Article

OBJECTIVE: To determine factors influencing disease-management self-efficacy in
individuals with spinal cord injury. DESIGN: A cross-sectional study.
SUBJECTS : Forty-nine community-dwelling individuals with chronic spinal
cord injury (mean age 44 years) participated in the study. METHODS: Each subject
was evaluated for disease-management self-efficacy (Self-efficacy for Managing
Chronic Disease), depression (10-item Center for Epidemiologic Studies Depression
Scale), pain interference (Pain Interference Scale), and availability of support
(Interpersonal Support Evaluation List short form). Multiple regression analysis
was performed to determine the relative contributions of these factors to
disease-management self-efficacy. RESULTS: The mean disease-management
self-efficacy score was 6.5 out of 10 (standard deviation 1.6). Bivariate
correlation analysis showed that higher self-efficacy was significantly
correlated with longer time since injury (r = 0.367, p = 0.010), better social
support (r = 0.434, p = 0.002), lower pain interference (r = -0.589, p <0.001),
and less severe depressive symptoms (r=-0.463, p=0.001). In multiple regression
analysis, only lower pain interference and less severe depressive symptoms were
significantly associated with higher disease-management self-efficacy (F
4,44=10.249, R2=0.482, p<0.001). CONCLUSION:
Disease-management self-efficacy is
suboptimal in many community-living people with spinal cord injury. This research
suggests that rehabilitation of patients with spinal cord injury should include
self-efficacy-enhancing strategies. Alleviation of depressive symptoms and pain
self-management may be important for improving disease-management self-efficacy
in this population, but this requires further study.

Langue : ANGLAIS