A questionnaire survey on acceptance of disability of patients with spinal cord injury after 18 months of injury / 中国脊柱脊髓杂志

ABSTRACT

Objectives: To survey and analyze the level of acceptance of disability and its risk factors for spinal cord injury(SCI) after 18 months of injury. Methods: 78 patients with SCI in our hospital from March 2006 to December 2008 and 83 cases with SCI from work injury mutual support group were reviewed retre-spectively, their ages at onset were above 18 years(18-62 years, average 36 years) and they suffered from in-jury for more than 18 months(18-35 months, average 27 months). The survey ranged from January to April 2009. Of them, 29 were face-to-face interviewed and 132 were telephone interviewed. The questionnaire con-sisted of World Health Organization Disability Assessment Schedule Ⅱ, Acceptance of Disability Scale, Rosenberg Self-Esteem Scale, Center for Epidemiologic Studies Short Depression Scale, Generalized Self-Effi-cacy Scale, and Multidimensional Scale of Perceived Social Support. Results: The acceptance of disability had a fair degree of negative relationship with pain and WHO disability assessment (r=-0.28 and -0.40, P<0.01, respectively), and had a fair degree of positive relationship with self-efficacy and social support ( r=0.45 and 0.36, P<0.01, respectively). It was also found that moderate to good positive relationship between acceptance of disability and self-esteem(r=0.65, P<0.01), moderate to good negative relationship with depression(r=-0.66, P<0.01). The linear regression result indicated that depression, self-esteem and pain intensity were the best predictors for acceptance of disability(P<0.01). Conclusions: Multifactors may influence the acceptance of dis-ability for SCI. However, depression, self-perceived pain intensity and self-esteem are the best predictors for acceptance of disability.