Krause J S, Crewe N M
Shepherd Spinal Center, Atlanta, GA 30309.
Arch Phys Med Rehabil. 1991 Feb;72(2):91-100.
People are now living longer after spinal cord injury (SCI), yet only limited research has addressed the issue of aging and adjustment after SCI. The purpose of this study was to use a time-sequential design to identify the relationship between adjustment after SCI and three facets of aging; chronologic age, time since injury, and time of measurement. Life Situation Questionnaires were obtained from one sample of participants with SCI in 1974 (n = 256) and from a second sample in 1985 (n = 193). Participants were grouped into five cohorts based on chronologic age, five cohorts based on time since injury, and two groups based on time of measurement (1974, 1985). Two two-way MANOVA's were performed, one between chronologic age and time of measurement, and the other between time since injury and time of measurement. Results indicated that chronologic age and time since injury often worked in opposing directions; as some aspects of adjustment declined with greater chronologic age, but other aspects improved with increasing time since injury. Activity was strongly related to chronologic age, but medical stability was more strongly related to time since injury. Both chronologic age and time since injury were correlated with some aspects of life satisfaction. Comparisons between the two times of measurement (1974, 1985) indicated some limited positive changes in adjustment with time. The results point to the complexity of the relationship between aging and adjustment and the need for rehabilitation professionals to consider multiple aging factors.
现在，脊髓损伤（SCI）患者的寿命延长了，但针对SCI后衰老与适应问题的研究却很有限。本研究的目的是采用时间序列设计，确定SCI后适应与衰老的三个方面之间的关系；实际年龄、受伤时间和测量时间。分别于1974年从一组脊髓损伤参与者样本（n = 256）和1985年从另一组样本（n = 193）中获取生活状况问卷。参与者根据实际年龄分为五个队列，根据受伤时间分为五个队列，根据测量时间分为两组（1974年、1985年）。进行了两次双向多变量方差分析，一次是在实际年龄和测量时间之间，另一次是在受伤时间和测量时间之间。结果表明，实际年龄和受伤时间往往呈相反方向变化；随着实际年龄的增加，适应的某些方面下降，但随着受伤时间的增加，其他方面有所改善。活动与实际年龄密切相关，但医疗稳定性与受伤时间的相关性更强。实际年龄和受伤时间都与生活满意度的某些方面相关。两次测量时间（1974年、1985年）之间的比较表明，随着时间的推移，适应方面有一些有限的积极变化。结果表明了衰老与适应之间关系的复杂性，以及康复专业人员考虑多种衰老因素的必要性。
