Predictors of life satisfaction: A spinal cord injury cohort study
Predictors of life satisfaction: A spinal cord injury cohort study
复制标题
DOI：
10.1053/apmr.2002.31173
复制
发表时间：
2002-04-01
影响因子：
4.3
通讯作者：
DeVivo, MJ
中科院分区：
文献类型：
--
作者：
Putzke, JD;Richards, JS;DeVivo, MJ
目的：确定脊髓损伤（SCI）后2年生活满意度的独特人口统计学、医学、感知健康和残疾预测因素，以及1年至2年生活满意度变化的预测因素。设计：通过使用18个脊髓损伤模型系统的纵向数据进行前瞻性预测研究。设置：大学物理医学和康复系。参与者：创伤性脊髓损伤的成年患者（N = 940）在伤后1年和2年进行评估。干预措施：不适用。主要结果测量：脊髓损伤后2年的生活满意度量表（SWLS）。预测变量：人口统计学特征、损伤和残疾分类以及SCI后1年的生活满意度（SWLS）、医疗并发症、自我感知健康（医疗结果研究12项简表健康调查）和残疾程度（克雷格残疾评估和报告技术）。结果：与SCI后第2年自我报告的生活满意度较低的风险增加相关的因素包括男性和失业，健康状况不佳，流动性下降，社会融合度下降。控制后的第1年估计的生活满意度（即，检查生活满意度的变化），只有流动性和自觉健康是唯一相关的生活满意度2年后SCI.Conclusion：流动性和自觉健康似乎是一致的预测生活满意度在第2年后SCI，以及满意度从第1年到第2年的变化。因为这两个因素都是可以改变的，所以它们是干预计划的合理目标。确定与生活满意度相关的感知健康和流动性的具体机制应该是继续研究的一个重要领域。
Objective: To determine unique demographic, medical, perceived health, and handicap predictors of life satisfaction 2 years after spinal cord injury (SCI), as well as the predictors of change in life satisfaction from year 1 to year 2.Design: Prospective predictive study performed by using longitudinal data from 18 Spinal Cord Injury Model Systems.Setting: University physical medicine and rehabilitation department.Participants: Adults with traumatic onset SCI (N = 940) evaluated at 1 and 2 years' postinjury.Interventions: Not applicable.Main Outcome Measures: Satisfaction with Life Scale (SWLS) 2 years post-SCI. Predictor variables: demographic characteristics, impairment and disability classifications, and 1 year post-SCI measures of life satisfaction (SWLS), medical complications, self-perceived health (Medical Outcomes Study 12-Item Short-Form Health Survey), and extent of handicap (Craig Handicap Assessment and Reporting Technique).Results: The factors uniquely associated with an increased risk of lower self-reported life satisfaction at year 2 post-SCI included being male and unemployed, with poor perceived health, decreased mobility, and decreased social integration. After controlling for year 1 estimates of life satisfaction (ie, examining change in life satisfaction), only mobility and perceived health were uniquely related to life satisfaction 2 years post-SCI.Conclusion: Mobility and perceived health appear to be the consistent predictors of life satisfaction at year 2 post-SCI, as well as change in satisfaction from year 1 to year 2. Because both factors are amenable to change, they are reasonable targets of intervention programs. Identifying specific mechanisms of perceived health and mobility associated with life satisfaction should be an important area of continued research.