Quality of life of patients with traumatic spinal cord injuries: a cross-sectional study at a tertiary hospital in Uganda

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.60

Rogers Mugisa, Edward Luke Kironde, Erisa Sabakaki Mwaka

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Abstract

Background: The study aimed to assess the perceived quality of life of patients with traumatic spinal cord injuries. Methodology: This was a cross sectional study conducted in the Spine Unit of a tertiary hospital in Uganda. The study population comprised of patients with spinal cord injuries. Data were collected using the WHO Quality of Life Brief questionnaire and Functional Independence Measure tool. Results: 103 patients participated in the study, most were male (73.8%), and had a mean age of 37.7 years. Most participants were married (57.3%), unemployed (72.8%) and had no steady source of income (62.1%). Road traffic accidents accounted for most injuries (59.2%). The mean duration since injury was 20.5 months. Most participants (58.3%) had incomplete spinal cord injuries and 84.5% had complications. The perceived overall quality of life was poor in 87.4% of patients. Being employed (p= 0.02), the presence of complications (p= 0.03), and injury severity (p= 0.003) significantly affected quality of life. Functional independent measure scores were significantly better in individuals less severe injuries and those with lumbar level of injury with mean scores of 113.1±8.9 and 99.9±15.3 respectively. Conclusion: The overall self-reported quality of life among patients with traumatic spinal cord injury was generally poor. Keywords: Quality of life; traumatic injury; spinal cord.

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创伤性脊髓损伤患者的生活质量:乌干达一家三级医院的横断面研究

背景:本研究旨在评估外伤性脊髓损伤患者的感知生活质量。方法:这是一项横断面研究在乌干达三级医院脊柱部进行。研究人群包括脊髓损伤患者。使用WHO生活质量问卷和功能独立性测量工具收集数据。结果:103例患者参与研究，男性居多(73.8%)，平均年龄37.7岁。大多数参与者已婚(57.3%)、失业(72.8%)和没有稳定收入来源(62.1%)。道路交通事故伤害最多(59.2%)。平均受伤时间为20.5个月。大多数参与者(58.3%)有不完全性脊髓损伤，84.5%有并发症。87.4%的患者感觉总体生活质量较差。受雇(p= 0.02)、并发症(p= 0.03)和损伤严重程度(p= 0.003)显著影响生活质量。功能独立测量评分在轻度损伤个体和腰椎水平损伤个体中均显著提高，平均评分分别为113.1±8.9和99.9±15.3。结论:外伤性脊髓损伤患者总体自我报告生活质量普遍较差。关键词:生活质量;创伤性损伤;脊髓。

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来源期刊

African Health Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

179

审稿时长

>12 weeks

期刊介绍： The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.