Kang, Bee Lee (2018) Health related quality of life in patients with traumatic spinal cord injury. Doctoral thesis, Universiti Malaysia Sabah.
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Abstract
Traumatic spinal cord injury (SCI) is a devastating trauma that can cause temporary or permanent disabilities. The objectives of this study were to determine the health related quality of life, level of handicap/participation restriction and satisfaction of life, and to identify the correlation of demographic and clinical data with the quality of life, level of handicap and life satisfaction of the persons with traumatic SCI, and correlation among three questionnaires. This was a cross sectional study. It includes 54 patients with traumatic spinal cord injury with more than six months post-injury and 18 years of age and above, who attended Rehabilitation Medicine Specialist Clinic, Queen Elizabeth Hospital, Kota Kinabalu. Patients with traumatic SCI with history of traumatic brain injury and psychiatric illness were excluded. World Health Organization Quality of Life - BREF (WHOQOL-BREF), Craig Handicap and Assessment Reporting Technique - Short Form (CHART-SF) and Satisfaction with Life Scale (SWLS) were used to assess quality of life, handicap/participation restriction level and life satisfaction of these patients. Thirty-one patients with paraplegia and 23 tetraplegia were included. The descriptive results for WHOQOL-BREF domains of physical health (Mean=12.06, SD =2.85), psychological (Mean=11.93, SD =2.72), social relationship (Mean=12.59, SD =2.80) and environment (Mean=13.31, SD=2.80) showed that patients with traumatic SCI have lesser quality of life. Handicap/participation restriction in physical independence dimension was found in 59.3% of participants, 81.5% in mobility; 75.9% in occupation and 46.3% in social integration. The SWLS revealed that 75.4% of the patients was not satisfied with their life ranged from slightly dissatisfied (16.7%), dissatisfied (42.6%) and extremely dissatisfied (16.7%). There is a significant negative linear relationship of patients' age with physical health, psychological and social relationship domains in WHOQOL-BREF. There was a significant relationship of clinical data (type of impairment, completeness of injury, duration of post injury, presence of pressure ulcers and history of urinary tract infection) with handicap/participation restriction level measured by CHART-SF. There was a significant relationship of WHOQOL-BREF domains with CHART-SF dimensions and SWLS. Prevention program of causes of traumatic SCI, team-based care approach, psychosocial rehabilitation, return to work program in accordance with patients' level of education aimed at improving health related quality of life and life satisfaction, and to increase level of participation in activities of daily living, work and community reintegration of patient with traumatic SCI. Special attention to rehabilitation program for older adults with traumatic SCI, and training to improve clinical competency in rehabilitation professionals.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Keyword: | Traumatic spinal cord injury, Quality of life, Life satisfaction, Rehabilitation, Psychosocial rehabilitation, Community reintegration |
| Subjects: | R Medicine > RD Surgery > RD1-811 Surgery > RD520-599.5 Surgery by region, system, or organ |
| Department: | FACULTY > Faculty of Medicine and Health Sciences |
| Depositing User: | DG MASNIAH AHMAD - |
| Date Deposited: | 16 Dec 2024 12:07 |
| Last Modified: | 16 Dec 2024 12:07 |
| URI: | https://eprints.ums.edu.my/id/eprint/42190 |
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