|
KMID : 1143320180070040019
|
|
Therapeutic Science for Neurorehabilitation
2018 Volume.7 No. 4 p.19 ~ p.30
|
|
|
Predictors of Participation Restriction in Community-dwelling Persons With Spinal Cord Injury
|
|
Kim Yeon-Ju
Park Ji-Hyuk
Kim Jung-Ran
Park Ha-Eun
|
|
|
Abstract
|
|
|
Objective: The purpose of this study was to suggest predictors of participation restriction incommunity-dwelling Spinal Cord Injury (SCI) based on environmental, functional, injury-related,psychosocial, and sociodemographic factors.
Methods: The participants were 82 community-dwelling SCI adults over the age of 18. They were all included in the American Spinal Injury Association’s (ASIA) Levels A, B, and C. This study surveyed participants’ participation using the CHART-K-SF, environmental factors using the CHIEF-25 Korean version, and functional factors using the SCIM Ⅲ. Further, pain and distress were surveyed using Zung’s Self-rating Pain and the PAD, self-esteem was assessed using the RSES, and self-efficacy using the GSS. Finally, information concerning injury levels, post-injury period, causes of injury-related factors, and sociodemographic factors such as gender, age, marriage, education level, and residence information were collected. The collected data were analyzed using SPSS Version 21.0
Results: Participants’ risk factors were environmental and functional. The Nagelkerke‘s R2 was.737. The OddsRatio(OR) of environmental factors(referent,0-1) was 40.346. Moreover, the OR of the 1st quartile functional factor(referent,4thquartile) was 236. 621, and that of the2nd quartile was 21.174. In addition, the occupational predictors included the “policies” subscales in the CHART-K-SF, “physical/structural” in the CHIEF-25, and “mobility” in the SCIM Ⅲ. Further, the predictors of “physical independence” were “services/assistance” in CHIEF-25, and “respiration and sphincter management’ on the SCIM Ⅲ. Additionally, “mobility” was predicted by “physical/structural” on the CHIEF-25 and “mobility” on the SCIM Ⅲ.
Conclusions: This study multidimensionally confirmed predictors of participation restriction. Through these facts, we investigated occupational therapists’ roles in community setting. Therefore, this study’s results will provide useful information for occupational therapy services, for which the goal is SCI participation improvement within the community.
|
|
|
KEYWORD
|
|
|
Community-based occupational therapy, ICF, Participation, Participation restriction, SCI
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|