Kemp Bryan, Tsukerman Dmitry, Kahan Jason, Adkins Rodney
University of Southern California, Keck School of Medicine , Los Angeles, California.
California State University , Fullerton, California.
Top Spinal Cord Inj Rehabil. 2014 Summer;20(3):191-6. doi: 10.1310/sci2003-191.
Spinal cord injury (SCI) significantly impacts an individual's quality of life (QOL). A brief and subjective measure of QOL is necessary to monitor the progress and outcomes of SCI rehabilitation.
To determine whether this measure of QOL was associated with clinically important physical and psychosocial outcomes in a sample of people with SCI, to determine how people with SCI scored on this measure of QOL, and to determine whether people with SCI scored differently than nondisabled individuals on the QOL scale.
Participants were 134 people with SCI (65% male; 35% female) and 227 nondisabled people (35% male; 65% female). Participants were assessed on a number of psychosocial and physiological variables at a large urban university and rehabilitation center. Variables examined were QOL, life satisfaction, depression, social interaction, pain, fatigue, and level of functioning.
Participants with SCI reported more low QOL scores and fewer high QOL scores than the nondisabled group. For participants with SCI, QOL was positively related to life satisfaction and social interaction and negatively related to pain, fatigue, and depression.
Participants with SCI scored lower on the QOL measure than those without a disability, although the difference was not clinically significant. QOL was unrelated to level of functioning; people may still experience a high QOL despite their physical limitations. Depression and social interaction were significantly related to QOL and should be secondary targets for intervention following SCI rehabilitation.
脊髓损伤（SCI）对个体的生活质量（QOL）有显著影响。需要一种简短且主观的生活质量测量方法来监测脊髓损伤康复的进展和结果。
确定这种生活质量测量方法是否与脊髓损伤患者样本中具有临床重要意义的身体和心理社会结果相关，确定脊髓损伤患者在这种生活质量测量方法上的得分情况，并确定脊髓损伤患者在生活质量量表上的得分与非残疾个体是否不同。
参与者包括134名脊髓损伤患者（65%为男性；35%为女性）和227名非残疾个体（35%为男性；65%为女性）。在一所大型城市大学和康复中心对参与者进行了一系列心理社会和生理变量的评估。所检查的变量包括生活质量、生活满意度、抑郁、社交互动、疼痛、疲劳和功能水平。
与非残疾组相比，脊髓损伤患者报告的低生活质量得分更多，高生活质量得分更少。对于脊髓损伤患者，生活质量与生活满意度和社交互动呈正相关，与疼痛、疲劳和抑郁呈负相关。
脊髓损伤患者在生活质量测量上的得分低于非残疾患者，尽管差异在临床上不显著。生活质量与功能水平无关；尽管存在身体限制，人们仍可能体验到较高的生活质量。抑郁和社交互动与生活质量显著相关，应成为脊髓损伤康复后干预的次要目标。
