Loni Elham, Ghorbanzadeh Mahsa, Layeghi Fereydoun, Moein Sahel, Bahiraee Mahboobeh, Bidhendi-Yarandi Razieh
Clinical Research Development Center of Rofeideh Rehabilitation Hospital, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences (SBUMS), Tehran, Iran.
J Spinal Cord Med. 2025 Jul;48(4):703-709. doi: 10.1080/10790268.2024.2362501. Epub 2024 Jun 17.
Assess the impact of inpatient rehabilitation on the quality of life and life satisfaction of individuals with spinal cord injury by considering the level of injury.
QuasiExperimental study.
Rehabilitation Hospital.
A total of 71 Patients with Spinal cord injury were admitted for rehabilitation.
The quality of life and life satisfaction of patients were assessed both before and after 63 days of inpatient rehabilitation.
Functional independence measure score (FIM), the Short Form-36 (SF-36), and the Life Satisfaction Scale (LSS).
The average age of the study population was 34 ± 14 years. At the end of 63 days, significant improvements were observed in FIM, mood, health, physical performance, role physical, role emotional, pain, and total score of LSS (Π - Value <0.05). The variation in FIM changes significantly improved the total LSS score in the thoracic and thoracolumbar subgroups, but not in the cervical group. In addition, the total score of SF36 was improved significantly just in the cervical subgroup (Π = 0.006). No significant correlations were found between SF-36 and LSS scores (before and after the intervention) in relation to marriage, education, and time.
In the context of spinal cord injury, inpatient rehabilitation can play a role in improving functional independence which, in turn, impacts certain aspects affecting life satisfaction and the quality of life. It is important to note that the extent of this correlation varies among patients with different injury levels. In some cases, even minor changes, such as those seen in quadriplegic patients, could have a significant impact on their quality of life.
通过考虑损伤水平,评估住院康复对脊髓损伤患者生活质量和生活满意度的影响。
准实验研究。
康复医院。
共有71例脊髓损伤患者入院接受康复治疗。
在63天的住院康复前后,对患者的生活质量和生活满意度进行评估。
功能独立性测量评分(FIM)、简明健康状况调查量表(SF-36)和生活满意度量表(LSS)。
研究人群的平均年龄为34±14岁。在63天结束时,FIM、情绪、健康、身体表现、身体角色、情绪角色、疼痛和LSS总分均有显著改善(P值<0.05)。FIM变化的差异显著改善了胸段和胸腰段亚组的LSS总分,但颈段亚组未改善。此外,仅颈段亚组的SF-36总分有显著改善(P = 0.006)。在干预前后,SF-36与LSS评分在婚姻、教育和时间方面均未发现显著相关性。
在脊髓损伤的情况下,住院康复可以在改善功能独立性方面发挥作用,进而影响影响生活满意度和生活质量的某些方面。需要注意的是,这种相关性的程度在不同损伤水平的患者中有所不同。在某些情况下,即使是轻微的变化,如四肢瘫痪患者所观察到的变化,也可能对他们的生活质量产生重大影响。