创伤性脊髓损伤患者的生活质量：乌干达一家三级医院的横断面研究。
Quality of life of patients with traumatic spinal cord injuries: a cross-sectional study at a tertiary hospital in Uganda.
机构信息
Department of Orthopaedics, College of Health Sciences Makerere University, Kampala.
Mulago National Referral Hospital, Kampala.
出版信息
Afr Health Sci. 2023 Sep;23(3):521-533. doi: 10.4314/ahs.v23i3.60.
BACKGROUND
The study aimed to assess the perceived quality of life of patients with traumatic spinal cord injuries.
METHODOLOGY
This was a cross sectional study conducted in the Spine Unit of a tertiary hospital in Uganda. The study population comprised of patients with spinal cord injuries. Data were collected using the WHO Quality of Life Brief questionnaire and Functional Independence Measure tool.
RESULTS
103 patients participated in the study, most were male (73.8%), and had a mean age of 37.7 years. Most participants were married (57.3%), unemployed (72.8%) and had no steady source of income (62.1%). Road traffic accidents accounted for most injuries (59.2%). The mean duration since injury was 20.5 months. Most participants (58.3%) had incomplete spinal cord injuries and 84.5% had complications. The perceived overall quality of life was poor in 87.4% of patients. Being employed (p= 0.02), the presence of complications (p= 0.03), and injury severity (p= 0.003) significantly affected quality of life. Functional independent measure scores were significantly better in individuals less severe injuries and those with lumbar level of injury with mean scores of 113.1±8.9 and 99.9±15.3 respectively.
CONCLUSION
The overall self-reported quality of life among patients with traumatic spinal cord injury was generally poor.
背景
本研究旨在评估创伤性脊髓损伤患者的生活质量感知。
方法
这是一项在乌干达一家三级医院脊柱科进行的横断面研究。研究人群包括脊髓损伤患者。使用世界卫生组织生活质量简表问卷和功能独立性测量工具收集数据。
结果
103 名患者参与了研究，大多数为男性（73.8%），平均年龄为 37.7 岁。大多数参与者已婚（57.3%）、失业（72.8%）且没有稳定的收入来源（62.1%）。道路交通伤害占大多数损伤（59.2%）。受伤后平均时间为 20.5 个月。大多数参与者（58.3%）有不完全性脊髓损伤，84.5%有并发症。87.4%的患者感知总体生活质量较差。就业（p=0.02）、存在并发症（p=0.03）和损伤严重程度（p=0.003）显著影响生活质量。功能独立性测量评分在损伤程度较轻和损伤水平在腰椎的个体中显著更好，平均得分为 113.1±8.9 和 99.9±15.3。
结论
创伤性脊髓损伤患者总体自我报告的生活质量普遍较差。
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