Your SlideShare is downloading. ×
0
Quality of life and social function ofearthquake survivors with spinal cord  injury one year after returning to           ...
BackgroundS 30 months after Wenchuan EarthquakeS Functional recovery after the early-stage of  rehabilitation rescue in SC...
Method                       Gender/ Age/ Marriage/                              Education/ Employment/                   ...
Method                                                                Gender/ Age/ Marriage/                              ...
Method                                             Gender/ Age/ Marriage/                                                 ...
Method                       Gender/ Age/ Marriage/                              Education/ Employment/                   ...
Method                  Gender/ Age/ Marriage/                         Education/ Employment/                         Annu...
Method                         Gender/ Age/ Marriage/                                Education/ Employment/               ...
Method                          Gender/ Age/ Marriage/                                 Education/ Employment/             ...
Method                          Gender/ Age/ Marriage/                                 Education/ Employment/             ...
Method                                                             Gender/ Age/ Marriage/                                 ...
Result                     Age   40.00%   30.00%   20.00%   10.00%    0.00%            19-40   41-60   > 60 Age from 20 to...
Result         Gender           Marriage                          15.4%                       3.85%               41.2%   ...
Result      Education           Employment                                  15.4%   The average family income in 2010:    ...
Result        Above                           Below           Percentag AIS            C8-T6   T7-L2   L3-S2           Tot...
Result                  Abov                   Below           Percentag                       C8-T6 T7-L2 L3-S2         T...
Result               Above                       Below       Percentag                       C8-T6 T7-L2 L3-S2         Tot...
ResultS Discharge     VS Return to community for 1 yearS Paired T test         QOL                            In      CHAR...
Attention for the next stepS Chronic neuropathic painS DepressionS Employment
Rehabilitation Rescue                      after the DisasterS Early and comprehensive intervention of rehabS Functional i...
ConclusionS QOL and social function were significantly  improved after Returning to the community.S Main factors: ADL, pai...
Thank you!
Upcoming SlideShare
Loading in...5
×

Hu quality of life and social function of eq survivors with sci one year after returning to the community crdr.disaster.symp.isprm11.

207

Published on

Published in: Education, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
207
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "Hu quality of life and social function of eq survivors with sci one year after returning to the community crdr.disaster.symp.isprm11. "

