Factors determining health awareness in persons after spinal injury with neurological complications – pilot study
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2010, Vol 12, Issue 6
Abstract
Dedicated health education is a core intervention in comprehensive rehabilitation programmes. Health awareness of those disabled as a result of a spinal injury with neurological complications (SINC) has rarely been the subject of scientific analyses despite its importance for designing dedicated educational programs. Purpose: To evaluate factors determining the health awareness of persons after SINC. Material: 133 SINC patients (32 women) between 0.5 and 31 years after injury. Method: An ad hoc questionnaire designed by the authors consisting of 150 detailed questions about the diagnosis, prophylaxis and management of typical health consequences of SINC.Main results: The mean test score (TS) was 56.6 points. TS correlated inversely with age in a statistically significant manner (correlation coefficient (CC) = -0.31). TS increased with the time elapsed since injury, with distinct increments at 1 year and 10 years after the event. Significantly higher TSs were noted in persons with university (64.6) and secondary education (65.7) compared with the rest of the group (37.9). Those unable to walk but able to use the wheelchair for independent locomotion had a higher TS (59.7) compared to wheelchair-bound persons unable to drive the wheelchair (47.5) and to persons with preserved walking ability (46.2). Significantly higher scores were achieved by inhabitants of towns above 100,000 population, those employed, members of an association for disabled persons, and respondents capable of independent self-care. There was an inverse correlation between TS and Beck’s depression score (CC=-0.36). TS did not depend on gender. Interaction with other persons with SINC is perceived as the most important source of health related knowledge. Conclusions: Predictors of better health awareness in SINC persons include a young age, at least secondary education, more than 10 years since injury, participation in community rehabilitation organised by an association of persons with disability, being employed, being unable to walk, effective self-care, and absence of depression.
Authors and Affiliations
Piotr Tederko , Halina Limanowska , Jerzy Kiwerski , Tomasz Krasuski , Marek Krasuski
Keywords
Related Articles
- EP ID EP57069
- DOI -
- Views 114
- Downloads 0
Concentration of Platelet Derived-Growth Factors in Concentrates Used to Regenerate Injured Bone Tissue
Background. Bone union disorders of various kinds, of both iatrogenic and biological origin, are a common problem in the treatment of compound fractures. Impairment of bone regeneration often results from lack of biologi...
Mylące bóle krzyża i objawy rzekomokorzeniowe w martwicach głów kości udowych
Wstęp. Głównym subiektywnym objawem wczesnego okresu rozwoju martwicy głowy kości udowej są często mylące bóle krzyża i pośladka, dokuczliwe zwłaszcza w nocy. Obiektywnymi objawami w tym okresie choroby są ograniczenia k...
THE ROLE OF LASER BIOSTIMULATION IN EARLY POST-SURGERY REHABILITATION AND ITS EFFECT ON WOUND HEALING.
Background. The aim of this paper is to investigate whether laser biostimulation starting on the first day after surgery of the brachial plexus or peripheral nerves has a positive therapeutic effect on wound healing. Mat...
Leg Length Discrepancy Treatment with Subtrochanteric Shortening Osteotomy and Blade Plate Fixation
Background. Subtrochanteric femoral shortening osteotomy is a method of surgical treatment of lower limb discrepancy (LLD). It is less commonly used due to numerous limitations and the resulting decrease in height, which...
Zastarzałe (42-letnie) zwichnięcie stawu biodrowego leczone protezoplastyką. Studium przypadku
Zwichnięcie stawu biodrowego jest najczęściej skutkiem wysokoenergetycznego urazu komunikacyjnego. Zastarzałe zwichnięcia, trwające wiele miesięcy lub lat spotykane są niezmiernie rzadko. Wybór odpowiedniego sposobu lecz...