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Factors Affecting Quality of Life Among Spinal Cord Injury Patients in Korea

机译:影响韩国脊髓损伤患者生活质量的因素

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摘要

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 voiding-related 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.
机译:脊髓损伤(SCI)患者的目的抱怨通常与影响日常生活活动的物理残疾有关。然而,具有排尿和排便和/或性功能的困难也可能是主要的担忧。一般人口甚至医生通常都没有意识到这些投诉;因此,本研究侧重于调查SCI患者,了解日常生活中面临的挑战。方法对调查问卷是随机,匿名给予韩国脊髓损伤协会和大韩民国康复医院的SCI患者给药。所有参与者在填写调查问卷之前举行了同意。结果共有299名患者回答问卷;男性与女性比例为5.8:1,伤害普通载体是机动车事故,工业事故,跌倒。在169名回答“最麻烦”和“愿望”的患者中,正确提出投诉问卷,泌尿问题最常见,特别是尿失禁和尿路感染。在所有患者中,67%使用干净的间歇导尿,63%正在采取无排水相关的药物,83%有性欲,并且在122名没有后代的患者中,27%的儿童计划未来计划。从这个调查问卷中得出结论,我们发现韩国的SCI患者不仅受到物理残疾而遭受,也遭受许多其他与生活质量有关的问题。在管理SCI患者时,医生应该表现出更好的关注和教育患者,患者有关排尿和性活动有关的问题,而不是仅仅是物理残疾。

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