Determinants of quality of life among community-dwelling persons with spinal cord injury: A path analysis.
Identifieur interne : 000C65 ( Main/Exploration ); précédent : 000C64; suivant : 000C66Determinants of quality of life among community-dwelling persons with spinal cord injury: A path analysis.
Auteurs : End Ekechukwu [Nigeria] ; J O Ikrechero [Nigeria] ; A O Ezeukwu [Nigeria] ; A V Egwuonwu [Nigeria] ; L. Umar [Nigeria] ; U M Badaru [Nigeria]Source :
- Nigerian journal of clinical practice [ 1119-3077 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- psychology : Spinal Cord Injuries.
- Adult, Female, Health Surveys, Humans, Longitudinal Studies, Male, Middle Aged, Nigeria, Quality of Life.
Abstract
CONTEXT
Recent advancement in technology and medical care has resulted in an increase not only in disability arising from spinal cord injury (SCI) but also its attendant challenges such as poor quality of life (QoL).
AIM
To test a theoretical model of predictors of QoL among persons with SCI.
SETTINGS AND DESIGN
Study was conducted in the South Eastern Nigeria. A longitudinal study design was employed.
MATERIALS AND METHODS
A total of 64 persons with SCI discharged from in-hospital admission participated in this study. QoL, state self-esteem (SSE), social support satisfaction (SSS), and functional potentials (FPs) were assessed using short form health survey-12, SSE scale, social support questionnaire 6, and spinal cord independent measure III, respectively. Their motor function (MF) and sensory function (SF) were assessed using the motor and sensory subscales of American Spinal Cord Association impairment scale.
STATISTICAL ANALYSIS USED
Data obtained were analyzed using path analysis. The level of significance was set at α = 0.05.
RESULTS
Most of the participants were male (92.3%) with incomplete type of SCI (65.4%). The selected variables (SSE, SSS, FP, MF, and SF) significantly predicted a large percentage (R2 = 0.861) of QoL. All the predictor variables except age had a direct significant effect on QoL (P < 0.05). The trimmed model revealed that SSS (β =3.04, P = 0.002) had the highest direct effect on QoL.
CONCLUSIONS
This study revealed that the combined assessment of SSE, SSS, FP, MF, and SF can be used to predict QoL significantly. Moreover, psychosocial factors are as important as clinical (biological) factors in predicting the outcomes of SCI, especially their QoL. Thus, the study buttresses the need to emphasize on the biopsychosocial model in the rehabilitation of persons with SCI.
DOI: 10.4103/1119-3077.187328
PubMed: 28091431
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Determinants of quality of life among community-dwelling persons with spinal cord injury: A path analysis.</title><author><name sortKey="Ekechukwu, End" sort="Ekechukwu, End" uniqKey="Ekechukwu E" first="End" last="Ekechukwu">End Ekechukwu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu</wicri:regionArea><wicri:noRegion>Enugu</wicri:noRegion></affiliation></author><author><name sortKey="Ikrechero, J O" sort="Ikrechero, J O" uniqKey="Ikrechero J" first="J O" last="Ikrechero">J O Ikrechero</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, University of Benin Teaching Hospital, Benin, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Physiotherapy, University of Benin Teaching Hospital, Benin</wicri:regionArea><wicri:noRegion>Benin</wicri:noRegion></affiliation></author><author><name sortKey="Ezeukwu, A O" sort="Ezeukwu, A O" uniqKey="Ezeukwu A" first="A O" last="Ezeukwu">A O Ezeukwu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu</wicri:regionArea><wicri:noRegion>Enugu</wicri:noRegion></affiliation></author><author><name sortKey="Egwuonwu, A V" sort="Egwuonwu, A V" uniqKey="Egwuonwu A" first="A V" last="Egwuonwu">A V Egwuonwu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Umar, L" sort="Umar, L" uniqKey="Umar L" first="L" last="Umar">L. Umar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, Federal Medical Centre, Azare, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Physiotherapy, Federal Medical Centre, Azare</wicri:regionArea><wicri:noRegion>Azare</wicri:noRegion></affiliation></author><author><name sortKey="Badaru, U M" sort="Badaru, U M" uniqKey="Badaru U" first="U M" last="Badaru">U M Badaru</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, Bayero University, Kano, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Physiotherapy, Bayero University, Kano</wicri:regionArea><wicri:noRegion>Kano</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28091431</idno><idno type="pmid">28091431</idno><idno type="doi">10.4103/1119-3077.187328</idno><idno type="wicri:Area/Main/Corpus">000C46</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000C46</idno><idno type="wicri:Area/Main/Curation">000C46</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000C46</idno><idno type="wicri:Area/Main/Exploration">000C46</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Determinants of quality of life among community-dwelling persons with spinal cord injury: A path analysis.