Factors Affecting Quality of Life Among Spinal Cord Injury Patients in Korea
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Purpose: Complaints from spinal cord injury (SCI) patients are typically related to physical disability affecting activities of daily life. However, difficulties with voiding and defecation and/or sexual function can also be major concerns. The general population and even physicians are generally unaware of these complaints; therefore, this study focuses on surveying SCI patients regarding challenges that are faced in daily life. Methods: A questionnaire was administered randomly and anonymously to SCI patients who visited the Korea Spinal Cord Injury Association and several rehabilitation hospitals in the Republic of Korea in 2013. All participants gave their consent prior to filling out the questionnaire. Results: A total of 299 patients answered the questionnaire; the male to female ratio was 5.8:1 and common vectors for injury were motor vehicle accidents, industrial accidents, and falling down. Of the 169 patients who answered the ‘most troublesome’ and ‘wish would improve’ complaints questionnaire properly, urinary problems were most common, specifically incontinence and urinary tract infection. Among all patients, 67% were using clean intermittent catheterization, 63% were taking voidingrelated medications, 83% had sexual desires, and among the 122 patients who did not have offspring, 27% had future plans for children. Conclusions: From this questionnaire, we discovered that SCI patients in the South Korea suffer not only from physical disability but also many other quality-of-life-related problems. When managing SCI patients, physicians should show greater concern and educate patients about problems related to voiding and sexual activity, rather than just physical disability.
Abstract
Purpose: Complaints from spinal cord injury (SCI) patients are typically related to physical disability affecting activities of daily life. However, difficulties with voiding and defecation and/or sexual function can also be major concerns. The general population and even physicians are generally unaware of these complaints; therefore, this study focuses on surveying SCI patients regarding challenges that are faced in daily life. Methods: A questionnaire was administered randomly and anonymously to SCI patients who visited the Korea Spinal Cord Injury Association and several rehabilitation hospitals in the Republic of Korea in 2013. All participants gave their consent prior to filling out the questionnaire. Results: A total of 299 patients answered the questionnaire; the male to female ratio was 5.8:1 and common vectors for injury were motor vehicle accidents, industrial accidents, and falling down. Of the 169 patients who answered the ‘most troublesome’ and ‘wish would improve’ complaints questionnaire properly, urinary problems were most common, specifically incontinence and urinary tract infection. Among all patients, 67% were using clean intermittent catheterization, 63% were taking voidingrelated medications, 83% had sexual desires, and among the 122 patients who did not have offspring, 27% had future plans for children. Conclusions: From this questionnaire, we discovered that SCI patients in the South Korea suffer not only from physical disability but also many other quality-of-life-related problems. When managing SCI patients, physicians should show greater concern and educate patients about problems related to voiding and sexual activity, rather than just physical disability.
참고문헌 (14)
- Kim MO, "Epidemiology and prognosis of spinal cord injury", 2014 Korean Spinal Cord Association review course for spinal cord injury Association (2014), Korean Spinal Cord Association
- "Spinal cord injury facts and figures at a glance" (2012)[URL]
- Pershouse KJ, "Investigating changes in quality of life and function along the lifespan for people with spinal cord injury", Arch Phys Med Rehabil, 93, pp.413~419 (2012)
- Cushman DM, "Perceived quality of life with spinal cord injury: a comparison between emergency medicine and physical medicine and rehabilitation physicians", PM R, 7, pp.962~969 (2015)
- "Definition and Eligibility Criteria 2011-2016" (2005)[URL]
- 신지철, "Epidemiologic Change of Patients With Spinal Cord Injury", Annals of Rehabilitation Medicine, 37(1), pp.50~56 (2013), 대한재활의학회
- Yeo JD, "Mortality following spinal cord injury", Spinal Cord, 36, pp.329~336 (1998)
- Frankel HL, "Long-term survival in spinal cord injury: a fifty year investigation", Spinal Cord, 36, pp.266~274 (1998)
- Shavelle RM, "Paculdo DR. Improvements in long-term survival after spinal cord injury?", Arch Phys Med Rehabil, 96, pp.645~651 (2015)
- Strauss DJ, "Trends in life expectancy after spinal cord injury", Arch Phys Med Rehabil, 87, pp.1079~1085 (2006)
- Oliver M, "The changing epidemiology of spinal trauma: a 13-year review from a Level I trauma centre", Injury, 43, pp.1296~1300 (2012)
- Trgovcevic S, "Health condition and quality of life in persons with spinal cord injury", Iran J Public Health, 43, pp.1229~1238 (2014)
- Whalley Hammell K, "Quality of life after spinal cord injury: a meta-synthesis of qualitative findings", Spinal Cord, 45, pp.124~139 (2007)
- "Education and treatment in human sexuality: the training of health professionals. Report of a WHO meeting", World Health Organ Tech Rep Ser, (572), pp.5~33 (1975)