Analysis of influencing factors of daily living abilities in patients with traumatic spinal cord injury

English Keywords:Spinal cord injury  Ability of daily living  Influencing factors  Multiple linear regression analysis

English Abstract:

  【Abstract】 Objectives: To explore the influencing factors of daily living abilities in patients with traumatic spinal cord injury. Methods: A cross-sectional study was conducted on 148 patients with traumatic spinal cord injury admitted to our hospital from January 2019 to January 2023. Factors that may affect the daily living abilities of patients were collected, including gender, age, marital status, course of injury, cause of injury, level of injury, American Spinal Injury Association(ASIA) impairment scale(AIS), surgical situation and urination pattern. The spinal cord independence measure Ⅲ(SCIM-Ⅲ) was used to evaluate the daily living abilities in patients with traumatic spinal cord injury. The relationship between the influencing factors and daily living abilities was analyzed by single factor analysis, and multiple linear regression was applied to analyze the impact of the influencing factors on daily living abilities. Results: Univariate analysis showed that the level of injury, AIS and, the urination pattern had significant effects on daily living abilities(P<0.05), while gender, age, marital status, course of injury, cause of injury, surgical situation had no significant effects on daily living abilities. With regard to the level of injury, patients with sacral spinal cord injury had the best daily living abilities, and patients with cervical spinal cord injury were the worst in daily living abilities. Regarding AIS, patients of level A were the worst in daily living abilities, and patients of level E were the best. In terms of urination pattern, patients who could spontaneous voiding were the best in daily living abilities, while those with indwelling catheter/bag had the worst daily living abilities. There were statistically significant differences in self-care, respiratory and sphincter management, movement and total scores between patients with different injury levels, urination patterns and AIS(P<0.01). Multiple linear regression showed that injury level, urination pattern and AIS were the main factors affecting the daily living abilities. Conclusions: The level of injury, AIS, and the urination pattern are the main factors affecting the daily living abilities of patients with traumatic spinal cord injury, and patients with injury of cervical cord, AIS level A, and indwelling catheter/bag have poor daily living abilities.