Clinical and socio-demographic determinants of community reintegration in people with spinal cord injury in eThekwini Municipality, KwaZulu-Natal province.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-05-27 eCollection Date: 2022-01-01 DOI:10.4102/sajp.v78i1.1631

Estelle Buys, Thayananthee Nadasan, Ntsikelelo Pefile, Michael O Ogunlana, Deshini Naidoo

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引用次数: 1

Abstract

Background: Community reintegration is a major outcome of rehabilitation after the acute phase in people with spinal cord injury (PWSCI).

Objective: To investigated clinical and socio-demographic factors determining community participation in PWSCI, living in the greater eThekwini Municipality, KwaZulu-Natal province.

Method: Our quantitative, cross-sectional study had a convenient sample of 41 PWSCI. A trained interviewer obtained socio-demographic information using a structured questionnaire. Participants completed the Reintegration to Normal Living Index (RNLI). Descriptive statistics were used in summarising the data; inferential statistics, -a t-test and analysis of variance (ANOVA) assessed the association of clinical and socio-demographic factors with the extent of community reintegration. A multiple linear regression investigated the determinants of community reintegration with the alpha level set at p = 0.05.

Results: Mean age of the participants was 41 years (s.d.: 10, range 25-66), with the majority (n = 32, 78%) being male. The mean RNLI score was 68% (s.d.: 22, range 24-100). Participants scored higher on the RNLI if they were male (mean difference [MD] 18%, 95% confidence interval [CI]: 2-34), were employed (MD 16%, 95% CI: 0-32), had a salary (MD 19%, 95% CI: 5-32) and had no muscle spasms (MD 14%, 95% CI: 1-27. Muscle spasms (p = 0.012, 95% CI: 3.85-29.05) and being female PWSCI (p = 0.010, 95% CI: -35.75 to -5.18) were significant negative predictors of community reintegration.

Conclusion: Community reintegration may be influenced by socio-economic factors. Special interventions for muscle spasms and support for women living with spinal cord injuries may enhance community reintegration.

Clinical implication: Therapists need to focus on community reintegration with female PWSCI and on returning to PWSCI to work as this was improved community reintegration.

查看原文本刊更多论文

KwaZulu-Natal省eThekwini市脊髓损伤患者重新融入社区的临床和社会人口统计学决定因素

背景:社区重返社会是脊髓损伤(PWSCI)患者急性期后康复的主要结果。目的:调查决定夸祖鲁-纳塔尔省大埃德克维尼市社区参与PWSCI的临床和社会人口因素。方法:我们的定量，横断面研究有41个方便的PWSCI样本。经过培训的采访者使用结构化问卷获得社会人口统计信息。参与者完成了重新融入正常生活指数(RNLI)。描述性统计用于汇总数据;推断统计，一种t检验和方差分析(ANOVA)评估临床和社会人口因素与社区重新融入程度的关系。多元线性回归研究了社区重新融入的决定因素，α水平设置为p = 0.05。结果:参与者的平均年龄为41岁(sd: 10，范围25-66)，其中大多数(n = 32,78%)为男性。RNLI平均评分为68%(标准差:22，范围24-100)。如果参与者是男性(平均差值[MD] 18%， 95%置信区间[CI]: 2-34)，有工作(MD为16%，95% CI: 0-32)，有工资(MD为19%，95% CI: 5-32)，没有肌肉痉挛(MD为14%，95% CI: 1-27)，那么他们在RNLI上得分更高。肌肉痉挛(p = 0.012, 95% CI: 3.85 ~ 29.05)和女性PWSCI (p = 0.010, 95% CI: -35.75 ~ -5.18)是社区重返社会的显著负向预测因子。结论:社会经济因素可能影响社区重返社会。对肌肉痉挛的特殊干预和对脊髓损伤妇女的支持可促进社区重新融入。临床意义:治疗师需要关注女性PWSCI患者的社区重新融入，以及重返PWSCI工作，因为这可以改善社区重新融入。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.