Korean J Adult Nurs.  2014 Aug;26(4):444-454. 10.7475/kjan.2014.26.4.444.

Factors Influencing Quality of Life of People with Noncongenital Spinal Cord Injury

Affiliations
  • 1Department of Nursing, Bucheon University, Bucheon, Korea. julie06@bc.ac.kr
  • 2College of Nursing, Seoul National University, Seoul, Korea.
  • 3Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Abstract

PURPOSE
The purpose of the study was to examine the relationships among pain belief, perceived social support, coping strategies, and quality of life of people with noncongenital spinal cord injury and to identify factors influencing quality of life.
METHODS
A correlational predictive design was used. The data were collected from 197 people with noncongenital spinal cord injury with questionnaires in 2012 in Korea. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS/WIN 18.0.
RESULTS
Pain belief, perceived social support, and coping strategies were correlated significantly with the quality of life. As a result of stepwise multiple regression analysis, pain belief, perceived social support, coping strategies, damaged area, and time since injury were discovered to account for 59.1% variance of the quality of life. The variable that most affected the quality of life was pain belief followed by perceived social support and coping strategies.
CONCLUSION
The results of the study clearly demonstrate the importance of pain control, social support, and coping skills in order to improve quality of life among people with noncongenital spinal cord injury.


MeSH Terms

Adaptation, Psychological
Korea
Quality of Life*
Social Control, Formal
Spinal Cord Injuries*
Surveys and Questionnaires

