Functional Independence of Patients with Spinal Cord Injury and Related Factors after Inpatient Rehabilitation
Functional Independence of Patients with Spinal Cord Injury and Related Factors after Inpatient Rehabilitation
Keywords:
ความสามารถ, บาดเจ็บไขสันหลัง, กระบวนการฟื้นสภาพแบบผู้ป่วยใน, กลยุทธ์การรับมือกับปัญหา, คุณภาพชีวิตAbstract
ABSTRACT
Objectives: To identify the functional independence of patients with spinal cord injury (SCI) after receiving inpatient rehabilitation and to determine related factors between those with maintained/improved functional score and those with lower functional score.
Design: Cross-sectional analytical study.
Setting: Maharaj Nakorn Chiang Mai Hospital.
Subjects: Paraplegia AIS A-D and tetraplegia AIS C-D admitted for medical rehabilitation in 2014-2016.
Methods: The Spinal Cord Independence Measure version III (SCIM) was used to assess level of functional independence. Patients were interviewed to identify demographic data and related factors. The SCIM at discharge was extracted from medical records and the current SCIM score was assessed by interview. Patients were divided into two groups of SCIMup with SCIM score maintained or increased after discharge and SCIMdown with decrease in SCIM score, and data were compared.
Results: There were 113 patients recruited and 90.3% were in the SCIMup group. When compared with the SCIMdown group, the SCIMup group had lower mean age [45.67 (SD 14.85) vs 61.82 (SD 15.35) years, p=0.003), higher percentage of fighting spirit (67.64% vs 18.18%, p=0.000), higher quality of life score (27.35 vs 23.36, p=0.011), fewer complications (15.70% vs 18.20%, p=0.000) and higher ratio of return to work (50.98% vs 0%, p=0.001) than SCIMdown group.
Conclusion: After inpatient rehabilitation, most of patients with spinal cord injury could maintain or increase functional independence. Factors related with independency were younger age, coping strategies of fighting spirit less complications, and return to work.
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