Sherpa Pasang Doma, Kitrungrote Luppana, Sae-Sia Wipa
1Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.
Department of Nursing, Nepal Institute of Health Sciences, Kathmandu, Nepal.
Spinal Cord Ser Cases. 2018 Aug 8;4:72. doi: 10.1038/s41394-018-0110-7. eCollection 2018.
Descriptive cross-sectional study.
This study aims to determine the factors predicting quality of life among Nepalese family caregivers of people with spinal cord injury (SCI) having low back pain.
Eight districts of the Bagmati Zone of Nepal.
Sixty-five family caregivers of people with SCI having chronic low back pain were recruited from January to March 2017. The factors examined as independent variables included monthly household income, daily caregiving hours, functional independence of people with SCI, low back pain intensity, and functional disability of family caregivers. The measures were the Family Caregivers' and Spinal Cord Injury Patients' Demographic Form, the Modified Barthel Index, the Pain Intensity Scale, the Oswestry Disability Index, and the World Health Organization Quality of Life-BREF Nepali version. A hierarchical multiple regression analysis was used to predict quality of life.
Functional independence of people with SCI, monthly household income, and functional disability of family caregivers with chronic low back pain could significantly predict quality of life at 41% (adjusted = 0.41, = 11.02, < 0.01). The functional dependence of persons with SCI was the most powerful factor contributing to QoL of caregivers ( = 0.36, < 0.01) followed by monthly household income ( = 0.30, < 0.01) and caregivers' functional disability ( = -0.28, < 0.01).
The findings suggested that in order to improve the quality of life of family caregivers who have chronic low back pain while providing care for people with SCI during a long period, health professionals should strengthen the functional independence of the patients after discharge to reduce the functional disability of the caregivers. Financial support is needed for caregivers who have a low income.
描述性横断面研究。
本研究旨在确定预测尼泊尔脊髓损伤（SCI）伴腰痛患者家庭照顾者生活质量的因素。
尼泊尔巴格马蒂专区的八个区。
2017年1月至3月招募了65名患有慢性腰痛的SCI患者的家庭照顾者。作为自变量进行考察的因素包括家庭月收入、每日照顾时长、SCI患者的功能独立性、腰痛强度以及家庭照顾者的功能残疾情况。测量工具包括家庭照顾者和脊髓损伤患者人口学表格、改良巴氏指数、疼痛强度量表、奥斯维斯特残疾指数以及世界卫生组织生活质量简表尼泊尔语版。采用分层多元回归分析来预测生活质量。
SCI患者的功能独立性、家庭月收入以及患有慢性腰痛的家庭照顾者的功能残疾情况能够显著预测41%的生活质量（调整后=0.41，=11.02，<0.01）。SCI患者的功能依赖是影响照顾者生活质量的最主要因素（=0.36，<0.01），其次是家庭月收入（=0.30，<0.01）和照顾者的功能残疾（=-0.28，<0.01）。
研究结果表明，为了在长期照顾SCI患者期间提高患有慢性腰痛的家庭照顾者的生活质量，卫生专业人员应在患者出院后加强其功能独立性，以减少照顾者的功能残疾。低收入的照顾者需要经济支持。