Reference

Choi S. N.., Kim J. H.2012. Relationships among the pain belief, paincoping, andpaindisabilityof patients withchro-nic musculoskeletal pain. The Korean Journal of Rehabilitation Nursing. 15(1):30––38.
Choi Y. S.., Kim H. L.., Kim Y. H.., Lim J. R.2011. The association among activity of daily living, instrumental activities of daily living, depression and isolation in disabled people. The Korean Journal of Rehabilitation Nursing. 14(1):5––12.
Cohen J.1988. Statistical power analysis for the behavioral science. 2nd ed. New York: Academic Press.
Dysvik E.., Lindstrom T.C.., Eikelan O. ̸ J.., Natvig G.K.2004. Health-relatedqualityof lifeandpain beliefs among people suffering from chronic pain. Pain Management Nursing. 5(2):66––74. http://dx.doi.org/10.1016/j.pmn.2003.11.003.
Elfstrom M.L.., Ryden A.., Kreuter M.., Persson L. O.., Sullivan M.2002. Linkages between coping and psychological outcome in the spinal cord lesioned: Development of SCL-related measure. Spinal Cord. 40:23––29. http://dx.doi.org/10.1038/sj.sc.3101238̈.
Elfstrom M. L.., Ryden A.., Kreuter M.., Taft C.., Sullivan M .2005. Relations between coping strategies and health related quality of life in patients with spinal cord lesion. Journal of Rehabilitation Medicine. 37:9––16. http://dx.doi.org/10.1080/16501970410034414̈.
Fann J.R.., Bombardier C.H.., Richards J.S.., Tate D.G.., Wilson C. S.., Temkin N.2009. Depression after spinal cord injury: Comorbidities, mental health service use, and adequacy of treatment. Archives of Physical Medicine and Rehabilitation. 92(3):352––360. http://dx.doi.org/10.1016/j.apmr.2010.05.016.
Article
Hammell K. W.2004. Exploring quality of life following high spinal cord injury: A review and critique. Spinal Cord. 42:491––502. http://dx.doi.org/10.1038/sj.sc.3101636.
Article
Hammell K.W.2010. Spinal cord injuryrehabilitationresearch: Patient priorities, current deficiencies and potential directions. Disability and Rehabilitation. 32(14):1209––1218. http://dx.doi.org/10.3109/09638280903420325.
Hampton M. Z.2001. Disability status, perceived health, social support, self efficacy, andquality of life among peoplewith spinal cord injury in the people's Republic of China. International Journal of Rehabilitation Research. 24:69––71.
Hwang H. M.., Yi M.S.., Park E.Y.., Kwon E. J.2012. Pheno-menology on the lived experience of Korean women with spinal cord injuries. Journal of Korean Academy Nursing. 42(4):508––516. http://dx.doi.org/10.4040/jkan.2012.42.4.508.
Article
Middleton J.., Tran Y.., Craig A.2007. Relationship between quality of life and self-efficacy in persons with spinal cord injuries. Archives of Physical Medicine and Rehabilitation. 88:1643––1648. http://dx.doi.org/10.1016/j.apmr.2007.09.001.
Article
Jang H. K.2006. A study on chronic pain, pain beliefs, pain coping, and fatigue in the elderly. Korean Journal of Adult Nursing. 18(3):377––385.
Jeong H. S.., Park H. S.2004. The relationship between activity daily livingand powerlessness of spinal cordinjurypati-ents. Korean Journal of Rehabilitation Nursing. 7(2):197––206.
Korea Spinal Cord Injury Association. 2010. A study on survey of spinal cord injury disabled persons. Seoul: Korea Spinal Cord Injury Association.
Krause J. S.., Carter R. E.2009. Risk of mortality after spinal cord injury: Relationship with social support, education, and income. Spinal Cord. 47:592––596. http://dx.doi.org/10.1038/sc.2009.15.
Article
Lee J. R.., Park C. M.2000. Quality of life using WHOQOL-Bref in Taegu. Korean Journal of Health Policy and Administration. 10(3):129––154.
Lim M. K.., Shin Y. S.., Yoo W. S.., Yang B. M.2003. Social support and self-rated health status in a low income neighborhood of Seoul, Korea. Korean Journal of Preventive Medicine. 36(1):54––62.
Min S. K.., Lee C. I.., Kim K. I.., Suh S. Y.., Kim D. K.2000. Development of Korean version of WHOquality of life scale abbreviated version. Journal of the Korean Neuropsychiatric Association. 39(3):571––579.
Park E. O.2011. A study on social support and depression by gender amongadults. Korea Journal of WomenHealthNursing. 17(2):169––177. http://dx.doi.org/10.4069/kjwhn.2011.17.2.169.
Persson L.O.., Ryden A ́.2006. Themes of effectivecoping in physical disability: An interview study of 26 persons who have learnt to live with their disability. Scandinavian Journal of Caring Sciences. 20(3):355––363. http://dx.doi.org/10.1111/j.1471-6712.2006.00418.x.
Sherbourne C. D.., Stewart A. L.1991. The MOS social support survey. Social Science & Medicine. 32(6):705––714. http://dx.doi.org/10.1016/0277-9536(91)90150-B.
Article
Shin S. R.., Kim A. L.2001. Factors effect on quality of life of spinal cord injury patients. Journal of Korean Academy of Nursing. 31(1):126––138.
Article
Siddall P. J.., Taylor D. A.., Cousins M. J.1997. Classification of pain following spinal cord injury. Spinal Cord. 35(2):69––75. http://dx.doi.org/10.1038/sj.sc.3100365.
Article
The Korea Institute for Health and Social Affairs. 2012. Survey on person with disabilities. Issue Brief No.: 2011-82. Seoul: The Korea Institute for Health and Social Affairs.
Williams D.A.., Thorn B.E.1989. Anempirical assessmentof pain beliefs. Pain. 36(3):351––358. http://dx.doi.org/10.1016/0304-3959(89)90095-X.
Unalan H.., Celik B.., Sahin A.., Caglar N.., Esen S.., Karameh-metoglu S.S.2007. Quality of life after spinal cord injury: The comparison of the SF-36 health survey and its spinal cord injury-modified version in assessing the health status of people with spinal cord injury. Neurosurgery Quarterly. 17(3):175––179. http://dx.doi.org/10.1097/WNQ.0b013e318063eb72.
Article
World Health Organization. 2001. International classification of functioning, disability and health. (ICF).Geneva: WHO.
Wollaars M.M.., Post M.W.., Asbeck F.W.A.., Brand N.2007. Spinal cord injury pain: The influence of psychologic factors and impact on quality of life. The Clinical Journal of Pain. 23(5):383––391. http://dx.doi.org/10.1097/AJP.0b013e31804463e5.
Article
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr