Department of Occupational Therapy, Virginia Commonwealth University, Richmond, VA, USA.
College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Spinal Cord. 2020 Jan;58(1):3-10. doi: 10.1038/s41393-019-0334-9. Epub 2019 Aug 6.
Retrospective cohort study.
To explore differences between veterans and nonveterans with spinal cord injury (SCI) for employment, health, and satisfaction with life outcomes after controlling for demographic and injury characteristics.
Hospitals in the Spinal Cord Injury Model System of care.
A total of 9754 (85% nonveterans and 15% veterans) adults with traumatic SCI interviewed from 2000 and 2015 and completed follow-up years 1, 5, and 10 were included in this study. Employment status and the Craig Handicap Assessment and Reporting Technique-Short Form (CHART-SF) measured employment. The SF-36 for self-perceived health status, CHART-SF, and rehospitalization determined health outcomes. Satisfaction with life was measured by the Satisfaction with Life Scale (SWLS). Secondary data analyses using χ, t-tests, and generalized estimating equations (GEEs) model to determine group differences with control of demographic and injury characteristics.
There were no significant differences for employment and SWL between nonveterans and veterans. There were some differences in health outcomes; whereas, veterans had better physical independence and mobility compared with nonveterans.
Interventions for both groups should target adults with a disability from SCI, be customized for varying levels of injury that address differences in healthcare systems, demographic backgrounds, economic resources, disincentives, and motivation.
回顾性队列研究。
在控制人口统计学和损伤特征后，探讨退伍军人和非退伍军人脊髓损伤（SCI）患者在就业、健康和生活满意度方面的差异。
脊髓损伤模型系统护理医院。
共纳入 9754 名（85%为非退伍军人，15%为退伍军人）成年人，他们在 2000 年至 2015 年期间接受了采访，并在随访的第 1、5 和 10 年完成了随访。就业状况和 Craig 手功能评估和报告技术-短表（CHART-SF）测量就业情况。SF-36 用于自我感知的健康状况，CHART-SF 和再住院确定健康结果。生活满意度通过生活满意度量表（SWLS）进行测量。使用 χ、t 检验和广义估计方程（GEE）模型进行二次数据分析，以确定在控制人口统计学和损伤特征的情况下，两组之间的差异。
非退伍军人和退伍军人在就业和 SWL 方面没有显著差异。在健康结果方面存在一些差异；然而，退伍军人的身体独立性和移动性比非退伍军人好。
针对这两组人群的干预措施应针对患有 SCI 的残疾成年人，针对不同程度的损伤进行定制，以解决医疗保健系统、人口统计学背景、经济资源、抑制因素和动机的差异。
