Gamsiz Bilgin Nursel, Mert Ertan, Sezgin Melek
Department of Forensic Medicine, Faculty of Medicine, Mersin University, Turkey.
Acta Orthop Traumatol Turc. 2012;46(3):168-73. doi: 10.3944/aott.2012.2673.
The purpose of this study was to investigate the impact of disabilities caused by traffic accidents on quality of life using the SF-36 health survey.
The study group included 168 patients (30 females and 138 males) injured in traffic accidents referred to the Department of Forensic Medicine to obtain health reports indicating their degree of disability. One hundred twenty-two cases comprised the control group. The degree of disability for the injured body parts was determined based on the related section of the Disability Regulation for patients regarded as recovered based on examination and consultation. Quality of life was calculated using the SF-36 survey. Patients were additionally evaluated using the physical and mental component summary PCS/MCS) scores.
A statistically significant difference was observed between the groups in terms of the injured body parts. The femur, tibia and/or fibula, vertebrae, radius and/or ulna and the humerus were the most frequently fractured bones. The degree of disability in the patient group was 19.22 ± 17.73. Together with the scores of the eight subscales of SF-36, the PCS and MCS score in the patient group were significantly lower when compared to the control group (p<0.05).
An update is required in the Disability Regulation, including the addition of items on deterioration in the quality of life and pain, and the use of the SF-36 scale may be beneficial in this regard.
本研究旨在使用SF-36健康调查问卷，调查交通事故导致的残疾对生活质量的影响。
研究组包括168例在交通事故中受伤的患者（30名女性和138名男性），他们被转介到法医学系以获取表明其残疾程度的健康报告。122例组成对照组。根据检查和会诊确定已康复患者的残疾程度，参照《残疾条例》相关章节确定受伤身体部位的残疾程度。使用SF-36调查问卷计算生活质量。此外，使用身体和心理成分汇总得分（PCS/MCS）对患者进行评估。
两组在受伤身体部位方面存在统计学上的显著差异。股骨、胫骨和/或腓骨、椎骨、桡骨和/或尺骨以及肱骨是最常发生骨折的部位。患者组的残疾程度为19.22±17.73。与对照组相比，患者组的PCS和MCS得分以及SF-36八个子量表的得分均显著更低（p<0.05）。
《残疾条例》需要更新，包括增加生活质量恶化和疼痛方面的条目，在这方面使用SF-36量表可能会有所帮助。
