van Koppenhagen Casper F, Post Marcel W, van der Woude Luc H, de Groot Sonja, de Witte Luc P, van Asbeck Floris W, van den Heuvel Wim, Lindeman Eline
Department of Rehabilitation Medicine and Rudolf Magnus Institute for Neuroscience, University Medical Center Utrecht, The Netherlands.
Am J Phys Med Rehabil. 2009 Nov;88(11):887-95. doi: 10.1097/PHM.0b013e3181b71afe.
To determine the course of life satisfaction of persons with spinal cord injury and its determinants during inpatient rehabilitation and up to 1 yr after discharge.
Prospective cohort study of 222 persons with spinal cord injury. Measurements at the start of active rehabilitation, after 3 mos, at discharge, and 1 yr after discharge. Questions about current life satisfaction and current life satisfaction compared with life satisfaction before spinal cord injury were asked and analyzed, and the sum score Life Satisfaction Total of these questions was analyzed using a multilevel regression analysis. Person and injury characteristics and secondary impairments at each measurement were analyzed as possible determinants of the Life Satisfaction Total score.
Estimated Life Satisfaction Total scores improved from 5.3 (SE, 0.16) at the start of active rehabilitation up to 6.5 (0.17) at discharge and remained stable (6.5; 0.16) during the first year after discharge. Significant determinants of a positive course of life satisfaction were less pain, fewer secondary impairments, and better functional status.
Life satisfaction already improves during inpatient rehabilitation. Functional status, pain, and secondary impairments must be treated adequately in multidisciplinary rehabilitation.
确定脊髓损伤患者在住院康复期间及出院后1年内生活满意度的变化过程及其决定因素。
对222例脊髓损伤患者进行前瞻性队列研究。在积极康复开始时、3个月后、出院时及出院后1年进行测量。询问并分析有关当前生活满意度以及与脊髓损伤前生活满意度相比的当前生活满意度的问题，并使用多水平回归分析对这些问题的生活满意度总分进行分析。将每次测量时的个人和损伤特征以及继发性损伤作为生活满意度总分的可能决定因素进行分析。
估计的生活满意度总分从积极康复开始时的5.3（标准误，0.16）提高到出院时的6.5（0.17），并在出院后的第一年保持稳定（6.5；0.16）。生活满意度呈积极变化过程的显著决定因素是疼痛减轻、继发性损伤较少以及功能状态较好。
住院康复期间生活满意度已有所提高。在多学科康复中必须对功能状态、疼痛和继发性损伤进行充分治疗。
