THE QUALITY-OF-LIFE OF 3 FUNCTIONAL SPINAL-CORD INJURY SUBGROUPS IN A SWEDISH COMMUNITY

被引:87
作者
SIOSTEEN, A
LUNDQVIST, C
BLOMSTRAND, C
SULLIVAN, L
SULLIVAN, M
机构
[1] Spinal Injuries Unit, Department of Neurosurgery, Gothenburg
[2] Department of Neurology, Gothenburg University and Sahlgrenska University Hospital
[3] Departments of Medicine I and Psychology, Gothenburg University and Sahlgrenska University Hospital, Gothenburg
来源
PARAPLEGIA | 1990年 / 28卷 / 08期
关键词
Community living activities; Functional subgroups; Quality of life; Spinal cord injuries;
D O I
10.1038/sc.1990.64
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Vast community provisions in Sweden are intended to offer spinal cord injury (SCI) subjects equal opportunities and the same living standards as the able-bodied. This study on all 56 subjects representing 3 distinct functional subgroups, out of a consecutive series treated at a Spinal Unit, explored the skills used in a wide range of community living activities and the details of these subjects’ quality of life (QL). C6-tetraplegics with complete lesions (n = 15), wheelchair-bound paraplegics (n = 23) and ambulant paraplegics (n = 18) varied in physical independence in proportion to their disabilities but disturbances of mood states and QL perception did not differ between groups or from a control population sample. Eighty per cent of the subjects were engaged in gainful employment or education. Work/education, home management and mobility in the neighbourhood were clearly restricted by more severe disability but social and recreational activities were not. Degree of social activity and ability to drive a car were closely associated with levels of mental well-being and of perceived QL. Access to transport and home-help services, appropriate housing and technical aids included few unmet subjective needs, possibly explaining why these environmental factors did not inhibit the activity levels of the study population. Extensive society support and stimulation can satisfy important needs and expectations of well-functioning SCI subjects. © 1990 International Medical Society of Paraplegia.
引用
收藏
页码:476 / 488
页数:13
相关论文
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