Article

OBJECTIVE: To identify the factors that influence an individual's quality of life
(QOL) after spinal cord injury (SCI) based on the International Classification of
Functioning, Disability and Health (ICF) framework.
DESIGN: Cross-sectional
exploratory study.
SETTING: Taiwan community. PARTICIPANTS: Community-dwelling
adults (N=341) who had suffered an SCI at least 1 year previously and were
between the ages of 18 and 60 years. MAIN OUTCOME
MEASURE(S): A combination of self-report questionnaire and interview. The
dependent variable, QOL, was measured by the abbreviated version of the World
Health Organization Quality of Life, while the independent
variables-participation, activity, impairment, and contextual factors-were
measured using the Frenchay Activity Index, Barthel Index, and a demographic
form. RESULTS: Multivariate analysis results indicated that participation,
activity, and marital status are significant factors in the QOL outcome. Results
also indicated that among the various factors that affect each domain of QOL
(physical health, psychological health, social relationships, and environment),
participation was the strongest determinant. CONCLUSIONS: The ICF provided an
excellent framework with which to explore the factors influencing QOL after SCI.
The results demonstrated that marital status, participation, and activity exert
the strongest influence on QOL, while impairment and other variables do not
directly influence QOL.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS