新冠疫情对慢性脊髓损伤患者的社区融入、生活质量、抑郁和焦虑的影响。
The impact of COVID-19 on community integration, quality of life, depression and anxiety in people with chronic spinal cord injury.
机构信息
Department of Research and Innovation, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain.
Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain.
出版信息
J Spinal Cord Med. 2022 Sep;45(5):681-690. doi: 10.1080/10790268.2021.1922230. Epub 2021 Jun 1.
CONTEXT/OBJECTIVE: Compare community integration, quality of life, anxiety and depression of people with chronic spinal cord injury (SCI) living in the community before the outbreak of coronavirus SARS-CoV-2 disease (COVID-19) and during it.
DESIGN
Prospective observational cohort study.
SETTING
In-person follow-up visits (before COVID-19 outbreak) to a rehabilitation hospital in Spain and on-line during COVID-19.
PARTICIPANTS
Community dwelling adults (≥ 18 years) with chronic SCI.
OUTCOME MEASURES
Hospital Anxiety and Depression Scale (HADS), Community Integration Questionnaire (CIQ) and World Health Organization Quality of Life (WHOQOL-BREF) were compared using the Wilcoxon ranked test or paired t-test when appropriate.
RESULTS
One hundred and seventy five people with SCI assessed on-line between June 2020 and November 2020 were compared to their own assessments before COVID-19. Participants reported significantly decreased Social Integration during COVID-19 compared to pre-pandemic scores (P = 0.037), with a small effect size ( = -0.15). Depression (measured using HADS) was significantly higher than before COVID-19 (P < 0.001) with a moderate effect size ( = -0.29). No significant differences were found in any of the 4 WHOQOL-BREF dimensions (Physical, Psychological, Social and Environmental).Nevertheless, when all participants were stratified in two groups according to their age at on-line assessment, the younger group (19-54 years, = 85) scored lower during COVID-19 than before, in WHOQOL-BREF Physical (P = 0.004), ( = -0.30) and Psychological dimensions (P = 0.007) ( = -0.29). The older group (55-88 years, = 0) reported no significant differences in any dimension.
CONCLUSIONS
COVID-19 impacted HADS' depression and CIQ's social integration. Participants younger than 55 years were impacted in WHOQOL-BREF's physical and psychological dimensions, meanwhile participants older than 55, were not.
背景/目的：比较在冠状病毒 SARS-CoV-2 疾病（COVID-19）爆发前和期间居住在社区中的慢性脊髓损伤（SCI）患者的社区融入、生活质量、焦虑和抑郁情况。
设计
前瞻性观察队列研究。
地点
在西班牙的一家康复医院进行面对面随访（在 COVID-19 爆发前）和在线随访（在 COVID-19 期间）。
参与者
居住在社区中的慢性 SCI 成年患者（≥ 18 岁）。
评估指标
使用医院焦虑和抑郁量表（HADS）、社区融入问卷（CIQ）和世界卫生组织生活质量量表（WHOQOL-BREF）进行评估。采用 Wilcoxon 秩和检验或配对 t 检验进行比较。
结果
2020 年 6 月至 11 月期间，对 175 名接受在线评估的 SCI 患者与 COVID-19 前的评估结果进行了比较。与疫情前相比，患者报告在 COVID-19 期间社会融入程度显著下降（P=0.037），具有较小的效应量（= -0.15）。抑郁（使用 HADS 测量）显著高于 COVID-19 前（P<0.001），具有中等的效应量（= -0.29）。在 WHOQOL-BREF 的四个维度（身体、心理、社会和环境）中，均未发现显著差异。然而，当根据在线评估时的年龄将所有参与者分为两组时，年龄较小的组（19-54 岁，n=85）在 COVID-19 期间在 WHOQOL-BREF 身体（P=0.004）、心理（P=0.007）维度的得分低于 COVID-19 前，效应量分别为 -0.30 和 -0.29。年龄较大的组（55-88 岁，n=0）在任何维度上均未报告有显著差异。
结论
COVID-19 影响了 HADS 的抑郁和 CIQ 的社会融入。年龄小于 55 岁的参与者在 WHOQOL-BREF 的身体和心理维度上受到影响，而年龄大于 55 岁的参与者则没有。
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