脊髓损伤患者伤后 6 个月内的生活质量评估

Md. Tanzim Hasan Refat, Md.Taslim Uddin, Mohammad Tariqul Islam, K.M. Tarikul Islam, Palash Nag, Md. Uzzal Hossain, Md. Sydur Rahman
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摘要

导言:脊髓损伤(SCI)是一种破坏性神经状态,会导致长期的身体依赖、发病率增加、情感和经济负担。本研究旨在评估脊髓损伤患者在伤后六个月内的生活质量。研究目的本研究旨在评估脊髓损伤患者在受伤后头六个月内的生活质量。研究方法这项横断面研究于 2021 年 10 月至 2022 年 9 月期间在班加班杜谢赫-穆吉布医科大学(BSMMU)物理医学与康复系和神经外科系进行。共招募了 21 名受伤后 6 个月内患有 SCI 的患者。采用半结构式问卷进行访谈,评估人口统计学、SCI详情和QoL(WHOQOL-BREF)。神经损伤分类遵循 ASIA 标准。统计分析使用 SPSS 24 进行。结果研究中的大多数患者(23.8%)年龄在 41-50 岁和 51-60 岁之间。超过三分之二的患者(71.4%)为男性,跌倒(42.9%)和脊柱肿瘤(19.0%)是主要原因。其中,33.3%的患者完全受累于运动。根据身体领域的得分,66.7%的患者生活质量低。年龄与环境 QoL 评分呈明显正相关(r:0.532,P 值:0.013):SCI 严重损害了患者各方面的生活质量,完全性 SCI 患者的身体状况明显较差。要提高 SCI 幸存者的生活质量和自我护理能力,必须采取由医疗机构、家庭和社区共同参与的合作方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Quality of Life in Patients with Spinal Cord Injury within the Period of First 6 Months after Injury
Introduction: Spinal cord injury (SCI) is a devastating neurological state resulting in long-term physical dependency, increased morbidity, emotional, and financial burden. This study sought to assess the quality of life in patients with spinal cord injury within the first six months after injury. Aim of the study: The aim of this study was to assess the quality of life in patients with spinal cord injury within the first six months after injury. Methods: This cross-sectional study was conducted at the Department of Physical Medicine & Rehabilitation and Department of Neurosurgery in Bangabandhu Sheikh Mujib Medical University (BSMMU) over a period between October 2021 to September 2022. 21 patients with SCI within 6 months of injury were recruited. Interviews with a semi-structured questionnaire assessed demographics, SCI details, and QoL (WHOQOL-BREF). Neurological injury classification followed ASIA standards. Statistical analysis was performed using SPSS 24. Result: The majority of the studied patients (23.8%) were within the 41-50 and 51-60-year age groups. More than two-thirds of the studied patients (71.4%) were male. with falls (42.9%) and spinal tumors (19.0%) as leading causes. Among all, 33.3% of the patients had complete motor involvement. According to the score of the physical domain, 66.7% of patients had low QoL. Age was positively significantly correlated with the environmental QoL score (r: 0.532, p value: 0.013) Conclusion: SCI significantly impairs all aspects of quality of life, with complete SCI patients facing notably worse physical conditions. A collaborative approach involving health entities, families, and communities is essential to improve quality of life and self-care abilities for SCI survivors.
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