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运用潜在剖面分析探讨工作和环境因素对韩国社区居住脊髓损伤患者生活质量的影响。

Impact of work and environmental factors on quality of life in community-dwelling spinal cord injury individuals in South Korea using latent profile analysis.

作者信息

Lee Bum-Suk, Lee Boram, Lim Jincheol, Kim Onyoo

机构信息

Department of Rehabilitation Medicine, International St. Mary's Hospital, Incheon, Korea.

Division of Health Services Development for Persons with Disabilities, National Rehabilitation Center, Seoul, Korea.

出版信息

J Rehabil Med. 2025 Aug 20;57:jrm41903. doi: 10.2340/jrm.v57.41903.

Abstract

OBJECTIVE

To classify Koreans with spinal cord injury into groups with similar levels of life satisfaction and analyse the differences in life satisfaction between the groups, and identify the factors influencing their quality of life.

DESIGN

A cross-sectional study was conducted.

SUBJECTS

The International Spinal Cord Injury Survey of 711 persons with traumatic or non-traumatic spinal cord injury was used.

METHODS

The latent profiles were classified according to the sub-items of quality of life, and variables influencing the latent profiles were identified. The Mplus 8.0 program was used for the main analysis. Logistic regression analysis was performed to examine how the predictors were associated with latent profile membership.

RESULTS

The factors associated with a higher likelihood of belonging to the high quality of life group included marital status; having less bowel dysfunction and muscle spasms or spasticity; receiving vocational rehabilitation services and currently engaging in paid work; and negative social attitude and problematic financial status.

CONCLUSION

Enhancing the quality of life of individuals with spinal cord injury necessitates providing medical care for bowel dysfunction or spasticity, providing vocational rehabilitation services, enabling successful return to work, improving negative perceptions regarding people with disabilities, and implementing policies to guarantee them an income.

摘要

目的

将韩国脊髓损伤患者分为生活满意度水平相似的组,分析各组之间生活满意度的差异,并确定影响其生活质量的因素。

设计

进行一项横断面研究。

研究对象

采用对711例创伤性或非创伤性脊髓损伤患者进行的国际脊髓损伤调查。

方法

根据生活质量子项目对潜在类别进行分类,并确定影响潜在类别的变量。主要分析使用Mplus 8.0程序。进行逻辑回归分析以检验预测因素与潜在类别归属的关联。

结果

与属于高生活质量组可能性较高相关的因素包括婚姻状况;肠道功能障碍、肌肉痉挛或痉挛程度较轻;接受职业康复服务且目前从事有偿工作;负面社会态度和财务状况问题。

结论

提高脊髓损伤患者的生活质量需要为肠道功能障碍或痉挛提供医疗护理,提供职业康复服务,使患者成功重返工作岗位,改善对残疾人的负面看法,并实施保障其收入政策。

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Latent Class Analysis for Developmental Research.发育研究的潜在类别分析
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