  1. 1. Quality of life and social function ofearthquake survivors with spinal cord injury one year after returning to community Xiaorong HU,Jian’an LI Department of Physical Medicine and Rehabilitation Nanjing Medical University, China S
  2. 2. BackgroundS 30 months after Wenchuan EarthquakeS Functional recovery after the early-stage of rehabilitation rescue in SCI survivorsS ? QOL & social function in the communityS ? What will be paid attention to in the long- term rehabilitation strategy for SCI?
  3. 3. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life On-site Survey Complication SocialFunction Pain Ability of Daily Living Depression
  4. 4. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life World HealthOn-site Survey Complication Organization Quality of Life Assessment Instrument-Bref (WHOQOL-BREF) Social PainFunction appropriate scale for QOL of SCI patient  The most Ability of Daily • Individual’s overall perception of QOL & health • Domain: Physical Health/ Psychological/ Living Social Relationship/ Environment Depression *Hill MR, Noonan VK, Sakakibara BM, Miller WC. Quality of life instruments and definitions in individuals with spinal cord injury: a systematic review. Spinal Cord. 2009
  5. 5. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual income Craig Handicap Assessment AISAQuality of and Reporting Technique Short Life Form(CHART-SF) On-site Survey Complication • Physical Independence Social • Cognitive IndependenceFunction • Mobility Pain • Occupation Ability of Daily • Social Integration Living • Economic Self-Sufficiency Depression • Gerhart KA, Weitzenkamp DA, Kennedy P, Glass CA, Charlifue SW. Correlates of stress in long-term spinal cord injury. Spinal Cord. 1999; 37(3):183-190
  6. 6. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life On-site Survey Complication SocialFunction Pain Ability of Daily Living Depression
  7. 7. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life (1)AIS A-C Survey On-site Complication (2)AIS D-E & SCI Syndrome SocialFunction Pain Ability of Daily Living Depression
  8. 8. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life On-site Survey Complication Social Pressure Sore/ UTI / Cystolith /Function Pain Neurogenic Bladder/ Rectum Impairment of Renal Function … Ability of Daily Living Depression
  9. 9. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life On-site Survey Complication SocialFunction Pain Ability of Daily Visual Analogue Scale (VAS) Living Depression
  10. 10. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISA Life On-site Survey Complication SocialFunction Pain Ability of Daily Living Depression Modified Barthel Index (MBI)
  11. 11. Method Gender/ Age/ Marriage/ Education/ Employment/ Annual incomeQuality of AISAPatient Health Questionnaire Depression LifeModule (PHQ-9)• < 5 point: No need forSurvey On-site treatment Complication• Only 9 question• Social for community life waiting 5-14 point: Support, watchful Suitable• > 15 point: Antidepressant and/or of depressionFunction screening the symptom psychotherapy• Accurate Pain• Good internal consistency and construct validity inSCI patient Ability of Daily* Sakakibara BM, Miller WC, Orenczuk SG, Wolfe DL; SCIRE Research Team. A systematic review of depression Livingand anxiety measures used with individuals with spinal cord injury. Spinal Cord. 2009; 47(12):841-851 Depression
  12. 12. Result Age 40.00% 30.00% 20.00% 10.00% 0.00% 19-40 41-60 > 60 Age from 20 to 79 (52.6±15.8 years old)
  13. 13. Result Gender Marriage 15.4% 3.85% 41.2% 58.8% 80.8%Male Married SingleFemale Widowed
  14. 14. Result Education Employment 15.4% The average family income in 2010: 46.2% RMB 5375±3186 53.8% 84.6%Below the average annual income in rural ChinaIlliteracy EmployedBe educated At home
  15. 15. Result Above Below Percentag AIS C8-T6 T7-L2 L3-S2 Total C7 S2 e A 1 5 6 23.1% B 2 2 7.60% C 7 7 26.9% D 3 5 1 2 11 42.3%Total 3 1 19 1 2 26
  16. 16. Result Abov Below Percentag C8-T6 T7-L2 L3-S2 Total e C7 S2 e Wheelchair Independent 1 13 14 53.8%Using orthotics and/or aids 4 1 1 6 23.1% Walkindependently 3 5 1 6 23.1% Total 3 1 19 1 2 26
  17. 17. Result Above Below Percentag C8-T6 T7-L2 L3-S2 Total C7 S2 e Pain 3 1 19 1 2 26 100%New pressure sore 1 10 1 12 46.2% Neurogenic bladder 1 12 1 14 53.8% Cystolith 2 2 7.69%Neurogenic Rectum 1 8 2 11 42.3%Heterotopicossification 1 1 3.85%
  18. 18. ResultS Discharge VS Return to community for 1 yearS Paired T test QOL In CHART DischargeDischarge In community T T T Dischargecommunity In PP P community Total Score 68.3±12.6 71.4±10.2 -1.66 0.011 MBI score Total 71.2±25.8322±87.0overall perception of 81.9±18.7 2.65±1.09 344±80.8 -3.37 3.84±0.731 -1.58 0.002 0.127 -6.48 0.000 Physical QOL VAS perception of 89.4±11.2 5.38±2.38 Independence overall 96.4±4.70 0.548 5.12±1.70 -3.90 0.589 0.001 2.65±1.23 3.81±0.749 -5.62 0.000 CognitivePHQ-9health10.5±5.38 19.0±4.98 56.9±19.8 -0.652 Independence Physical Health 78.5±24.511.9±12.3 20.6±2.58 4.01 0.000 0.520 -1.63 0.117 Mobility Psychological 51.2±20.5 17.0±3.89 67.4±28.0 17.8±3.38 -2.84 -1.31 0.009 0.202Social Relationship 39.5±32.0 Occupation 8.27±2.31 42.2±35.4 9.42±1.92 -2.90 -2.55 0.108 0.017
  19. 19. Attention for the next stepS Chronic neuropathic painS DepressionS Employment
  20. 20. Rehabilitation Rescue after the DisasterS Early and comprehensive intervention of rehabS Functional impact: Improve ADL, reduce complication and relieve symptom of depressionS Long-term impact: Improve QOL and social participation, promote re-employment[1]Rathore FA, Farooq F, Muzammil S, New PW, Ahmad N, Haig AJ. Spinal cord injury management and rehabilitation: highlights andshortcomings from the 2005 earthquake in Pakistan. Arch Phys Med Rehabil. 2008 Mar;89(3):579-85.[2]Li JJ, Gao F, Liu SJ, Treatment and rehabilitation of patients with spinal cord injury after earthquake. Chn J Rehabil Theory Pract. Jul.2008. Vol. 14.No.7
  21. 21. ConclusionS QOL and social function were significantly improved after Returning to the community.S Main factors: ADL, pain and depression.S Early rehabilitation can improve QOL and social function, even can be extended in the community.S Long-term rehabilitation strategy should pay attention to vocational training and social integration.
  22. 22. Thank you!
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×