Access to the environment and life satisfaction after spinal cord injury

被引:0
|
作者
Richards, JS
Bombardier, CH
Tate, D
Dijkers, M
Gordon, W
Shewchuk, R
DeVivo, MJ
机构
[1] Spain Rehabil Ctr, Dept Phys Med & Rehabil, Birmingham, AL 35233 USA
[2] Univ Alabama, Dept Phys Med & Rehabil, Birmingham, AL USA
[3] Univ Alabama, Hlth Serv Adm, Birmingham, AL USA
[4] Univ Washington, Dept Phys Med & Rehabil, Seattle, WA 98195 USA
[5] Univ Michigan, Dept Phys Med & Rehabil, Ann Arbor, MI 48109 USA
[6] Wayne State Univ, Dept Phys Med & Rehabil, Detroit, MI USA
[7] Mt Sinai Med Ctr, Dept Phys Med & Rehabil, New York, NY 10029 USA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 1999年 / 80卷 / 11期
关键词
D O I
暂无
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To determine the potential relation between satisfaction with life after spinal cord injury and access to the environment as measured by selected items from the Craig Handicap Assessment and Reporting Technique (CHART). Design: Prospective, correlational/predictive study using cross-sectional and longitudinal data from 18 Model Spinal Cord Injury Systems of Care. Subjects: Adult persons with traumatic-onset spinal cord injury (n = 650) evaluated at 1 or 2 years postinjury. Outcome Measure: Satisfaction With Life Scale (SWLS). Predictor Variables: Demographic characteristics, impairment and disability classifications, medical complications, rehabilitation insurance status, occupational status as measured by the CHART Occupation Scale, self-perceived health (from SF-36), and access to the environment as measured by items from the CHART Mobility Scale. Results: Access to the environment was positively and linearly associated with satisfaction with life, demonstrated both positive and negative change over time, and was positively associated with subject's neurologic status. Access to the environment added to the explanatory model to predict life satisfaction even after all other independent measures were accounted for. Conclusion: Access to the environment (an "outside the person" factor) is important in predicting satisfaction with life for persons with spinal cord injury. The measure of access to the environment developed here is promising and worthy of further exploration and expansion. (C) 1999 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.
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收藏
页码:1501 / 1506
页数:6
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