Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and De Hoogstraat, Utrecht, The Netherlands.
Disabil Rehabil. 2012;34(1):76-83. doi: 10.3109/09638288.2011.587089. Epub 2011 Aug 26.
To describe the course of life satisfaction in persons with spinal cord injury (SCI) during the first 5 years after discharge from inpatient rehabilitation and to examine its determinants.
Multi-centre prospective cohort study with four measurements, the first at discharge from inpatient rehabilitation, the last 5 years after discharge. Data of 162 persons with SCI were analyzed. Life satisfaction was measured as the sum score of 'current life satisfaction' and 'current life satisfaction compared to life satisfaction before SCI'. Lesion characteristics, functional independence, secondary impairments, pain, social support and self-efficacy were analyzed as possible determinants of life satisfaction. Random coefficient analysis was used for the analyses.
No significant changes in life satisfaction were found between discharge and 2 years later, however there were significant increases from two to 5 years post discharge. High functional independence, low pain, high everyday social support and high self-efficacy were significant determinants of a positive course of life satisfaction after discharge.
Increases in life satisfaction were found in persons with SCI in the long run. High functional status, low pain, good social skills and high self-efficacy were related to high life satisfaction.
描述脊髓损伤（SCI）患者出院后 5 年内生活满意度的变化过程，并探讨其决定因素。
这是一项多中心前瞻性队列研究，共进行了 4 次测量，第一次是在出院时，最后一次是在出院后 5 年。对 162 名 SCI 患者的数据进行了分析。生活满意度用“当前生活满意度”和“与 SCI 前生活满意度相比的当前生活满意度”的总和得分来衡量。分析了损伤特征、功能独立性、继发性损伤、疼痛、社会支持和自我效能等可能的决定因素。采用随机系数分析进行分析。
出院时和 2 年后的生活满意度没有显著变化，但出院后 2 年至 5 年的生活满意度显著增加。功能独立性高、疼痛低、日常社会支持高、自我效能高是出院后生活满意度积极变化的显著决定因素。
从长远来看，SCI 患者的生活满意度有所提高。较高的功能状态、较低的疼痛、良好的社交技能和较高的自我效能与较高的生活满意度有关。
