CAJ | 학술논문

目的研究汶川地震15个月后绵竹脊髓损伤(SCI)伤员生活质量、抑郁状态及其影响因素.方法地震SCI伤员27例,分别用简明世界卫生组织生活质量测定量表和患者健康问卷抑郁量表评估生活质量和抑郁状态.采用逐步线性回归法分析影响生活质量和抑郁状态的因素.结果对绵竹市地震15个月后SCI伤员的生活质量和抑郁状态分析发现,总体生活质量与文盲和年龄相关(R2 =0.355,P＜0.05),文盲和年轻的伤员,生活质量更差；总体健康满意度与日常生活活动能力和疼痛相关(R2 =0.481,P＜0.05),日常生活活动能力越强、疼痛越轻的伤员,总体健康满意度越高；而抑郁状态与文盲和继发病情相关(R2 =0.461,P＜0.05),文盲和继发病情对日常活动影响越大的伤员,抑郁程度更重.参与程度与生活质量的3个领域(生理、心理和社会)均呈正相关(P值均＜0.05).结论年龄、文盲、疼痛、日常生活活动能力和参与程度均与地震SCI伤员的长期生活质量相关,而抑郁程度受文盲和继发病情影响,在制定长期康复策略时需予以重视.
목적 연구문천지진15개월후면죽척수손상(SCI)상원생활질량、억욱상태급기영향인소.방법 지진SCI상원27례,분별용간명세계위생조직생활질량측정량표화환자건강문권억욱량표평고생활질량화억욱상태.채용축보선성회귀법분석영향생활질량화억욱상태적인소.결과 대면죽시지진15개월후SCI상원적생활질량화억욱상태분석발현,총체생활질량여문맹화년령상관(R2 =0.355,P＜0.05),문맹화년경적상원,생활질량경차；총체건강만의도여일상생활활동능력화동통상관(R2 =0.481,P＜0.05),일상생활활동능력월강、동통월경적상원,총체건강만의도월고；이억욱상태여문맹화계발병정상관(R2 =0.461,P＜0.05),문맹화계발병정대일상활동영향월대적상원,억욱정도경중.삼여정도여생활질량적3개영역(생리、심리화사회)균정정상관(P치균＜0.05).결론 년령、문맹、동통、일상생활활동능력화삼여정도균여지진SCI상원적장기생활질량상관,이억욱정도수문맹화계발병정영향,재제정장기강복책략시수여이중시.
Objective To characterize 15 months later the quality of life (QOL) and depression of those with spinal cord injury (SCI) suffered during the Wenchuan earthquake,and to identify the influence factors.Methods A sample of 27 individuals who sustained SCI during the Wenchuan earthquake were surveyed using face- to-face interviews.QOL was measured using the brief version of the World Health Organization's Quality of Life Assessment instrument.Depression was measured using the patient health questionnaire depression module 9.Stepwise multiple linear regression was employed to determine the factors most closely related with QOL and depression. Results Stepwise linear regression showed a significant correlation of overall QOL with literacy and age.The younger or illiterate victims showed a lower overall QOL.General health was also associated with ability in the activities of daily living and with pain.Victims with better daily ability and less pain may have had better general health.Depression correlated with literacy and secondary condition.Illiterate patients or patients influenced more by a secondary condition displayed more serious depression than the others.Additionally,social participation was significantly associated with the physical health,psychological health and social relationships domains of QOL. Conclusion The QOL of long-term SCI victims caused by the earthquake is closely related to age,literacy,pain,participation and physical independence.Depression is associated with illiteracy and secondary conditions.Attention should be paid to these correlations in designing long-term rehabilitation strategies.