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KMID : 0377619920570080503
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Korean Jungang Medical Journal
1992 Volume.57 No. 8 p.503 ~ p.517
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Quality of Life of Middle-Aged Paraplegic Patients
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Abstract
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The purpose of this descriptive study was to explore relationships among quality of life, family support and perceived state of health and to contribute to theoretical understanding for nusring strategy for the improvement of quality of life of middle aged paraplegic patients.
Subjects were 65 male and female parapletic patients due to Spine Fracture below T10 level, aged 30 to 59 in 1 general hospital and 1 rehabilitation center in lncheon City.
Data was collected from Jan. 14. to 30. 1992 through a convenience sample technique based on the Quality of Life Scale developed by ko, You Ja and Family Support Scale developed by Kang, Hyun Sook. Data was analyzed in an SPSS/PC* program using ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression.
The results were as follows;
1. The mean of total score was 114.63 for married (total score: 235) and unmarried 115.40 (total score: 220) and the mean of total item score was 2.61.
The mean of the different dimensions were family relationships 3.59, relationships with neighbours 2.89, self-esteem 2.89 emotional life 2.7, economic life 2.28, physical state and function 2.18.
2. Significantly higher scores on the gmaiity of life and demographic variables were as follows;
The quality of life in the group those who feel the least painful on site (F= 8.39,"P-
.001) and for those no catheterization on urination (F= 4.68, P= .0344). Higher Scores on the quality of life were correlated with the following.
1) Emotional state and the gorup without complication (F= 5.48, P= .020), those who feel the least painful (F= 4.48, P= .007).
2) Economic life and physical state and function and those who feel the least painful (F= 4.04, P= .001; F= 16.78, P= .000).
3) Self-esteem and those who has religion (F= 3.85, P= .014), better educational
back ground (F= 2.85, P= .023), the least painful (F= 4.87, P= .042), no catheterization on urination (F= 4.82, P= .03) and those who can manage daily life with helping device in spite of some difficulties (F= 3.63, P= .017).
.4) Relationships with neighbours and buddist (F= 3.35, P= .02), those who can manage daily life with helping device in spite of some difficulties (F= 4.86, P= .043).
5) Family relationships and those who can manage daily life with helping device in spite of some difficulties (F= 2.06, P= .044).
3. Significantly positive correlation was shown between the subjects perceptions of their current state of health and the quality of life score (r= .3858, P= .001).
4. There was positive correlation between the quality of life score and family support (r= .3402, P= .003).
5. Stepwise multiple regression analysis showed that;
1) The pain below injured area was the main predictor and accounted for 26.65 % of the total variance.
2) Additional family support accounted for 36.16 % of the total variance.
In Conclusion,
The quality of life of the paraplegic patients was the least score among Health person, Hemodialysis, D.M., Arthritis patient, especially in regard to their physical state and function and the current perceived state of health showed the least score as well.
Pain, complication, religion, education, catheterization were significant variables relating to quality of life. So, decreasing-pain and activity difficulty are the most important variables to improve quality of life as Spinal Man.
We have to incorporate these identified variables into implementation for qualitative nursing care.
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