Effect of three transitional care methods on the rehabilitation and life quality in patients with spinal cord injury

English Keywords:Spinal cord injury  Transitional care  Life style  Quality of life

English Abstract:

  【Abstract】 Objectives: To evaluate the effect of three transitional care methods on the rehabilitation and life quality in patients with spinal cord injury. Methods: A total of 90 patients who met the inclusion criteria were randomly divided into three groups, group A(n=30, followed up by face-to-face home visit), group B(n=30, followed up by phone call) and group C(n=30, outpatient follow-up). The rehabilitation and life quality of patients were evaluated by functional independence measure, social activity questionnaire, social support rating scale, MPSS-Fa and the short version of WHO quality of life scale(WHOQOL-BREF) after discharge. Results: There was no statistical difference in age, sex ratio, section of injury, injury reason, ASIA grade or quality of life scores before intervention of patients in three groups（P>0.05）. At follow-up of 12 mouths, the scores of life quality in three groups were significantly improved after discharge, the score of life quality in group A was significantly higher than that in group B. At the same time, the indexes of group A: constipation(10.0%), urinary tract infection(6.7%), pulmonary infection(0.0%) were lower than those of group B; the incidence of pressure ulcers(6.7%) was lower than those of group B(36.7%) and group C(13.3%). Conclusions: It can significantly improve the life quality of patients with spinal cord injury by three transitional care methods. Face-to-face home visit is the best effective transitional care method, and canreduce the impact of readmission and complications.