</title><author><name sortKey="Ekechukwu, End" sort="Ekechukwu, End" uniqKey="Ekechukwu E" first="End" last="Ekechukwu">End Ekechukwu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu</wicri:regionArea><wicri:noRegion>Enugu</wicri:noRegion></affiliation></author><author><name sortKey="Ikrechero, J O" sort="Ikrechero, J O" uniqKey="Ikrechero J" first="J O" last="Ikrechero">J O Ikrechero</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, University of Benin Teaching Hospital, Benin, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Physiotherapy, University of Benin Teaching Hospital, Benin</wicri:regionArea><wicri:noRegion>Benin</wicri:noRegion></affiliation></author><author><name sortKey="Ezeukwu, A O" sort="Ezeukwu, A O" uniqKey="Ezeukwu A" first="A O" last="Ezeukwu">A O Ezeukwu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu</wicri:regionArea><wicri:noRegion>Enugu</wicri:noRegion></affiliation></author><author><name sortKey="Egwuonwu, A V" sort="Egwuonwu, A V" uniqKey="Egwuonwu A" first="A V" last="Egwuonwu">A V Egwuonwu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Umar, L" sort="Umar, L" uniqKey="Umar L" first="L" last="Umar">L. Umar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, Federal Medical Centre, Azare, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Physiotherapy, Federal Medical Centre, Azare</wicri:regionArea><wicri:noRegion>Azare</wicri:noRegion></affiliation></author><author><name sortKey="Badaru, U M" sort="Badaru, U M" uniqKey="Badaru U" first="U M" last="Badaru">U M Badaru</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, Bayero University, Kano, Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Physiotherapy, Bayero University, Kano</wicri:regionArea><wicri:noRegion>Kano</wicri:noRegion></affiliation></author></analytic><series><title level="j">Nigerian journal of clinical practice</title><idno type="ISSN">1119-3077</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nigeria (MeSH)</term><term>Quality of Life (MeSH)</term><term>Spinal Cord Injuries (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enquêtes de santé (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Nigeria (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Traumatismes de la moelle épinière (psychologie)</term><term>Études longitudinales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Traumatismes de la moelle épinière</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Spinal Cord Injuries</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Nigeria</term><term>Quality of Life</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nigeria</term><term>Qualité de vie</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>CONTEXT</b></p><p>Recent advancement in technology and medical care has resulted in an increase not only in disability arising from spinal cord injury (SCI) but also its attendant challenges such as poor quality of life (QoL).</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To test a theoretical model of predictors of QoL among persons with SCI.</p></div><div type="abstract" xml:lang="en"><p><b>SETTINGS AND DESIGN</b></p><p>Study was conducted in the South Eastern Nigeria. A longitudinal study design was employed.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>A total of 64 persons with SCI discharged from in-hospital admission participated in this study. QoL, state self-esteem (SSE), social support satisfaction (SSS), and functional potentials (FPs) were assessed using short form health survey-12, SSE scale, social support questionnaire 6, and spinal cord independent measure III, respectively. Their motor function (MF) and sensory function (SF) were assessed using the motor and sensory subscales of American Spinal Cord Association impairment scale.</p></div><div type="abstract" xml:lang="en"><p><b>STATISTICAL ANALYSIS USED</b></p><p>Data obtained were analyzed using path analysis. The level of significance was set at α = 0.05.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Most of the participants were male (92.3%) with incomplete type of SCI (65.4%). The selected variables (SSE, SSS, FP, MF, and SF) significantly predicted a large percentage (R2 = 0.861) of QoL. All the predictor variables except age had a direct significant effect on QoL (P < 0.05). The trimmed model revealed that SSS (β =3.04, P = 0.002) had the highest direct effect on QoL.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study revealed that the combined assessment of SSE, SSS, FP, MF, and SF can be used to predict QoL significantly. Moreover, psychosocial factors are as important as clinical (biological) factors in predicting the outcomes of SCI, especially their QoL. Thus, the study buttresses the need to emphasize on the biopsychosocial model in the rehabilitation of persons with SCI.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28091431</PMID><DateCompleted><Year>2018</Year><Month>04</Month><Day>16</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1119-3077</ISSN><JournalIssue CitedMedium="Print"><Volume>20</Volume><Issue>2</Issue><PubDate><Year>2017</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Nigerian journal of clinical practice</Title><ISOAbbreviation>Niger J Clin Pract</ISOAbbreviation></Journal><ArticleTitle>Determinants of quality of life among community-dwelling persons with spinal cord injury: A path analysis.