A questionnaire survey on acceptance of disability of patients with spinal cord injury after 18 months of injury

English Keywords:Spinal cord injury  Acceptance of disability  Rehabilitation psychology

English Abstract:

  【Abstract】 Objectives: To survey and analyze the level of acceptance of disability and its risk factors for spinal cord injury(SCI) after 18 months of injury. Methods: 78 patients with SCI in our hospital from March 2006 to December 2008 and 83 cases with SCI from work injury mutual support group were reviewed retrespectively, their ages at onset were above 18 years(18-62 years, average 36 years) and they suffered from injury for more than 18 months(18-35 months, average 27 months). The survey ranged from January to April 2009. Of them, 29 were face-to-face interviewed and 132 were telephone interviewed. The questionnaire consisted of World Health Organization Disability Assessment Schedule Ⅱ, Acceptance of Disability Scale, Rosenberg Self-Esteem Scale, Center for Epidemiologic Studies Short Depression Scale, Generalized Self-Efficacy Scale, and Multidimensional Scale of Perceived Social Support. Results: The acceptance of disability had a fair degree of negative relationship with pain and WHO disability assessment(r=-0.28 and -0.40, P<0.01, respectively), and had a fair degree of positive relationship with self-efficacy and social support(r=0.45 and 0.36, P<0.01, respectively). It was also found that moderate to good positive relationship between acceptance of disability and self-esteem(r=0.65, P<0.01), moderate to good negative relationship with depression(r=-0.66, P<0.01). The linear regression result indicated that depression, self-esteem and pain intensity were the best predictors for acceptance of disability(P<0.01). Conclusions: Multifactors may influence the acceptance of disability for SCI. However, depression, self-perceived pain intensity and self-esteem are the best predictors for acceptance of disability.