Article

OBJECTIVE: To describe the impact of pressure ulcers on the ability to
participate in daily and community activities, health care utilization, and
overall quality of life in individuals living with spinal cord injury (SCI).
DESIGN: Cross-sectional study. SETTING: Nationwide survey. PARTICIPANTS:
Participants (N=1137) with traumatic SCI who were >1 year postinjury and living
in the community were recruited. Of these, 381 (33.5%, 95% confidence interval,
30.8%-36.3%) had a pressure ulcer over the last 12 months. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Measures developed for the Rick Hansen Spinal
Cord Injury Registry Community Follow-up Survey Version 2.0. RESULTS: Of the 381
individuals with pressure ulcers, 65.3% reported that their pressure ulcer
reduced their activity to some extent or more. Pressure ulcers reduced the
ability of individuals with SCI to participate in 19 of 26 community and daily
activities. Individuals with 1 or 2 pressure ulcers were more dissatisfied with
their ability to participate in their main activity than those without pressure
ulcers (P=.0077). Pressure ulcers were also associated with a significantly
higher number of consultations with family doctors, nurses, occupational
therapists, and wound care nurses/specialists (P<.05). CONCLUSIONS: Pressure
ulcers have a significant impact on the daily life of individuals with SCI. Our
findings highlight the importance of implementing pressure ulcer prevention and
management programs for this high-risk population and require the attention of
all SCI-related health care professionals.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS