Krause J S
Shephard Spinal Center, Atlanta, GA 30309.
Arch Phys Med Rehabil. 1992 Jun;73(6):564-8.
Research on changes in adjustment after spinal cord injury (SCI) has produced mixed results. Whereas cross-sectional research has suggested that adjustment declines with increasing age, but improves with greater time since injury, longitudinal research has suggested that some limited positive changes in adjustment occur over an 11-year period. The purpose of the current study was to identify the stability of adjustment over a 15-year period after SCI. One hundred thirty-five participants with SCI completed Life Situation Questionnaires (LSQ) in both 1974 and 1989. T-test comparisons were made on five adjustment scales and 15 individual items. The results suggested several positive changes in adjustment during the 15 years including increased sitting tolerance, more years of education, greater satisfaction with finances and employment, and a higher percentage of persons working. Decreases were noted in the number of hospitalizations and the number of days hospitalized. Given the average number of years since injury (9.3 years in 1974; 24.3 years in 1989), the results suggest that adjustment will at worst be stable, and at best will improve significantly with time.
关于脊髓损伤（SCI）后适应变化的研究结果不一。横断面研究表明，适应能力会随着年龄增长而下降，但会随着受伤时间的延长而改善；纵向研究则表明，在11年的时间里，适应能力会出现一些有限的积极变化。本研究的目的是确定脊髓损伤后15年内适应能力的稳定性。135名脊髓损伤患者在1974年和1989年都完成了生活状况问卷（LSQ）。对五个适应量表和15个单项进行了t检验比较。结果表明，在这15年中，适应能力出现了一些积极变化，包括久坐耐受性增加、受教育年限增加、对财务状况和就业的满意度提高，以及工作人群的比例更高。住院次数和住院天数有所减少。考虑到受伤后的平均年数（1974年为9.3年；1989年为24.3年），结果表明，适应能力最差将保持稳定，最好将随着时间的推移而显著改善。
