Jeon Minjae, Kim Onyoo, Lee Bum-Suk, Kim Wanho, Kim Jung Hwan, Kim Eun-Joo, Kim Jiin
Department of Healthcare and Public Health Research, Rehabilitation Research Institute, Korea National Rehabilitation Center, Seoul.
Department of Rehabilitation Medicine, Rehabilitation Hospital, Korea National Rehabilitation Center, Seoul.
Arch Phys Med Rehabil. 2023 Jan;104(1):52-62. doi: 10.1016/j.apmr.2022.08.004. Epub 2022 Aug 24.
To verify the causal relationship between sociodemographic factors, health conditions, and activities that influence the participation of people with spinal cord injury (SCI) using International Spinal Cord Injury (InSCI) Survey data and to investigate the moderation effects of environmental restrictions and health care system concerns.
Cross-sectional community survey and structural equation model.
SCI databases of the Korea National Rehabilitation Center and Korea Spinal Cord Injury Association.
Community-dwelling adults (N=890) with SCI.
Not applicable.
The InSCI questionnaire domains included sociodemographic factors, health conditions, activity, participation, environmental restrictions, and health system concerns. Sociodemographic factors included age, education, and income. Health conditions included bowel dysfunction, respiratory problems, and pain, among others. Activity included "daily routine" and "using hands," among others. Participation included "interacting with people" and "intimate relationships," among others. Environmental restrictions included "public places" and "negative attitudes," among others. Health care system concerns included "nursing care" and "experience of being treated," among others.
The hypothesis that health conditions would have a significant effect on activity was supported because 51% of the total variance in activity factors was explained by health condition factors. The hypothesis that activity would have a significant effect on participation was also supported because 63.4% of total variance in participation factors was explained by activity factors. The moderation effect tests supported the hypotheses that health conditions, activity, and participation would differ depending on the extent of environmental restrictions as well as the extent of health system concerns.
When formulating policies and recommendations to promote the participation of people with SCI living in the South Korean community, the influence of environmental restrictions and health systems as well as the causal influence of health conditions and activity should be considered.
利用国际脊髓损伤（InSCI）调查数据，验证社会人口学因素、健康状况以及影响脊髓损伤（SCI）患者参与度的活动之间的因果关系，并探究环境限制和医疗保健系统相关问题的调节作用。
横断面社区调查和结构方程模型。
韩国国家康复中心和韩国脊髓损伤协会的SCI数据库。
社区居住的成年SCI患者（N = 890）。
不适用。
InSCI问卷领域包括社会人口学因素、健康状况、活动、参与度、环境限制和医疗系统相关问题。社会人口学因素包括年龄、教育程度和收入。健康状况包括肠道功能障碍、呼吸问题和疼痛等。活动包括“日常生活”和“手部使用”等。参与度包括“与人互动”和“亲密关系”等。环境限制包括“公共场所”和“负面态度”等。医疗保健系统相关问题包括“护理”和“就医经历”等。
健康状况对活动有显著影响这一假设得到支持，因为活动因素总方差的51%可由健康状况因素解释。活动对参与度有显著影响这一假设也得到支持，因为参与度因素总方差的63.4%可由活动因素解释。调节作用检验支持以下假设：健康状况、活动和参与度会因环境限制程度以及医疗系统相关问题的程度而有所不同。
在制定促进韩国社区SCI患者参与度的政策和建议时，应考虑环境限制和医疗系统的影响，以及健康状况和活动的因果影响。
