初步评价的四分之三已完成， 评估已经完成。 虽然有内部资金， 为了证明该项目的可行性;没有进一步的内部 资金到位。 因此，本提案要求提供资金， 评估损伤后酒精使用，康复结果 研究参与者所取得的成就，以及 酒精使用和康复结果。 生产工具 可量化的数据将用于评估人口统计学 特征;病史;抑郁症;接受度 残疾;酗酒家庭的频率、数量和新近度 酗酒史和康复结果。 频率， 采用判别分析、因子分析和通径分析等方法， 数据 早期识别滥用药物的脊髓损伤患者 或酗酒，或有滥用风险的人， 降低康复成本，提高康复效果 结果。 由于所有SCI患者每年的医疗费用 估计为19亿美元，及时有效地干预， 滥用酒精或有酗酒风险的脊髓损伤者 虐待既人道又符合成本效益。

Little is known about alcohol use by persons with disabilities. Yet some persons with disabilities may be at risk for alcohol abuse, dependence or addiction. A pilot study examining pre- admission patterns of alcohol use by rehabilitation inpatients found that persons with spinal cord injuries may be at particular risk Medical and vocational rehabilitation outcome may be profoundly influenced by alcohol abuse; however, this relationship has yet to be established. This three-year, prospective project will study the relationship between alcohol use and rehabilitation outcome in a sample of 150 persons with recent injuries, Initial, 6-, 12-, 18- and 30-month evaluations are planned; to date, three-quarters of the initial evaluations are complete. While internal funds were made available to demonstrate the feasibility of this project; no further internal funds are available. Hence, this proposal requests funding to evaluate post-injury alcohol use, the rehabilitation outcome achieved by study participants, and the relationship between alcohol use and rehabilitation outcome. Instruments that produce quantifiable data will be used to assess demographic characteristics; medical history; depression; acceptance of disability; frequency, quantity and recency of alcohol abuse family history of alcohol abuse; and rehabilitation outcome. Frequency, discriminant, factor and path analyses will be used to analyze the data. Early identification of persons with spinal cord injuries who abuse or are addicted to alcohol, or who are at risk for abuse, should decrease the cost of rehabilitation and improve rehabilitation outcome. Since the annual medical cost for all persons with SCI is estimated at $1.9 billion, timely and effective intervention for persons with cord injuries who abuse or are at risk for alcohol abuse is both humane and cost effective.