</ArticleTitle><Pagination><MedlinePgn>163-169</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/1119-3077.187328</ELocationID><Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Recent advancement in technology and medical care has resulted in an increase not only in disability arising from spinal cord injury (SCI) but also its attendant challenges such as poor quality of life (QoL).</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To test a theoretical model of predictors of QoL among persons with SCI.</AbstractText><AbstractText Label="SETTINGS AND DESIGN" NlmCategory="METHODS">Study was conducted in the South Eastern Nigeria. A longitudinal study design was employed.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of 64 persons with SCI discharged from in-hospital admission participated in this study. QoL, state self-esteem (SSE), social support satisfaction (SSS), and functional potentials (FPs) were assessed using short form health survey-12, SSE scale, social support questionnaire 6, and spinal cord independent measure III, respectively. Their motor function (MF) and sensory function (SF) were assessed using the motor and sensory subscales of American Spinal Cord Association impairment scale.</AbstractText><AbstractText Label="STATISTICAL ANALYSIS USED" NlmCategory="METHODS">Data obtained were analyzed using path analysis. The level of significance was set at α = 0.05.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Most of the participants were male (92.3%) with incomplete type of SCI (65.4%). The selected variables (SSE, SSS, FP, MF, and SF) significantly predicted a large percentage (R2 = 0.861) of QoL. All the predictor variables except age had a direct significant effect on QoL (P < 0.05). The trimmed model revealed that SSS (β =3.04, P = 0.002) had the highest direct effect on QoL.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study revealed that the combined assessment of SSE, SSS, FP, MF, and SF can be used to predict QoL significantly. Moreover, psychosocial factors are as important as clinical (biological) factors in predicting the outcomes of SCI, especially their QoL. Thus, the study buttresses the need to emphasize on the biopsychosocial model in the rehabilitation of persons with SCI.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ekechukwu</LastName><ForeName>End</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu, Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ikrechero</LastName><ForeName>J O</ForeName><Initials>JO</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy, University of Benin Teaching Hospital, Benin, Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ezeukwu</LastName><ForeName>A O</ForeName><Initials>AO</Initials><AffiliationInfo><Affiliation>Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Enugu, Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Egwuonwu</LastName><ForeName>A V</ForeName><Initials>AV</Initials><AffiliationInfo><Affiliation>Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Umar</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy, Federal Medical Centre, Azare, Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Badaru</LastName><ForeName>U M</ForeName><Initials>UM</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy, Bayero University, Kano, Nigeria.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Niger J Clin Pract</MedlineTA><NlmUniqueID>101150032</NlmUniqueID></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009549" MajorTopicYN="N">Nigeria</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013119" MajorTopicYN="N">Spinal Cord Injuries</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28091431</ArticleId><ArticleId IdType="pii">NigerJClinPract_2017_20_2_163_187328</ArticleId><ArticleId IdType="doi">10.4103/1119-3077.187328</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Nigeria</li></country></list><tree><country name="Nigeria"><noRegion><name sortKey="Ekechukwu, End" sort="Ekechukwu, End" uniqKey="Ekechukwu E" first="End" last="Ekechukwu">End Ekechukwu</name></noRegion><name sortKey="Badaru, U M" sort="Badaru, U M" uniqKey="Badaru U" first="U M" last="Badaru">U M Badaru</name><name sortKey="Egwuonwu, A V" sort="Egwuonwu, A V" uniqKey="Egwuonwu A" first="A V" last="Egwuonwu">A V Egwuonwu</name><name sortKey="Ezeukwu, A O" sort="Ezeukwu, A O" uniqKey="Ezeukwu A" first="A O" last="Ezeukwu">A O Ezeukwu</name><name sortKey="Ikrechero, J O" sort="Ikrechero, J O" uniqKey="Ikrechero J" first="J O" last="Ikrechero">J O Ikrechero</name><name sortKey="Umar, L" sort="Umar, L" uniqKey="Umar L" first="L" last="Umar">L. Umar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/AutomedicationFrancoV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C65 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000C65 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= AutomedicationFrancoV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:28091431
|texte= Determinants of quality of life among community-dwelling persons with spinal cord injury: A path analysis.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:28091431" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a AutomedicationFrancoV1
| This area was generated with Dilib version V0.6.38. |  |