截瘫性脊髓损伤患者的生活质量

Md. Shofiqul Islam, H. Jahan, M. Hossain, Md. Fazlul Karim Patwary
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引用次数: 3

摘要

目的:本文旨在研究截瘫性脊髓损伤(SCI)患者的生活质量(QoL),确定他们的社会人口学细节,并衡量与国际功能、残疾和健康分类(ICF)相关的不同表现水平。方法:采用结构化问卷对45例脊髓损伤截瘫患者进行描述性横断面研究。采用有目的抽样法和面对面访谈法收集数据。结果:大多数参与者(47%,n=21)年龄在20 ~ 30岁之间,平均年龄33.53(±11.14)岁。男性(89%,n=40)多于女性(11%,n=5),比例为8:1。最常见的职业是农业(27%,n=12),其次是日常劳动(22%,n=10)。从高处坠落(58%,n=26)是最常见的伤害原因。很高比例的参与者(36%,n=16)认为他们的生活质量(QoL)很差。经常感到沮丧(44%,n=20),而快乐只持续一小段时间(38%,n=17)。年龄较大的参与者在工作中遇到的问题比年轻人更多。男性和在公共场所工作的人在独立穿衣或洗澡方面面临问题。已婚参与者对收入和他们能做的工作量更不满意。那些经历过交通事故的人比其他人有更多的情感问题。关联分析表明,通过增加快乐和减少抑郁,参与者的生活质量可以得到改善。结论:脊髓损伤严重影响患者的生活质量,并带来更多的问题,尤其是在身心健康方面。有必要采取措施改善截瘫脊髓损伤患者的身体和情绪状况,因为这将最终导致其生活质量的改善
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of Life among Persons with Paraplegic Spinal Cord Injury
Purpose: This article aimed to examine quality of life (QoL) among persons with paraplegic spinal cord injury (SCI), to determine their socio-demographic details, and to measure the different levels of performance in correlation with the International Classification of Functioning, Disability and Health (ICF). Method: A descriptive cross–sectional study was conducted with a structured questionnaire to collect information from 45 persons with paraplegic SCI. Data was collected by purposive sampling technique and face-to-face interviews. Results : Most of the participants (47%, n=21) were in the age group of 20-30 years, with a mean age of 33.53 (± 11.14) years. There were more men (89%, n=40) than  women (11%, n=5) and the ratio was 8:1. The most common occupation was farming (27%, n=12), followed by daily labour (22%, n=10). Fall from a height (58%, n=26) was the most common cause of injury. A high percentage of participants (36%, n=16) rated their quality of life (QoL) as poor. Depression was felt very often (44%, n=20), where as happiness lasted for only a little while (38%, n=17).Older participants faced problems at work more often than younger persons. Males and those who worked in public places faced problems in dressing or bathing independently. Married participants were more dissatisfied regarding income and the amount of work they were able to do. Those who had met with road accidents had more emotional problems than others. Association analysis showed that by increasing happiness and decreasing depression participants’ quality of life could improve. Conclusion: The study demonstrated that spinal cord injury greatly affects quality of life (QoL) and gives rise to more problems, especially in the areas of physical and mental health. It is necessary to take steps to improve the physical and emotional status of paraplegic spinal cord injury clients, as this will eventually lead to improvement in their quality of life
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