自我效能感在脊髓损伤患者功能限制中的作用。

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2023-09-26 DOI:10.1177/17423953231203731
Muna Bhattarai, Yuki Shigemoto, Susan Miller Smedema
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引用次数: 0

摘要

目的:脊髓损伤(SCI)会导致轻度到重度的功能限制,降低一个人进行日常生活活动的能力。本研究旨在确定SCI特征和自我效能感对功能局限性的影响,控制社会人口学因素。方法:这项横断面描述性研究的参与者包括272名SCI患者。参与者使用在线Qualtrics调查完成了关于社会人口统计信息、次要身体状况、自我效能和功能限制的问卷调查。采用多层次回归分析对该假设进行检验。结果:与日常生活中的其他活动相比,参与者在下半身穿衣和排便方面的功能限制更高。社会人口统计学、损伤特征和自我效能共同解释了66%的功能限制差异。更高水平的继发性身体状况和四肢瘫痪损伤导致了更高的功能限制。正如假设的那样,在社会人口统计学和SCI相关变量之上,更高的自我效能感显著导致了低功能限制。讨论:SCI后的功能限制对SCI患者来说是一个普遍的挑战。早期认识和管理继发性疾病,并实施心理干预措施,以增强在开展活动和管理继发并发症方面的自我效能,可能会增强该人群的功能独立性,并最终提高其生活质量。
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Role of self-efficacy on functional limitations among persons with spinal cord injury.

Objectives: Spinal cord injury (SCI) results in mild to severe functional limitations, decreasing a person's ability to perform activities of daily living. This study aims to identify the influence of SCI characteristics and self-efficacy on functional limitations, controlling for sociodemographic factors.

Methods: Participants for this cross-sectional descriptive study included 272 persons with SCI. The participants completed questionnaires on sociodemographic information, secondary physical conditions, self-efficacy, and functional limitations, using an online Qualtrics Survey. Multiple hierarchical regression analysis was performed to test the hypothesis.

Results: Participants reported higher functional limitations on dressing the lower body and managing their bowels compared to other activities of daily living. The sociodemographics, injury characteristics, and self-efficacy collectively accounted for 66% variance in functional limitations. A higher level of secondary physical conditions and tetraplegia injury contributed to higher functional limitations. As hypothesized, greater self-efficacy significantly contributed to low functional limitations above and beyond sociodemographic and SCI-related variables.

Discussion: Functional limitations following SCI are a pervasive challange in persons with SCI. Early recognition and management of secondary conditions and implementation of psychological interventions to strengthen self-efficacy in performing activities and managing secondary complications could potentially enhance functional independence and, ultimately, quality of life in this population.

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来源期刊
Chronic Illness
Chronic Illness Multiple-
CiteScore
3.80
自引率
0.00%
发文量
38
期刊介绍: Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.
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