Kumar Narinder, Gupta Bhawna
Department of Orthopaedics, Military Hospital, Maharashtra, India.
Griffith Health Institute, Griffith University, Queensland, Australia.
Asian Spine J. 2016 Apr;10(2):267-75. doi: 10.4184/asj.2016.10.2.267. Epub 2016 Apr 15.
A prospective cross-sectional study with convenience sampling approach was done to assess quality of life (QoL) in 100 soldiers and veterans affected by spinal cord injury (SCI).
SCI affects almost every aspect of the life of an affected individual. This study was done to measure the impact of SCI on QoL of affected soldiers and veterans using the WHOQOL-BREF questionnaire.
The devastating effect of SCI on QoL is well known. However, this study is unique in that it includes soldiers and veterans, who constitute a large, but excluded, cohort in most demographic studies.
A cross-sectional study was done at two SCI rehabilitation centres of the Indian armed forces. Data was collected by face-to-face interviews from 100 patients, which included both sociodemographic data as well as all the questions included in WHOQOL-BREF questionnaire. Statistical analysis was performed using SPSS software.
Age and marital status did not have any influence on QoL. Level of injury (paraplegic or quadriplegic), level of education and presence of other medical co-morbidities had the most significant influence on QoL. Presence of other medical co-morbidities had a negative influence on QoL.
Identification of factors having a positive and negative influence on QoL help in formulating measures and policies that positively influence the QoL following SCI in soldiers. Future longitudinal studies with larger sample sizes and assessment of additional variables in addition to WHOQOL-BREF, like presence/absence of secondary complications, are required to bring about policy changes to provide SCI patients with additional support and increased access to equipment or lifestyle interventions.
采用便利抽样法进行前瞻性横断面研究,以评估100名脊髓损伤(SCI)士兵和退伍军人的生活质量(QoL)。
SCI几乎影响受影响个体生活的方方面面。本研究旨在使用世界卫生组织生活质量简表(WHOQOL-BREF)问卷来衡量SCI对受影响士兵和退伍军人生活质量的影响。
SCI对生活质量的毁灭性影响是众所周知的。然而,本研究的独特之处在于它纳入了士兵和退伍军人,他们在大多数人口统计学研究中是一个庞大但被排除在外的队列。
在印度武装部队的两个SCI康复中心进行了横断面研究。通过面对面访谈收集了100名患者的数据,包括社会人口统计学数据以及WHOQOL-BREF问卷中的所有问题。使用SPSS软件进行统计分析。
年龄和婚姻状况对生活质量没有任何影响。损伤程度(截瘫或四肢瘫)、教育程度和其他合并症的存在对生活质量有最显著的影响。其他合并症的存在对生活质量有负面影响。
确定对生活质量有正面和负面影响的因素有助于制定对士兵SCI后生活质量有积极影响的措施和政策。未来需要进行更大样本量的纵向研究,并除了WHOQOL-BREF之外评估其他变量,如是否存在继发性并发症,以带来政策变化,为SCI患者提供额外支持并增加获得设备或生活方式干预的机会。