Kovindha A, Kammuang-Lue P, Prakongsai P, Wongphan T
Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
International Health Policy Program, Nonthaburi, Thailand.
Spinal Cord. 2015 Oct;53(10):767-71. doi: 10.1038/sc.2015.77. Epub 2015 May 5.
A cross-sectional study.
To study prevalence of pressure ulcers (PrUs), quality of life (QoL) and effect of wheelchair cushions used by Thai wheelchair users with chronic spinal cord injury (SCI).
Maharaj Hospital, Chiang Mai, Thailand.
Thai chronic SCI wheelchair users, aged over 18 years and non-ambulatory with ASIA impairment scale A, B or C were recruited. They completed the PrUs questionnaire and rated the EuroQoL-5D and their health status with a visual analog scale (VAS). Demographic data of each participant were extracted from medical records. The EQ-5D health states were transformed to utility scores by using the Thai algorithm and the prevalence of PrUs was reported. The EQ-5D, the utility scores and the health status VAS were compared between those with and without current PrUs and between those participants using foam and air-filled cushions.
Of 129 participants, 26.4% had current PrUs at the time of the study, 27.9% had healed PrUs and 45.7% never had PrUs. The median VAS score for health status was 70 (Q1=50, Q3=80). Based on the EQ-5D, only one dimension (anxiety/depression) was significantly different between those with and those without current PrUs (P=0.015). Those using an air-filled cushions had a mean utility score four times higher than of those using a foam cushion (0.131 vs. 0.032, P=0.089) but not statistically significant.
PrUs are still prevalent among Thai wheelchair users with chronic SCI. Anxiety/depression is associated with current ulcers.
横断面研究。
研究泰国慢性脊髓损伤（SCI）轮椅使用者的压疮（PrUs）患病率、生活质量（QoL）以及所使用轮椅坐垫的效果。
泰国清迈玛哈叻医院。
招募年龄在18岁以上、非步行状态且ASIA损伤分级为A、B或C级的泰国慢性SCI轮椅使用者。他们完成压疮问卷，并用视觉模拟量表（VAS）对欧洲五维度健康量表（EuroQoL-5D）及其健康状况进行评分。从医疗记录中提取每位参与者的人口统计学数据。使用泰国算法将EQ-5D健康状态转换为效用得分，并报告压疮患病率。比较有和没有当前压疮的参与者之间以及使用泡沫坐垫和充气坐垫的参与者之间的EQ-5D、效用得分和健康状况VAS。
129名参与者中，26.4%在研究时患有当前压疮，27.9%有已愈合的压疮，45.7%从未患过压疮。健康状况的VAS评分中位数为70（第一四分位数=50，第三四分位数=80）。基于EQ-5D，有和没有当前压疮的参与者之间只有一个维度（焦虑/抑郁）存在显著差异（P=0.015）。使用充气坐垫的参与者的平均效用得分比使用泡沫坐垫的参与者高四倍（0.131对0.032，P=0.089），但无统计学意义。
压疮在泰国慢性SCI轮椅使用者中仍然普遍存在。焦虑/抑郁与当前溃疡有关。
