ALCOHOL USE AND SPINAL CORD INJURY OUTCOME

人们对残疾人饮酒的情况知之甚少。 然而，一些残疾人可能有饮酒的风险。 虐待、依赖或上瘾。一项初步研究，检验了Pre 康复住院患者饮酒入院情况分析 发现有脊髓损伤的人可能特别 风险医疗和职业康复结果可能是 深受酗酒的影响；然而，这种关系 尚未确定。 这个为期三年的前瞻性项目将研究这一关系 酒精使用与康复效果之间的关系--一项150人的样本研究 最近受伤的人，最初、6个月、12个月、18个月和30个月 评价是有计划的；到目前为止，初始评价的四分之三 评估已经完成。在提供内部资金的同时 以证明该项目的可行性；没有进一步的内部 资金是可用的。因此，这项提案要求提供资金，以 评估受伤后饮酒、康复效果 由研究参与者实现的，以及两者之间的关系 酒精使用和康复结果。生产的仪器 将使用可量化的数据来评估人口统计 特征；病史；抑郁症；接受 残疾；酗酒家庭的频率、数量和最近程度 酗酒史；以及康复结果。频率， 将使用判别分析、因子分析和通径分析来分析 数据。 脊髓损伤施虐者的早期识别 或酗酒，或有滥用危险的人，应该 降低康复成本，提高康复水平 结果。由于所有脊髓损伤患者的年度医疗费用 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患者 虐待既是人道的，也是成本效益的。

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.