Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Physiotherapy Department, Faculty of Rehabilitation Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Disabil Rehabil. 2021 Oct;43(20):2838-2845. doi: 10.1080/09638288.2020.1718780. Epub 2020 Jan 31.
To describe the quality of life of persons with traumatic spinal cord injury (TSCI) in a rural area of a low-income country.
This was a cross-sectional descriptive study in which snowballing was used to identify persons with TSCI in their homes. A Kiswahili version of the short version of the World Health Organization quality of life questionnaire was used for data collection. Data were analyzed descriptively and independent samples -tests were used to calculate the difference in the mean scores between groups.
Eighty persons with TSCI with a mean age of 42.29 ± 11.4 years were identified, 68.8% of whom were males. The highest scoring domains were psychological (12.76 ± 2.55) and social relationships (12.62 ± 2.95). The lowest scores were for physical (11.48 ± 2.74) and environment (9.59 ± 2.68) domains. Significantly higher scores were associated with younger age in: physical (0.05), social relationships (0.01), and environment (0.02) domains ( value < 0.05).
Persons with TSCI in the Kilimanjaro rural area registered a relatively low quality of life in which the most affected domains are physical health and environment.Implications for rehabilitationQuality of life is the ultimate goal in the rehabilitation of persons with any irreversible disability such as spinal cord injury.It is important for rehabilitation professionals to know which domains of quality of life are most affected among persons with spinal cord injury.Rehabilitation professionals ought to understand and address physical health and environmental issues that affect persons with traumatic spinal cord injury in rural resource-constrained areas.Addressing physical health and environmental challenges for persons with spinal cord injury in resource-constrained rural areas require involvement of the family, rehabilitation personnel, policy makers, and the community.
描述低收入国家农村地区创伤性脊髓损伤（TSCI）患者的生活质量。
这是一项横断面描述性研究，使用滚雪球法在家中确定 TSCI 患者。使用世界卫生组织生活质量问卷短版的斯瓦希里语版本进行数据收集。使用描述性分析和独立样本 t 检验来计算组间平均得分差异。
共确定了 80 名平均年龄为 42.29±11.4 岁的 TSCI 患者，其中 68.8%为男性。得分最高的领域是心理（12.76±2.55）和社会关系（12.62±2.95）。得分最低的领域是身体（11.48±2.74）和环境（9.59±2.68）。在身体（0.05）、社会关系（0.01）和环境（0.02）领域，年龄较小的患者得分显著更高（ value < 0.05）。
在乞力马扎罗农村地区，TSCI 患者的生活质量相对较低，其中受影响最大的领域是身体健康和环境。
康复意义生活质量是任何不可逆转的残疾（如脊髓损伤）患者康复的最终目标。对于康复专业人员来说，了解脊髓损伤患者中哪些生活质量领域受到的影响最大非常重要。康复专业人员应该了解并解决影响农村资源受限地区创伤性脊髓损伤患者的身体健康和环境问题。解决资源受限农村地区脊髓损伤患者的身体健康和环境挑战需要家庭、康复人员、政策制定者和社区的参与。
