Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Division of Health Sciences, Ngāi Tahu Māori Health Research Unit, University of Otago, Dunedin, New Zealand.
Qual Life Res. 2023 Apr;32(4):1015-1030. doi: 10.1007/s11136-022-03313-w. Epub 2023 Jan 26.
To examine the life satisfaction outcomes after spinal cord injury (SCI) and to identify the factors associated with life satisfaction at 18 months and 10 years post-SCI in New Zealand (NZ).
Adults (16-64 years) were recruited between 2007 and 2009 from NZ's two spinal units following first admission for SCI. Interviews at 6 months, 18 months, and 10 years post-SCI examined demographic, physical, psychosocial, economic, and environmental characteristics. Multivariable regression models were used to identify predictors of life satisfaction at each timepoint.
Overall, 118 people participated at 6 months, 103 at 18 months, and 63 at 10 years post-SCI. Pre-SCI, 90% of participants were satisfied with life, 67% were satisfied at 18 months, and 78% at 10 years. At 18 months post-SCI, participants who reported: never or sometimes using a wheelchair, no problems with self-care, no problems with anxiety or depression, no/lesser disability, or fewer secondary health conditions (SHCs) at 6 months post-SCI were more likely to be satisfied (p < 0.05), compared to those without these characteristics. Participants who experienced considerable disability at 6 months post-SCI were 22% less likely to be satisfied 10 years post-SCI compared to those experiencing no/lesser disability (p = 0.028).
A higher proportion of participants were satisfied at both 18 months and 10 years post-SCI than not satisfied. To improve the likelihood of satisfaction with life, increased focus on reducing disability and providing supports for those using wheelchairs, experiencing anxiety/depression or problems with self-care, and effects of SHCs are promising for future potential interventions.
考察脊髓损伤（SCI）后的生活满意度结果，并确定与新西兰（NZ）SCI 后 18 个月和 10 年生活满意度相关的因素。
2007 年至 2009 年，在 NZ 的两个脊髓科对首次因 SCI 住院的成年人（16-64 岁）进行招募。SCI 后 6 个月、18 个月和 10 年的访谈检查了人口统计学、身体、心理社会、经济和环境特征。使用多变量回归模型确定每个时间点生活满意度的预测因素。
总体而言，有 118 人在 6 个月时、103 人在 18 个月时、63 人在 10 年后参与了研究。在 SCI 前，90%的参与者对生活满意，67%在 18 个月时满意，78%在 10 年后满意。在 SCI 后 18 个月时，与无这些特征的参与者相比，报告：从未或有时使用轮椅、自理无问题、无焦虑或抑郁问题、无/较少残疾或较少的继发性健康状况（SHC）的参与者更有可能满意（p<0.05）。与无/较少残疾的参与者相比，在 SCI 后 6 个月时经历严重残疾的参与者在 10 年后满意的可能性降低 22%（p=0.028）。
与不满意的参与者相比，更多的参与者在 SCI 后 18 个月和 10 年时感到满意。为了提高对生活的满意度，未来的潜在干预措施应该更加关注减少残疾，为使用轮椅、有焦虑/抑郁或自理问题以及 SHC 影响的人提供支持。
