Korean J Adult Nurs. 2014 Aug;26(4):444-454. Korean.
Published online Aug 31, 2014.
© 2014 Korean Society of Adult Nursing
Original Article

Factors Influencing Quality of Life of People with Noncongenital Spinal Cord Injury

Hye Min Hwang,1 and Myungsun Yi2
    • 1Department of Nursing, Bucheon University, Bucheon, Korea.
    • 2College of Nursing · Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Received June 07, 2014; Revised August 03, 2014; Accepted August 04, 2014.

Abstract

Purpose

The purpose of the study was to examine the relationships among pain belief, perceived social support, coping strategies, and quality of life of people with noncongenital spinal cord injury and to identify factors influencing quality of life.

Methods

A correlational predictive design was used. The data were collected from 197 people with noncongenital spinal cord injury with questionnaires in 2012 in Korea. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS/WIN 18.0.

Results

Pain belief, perceived social support, and coping strategies were correlated significantly with the quality of life. As a result of stepwise multiple regression analysis, pain belief, perceived social support, coping strategies, damaged area, and time since injury were discovered to account for 59.1% variance of the quality of life. The variable that most affected the quality of life was pain belief followed by perceived social support and coping strategies.

Conclusion

The results of the study clearly demonstrate the importance of pain control, social support, and coping skills in order to improve quality of life among people with noncongenital spinal cord injury.

Keywords
Spinal cord injury; Quality of life; Pain; Social support; Coping skill

Tables

Table 1
Demographic and Spinal Cord Injury-related Characteristics (N=197)

Table 2
Descriptive Statistics of the Study Variables (N=197)

Table 3
Quality of Life by General and Spinal Cord Injury-related Characteristics (N=197)

Table 4
Correlations between Quality of Life, Pain Belief, Perceived Social Support, and Coping Strategies (N=197)

Table 5
Factors Influencing Quality of Life (N=197)

Notes

This manuscript is a revision of the first author's doctoral dissertation from Seoul National University.

References

    1. Choi SN, Kim JH. Relationships among the pain belief, pain coping, and pain disability of patients with chronic musculoskeletal pain. The Korean Journal of Rehabilitation Nursing 2012;15(1):30–38.
    1. Choi YS, Kim HL, Kim YH, Lim JR. The association among activity of daily living, instrumental activities of daily living, depression and isolation in disabled people. The Korean Journal of Rehabilitation Nursing 2011;14(1):5–12.
    1. Cohen J. In: Statistical power analysis for the behavioral science. 2nd ed. New York: Academic Press; 1988.
    1. Dysvik E, Lindstrøm TC, Eikelan OJ, Natvig GK. Health-related quality of life and pain beliefs among people suffering from chronic pain. Pain Management Nursing 2004;5(2):66–74. [doi: 10.1016/j.pmn.2003.11.003]
    1. Elfström ML, Ryden A, Kreuter M, Persson LO, Sullivan M. Linkages between coping and psychological outcome in the spinal cord lesioned: Development of SCL-related measure. Spinal Cord 2002;40:23–29. [doi: 10.1038/sj.sc.3101238]
    1. Elfström ML, Ryden A, Kreuter M, Taft C, Sullivan M. Relations between coping strategies and health related quality of life in patients with spinal cord lesion. Journal of Rehabilitation Medicine 2005;37:9–16. [doi: 10.1080/16501970410034414]
    1. Fann JR, Bombardier CH, Richards JS, Tate DG, Wilson CS, Temkin N. Depression after spinal cord injury: Comorbidities, mental health service use, and adequacy of treatment. Archives of Physical Medicine and Rehabilitation 2009;92(3):352–360. [doi: 10.1016/j.apmr.2010.05.016]
    1. Hammell KW. Exploring quality of life following high spinal cord injury: A review and critique. Spinal Cord 2004;42:491–502. [doi: 10.1038/sj.sc.3101636]
    1. Hammell KW. Spinal cord injury rehabilitation research: Patient priorities, current deficiencies and potential directions. Disability and Rehabilitation 2010;32(14):1209–1218. [doi: 10.3109/09638280903420325]
    1. Hampton MZ. Disability status, perceived health, social support, self efficacy, and quality of life among people with spinal cord injury in the people's Republic of China. International Journal of Rehabilitation Research 2001;24:69–71.
    1. Hwang HM, Yi MS, Park EY, Kwon EJ. Phenomenology on the lived experience of Korean women with spinal cord injuries. Journal of Korean Academy Nursing 2012;42(4):508–516. [doi: 10.4040/jkan.2012.42.4.508]
    1. Middleton J, Tran Y, Craig A. Relationship between quality of life and self-efficacy in persons with spinal cord injuries. Archives of Physical Medicine and Rehabilitation 2007;88:1643–1648. [doi: 10.1016/j.apmr.2007.09.001]
    1. Jang HK. A study on chronic pain, pain beliefs, pain coping, and fatigue in the elderly. Korean Journal of Adult Nursing 2006;18(3):377–385.
    1. Jeong HS, Park HS. The relationship between activity daily living and powerlessness of spinal cord injury patients. Korean Journal of Rehabilitation Nursing 2004;7(2):197–206.
    1. Korea Spinal Cord Injury Association. A study on survey of spinal cord injury disabled persons. Seoul: Korea Spinal Cord Injury Association; 2010.
    1. Krause JS, Carter RE. Risk of mortality after spinal cord injury: Relationship with social support, education, and income. Spinal Cord 2009;47:592–596. [doi: 10.1038/sc.2009.15]
    1. Lee JR, Park CM. Quality of life using WHOQOL-Bref in Taegu. Korean Journal of Health Policy and Administration 2000;10(3):129–154.
    1. Lim MK, Shin YS, Yoo WS, Yang BM. Social support and self-rated health status in a low income neighborhood of Seoul, Korea. Korean Journal of Preventive Medicine 2003;36(1):54–62.
    1. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version. Journal of the Korean Neuropsychiatric Association 2000;39(3):571–579.
    1. Park EO. A study on social support and depression by gender among adults. Korea Journal of Women Health Nursing 2011;17(2):169–177. [doi: 10.4069/kjwhn.2011.17.2.169]
    1. Persson LO, Rydén A. Themes of effective coping in physical disability: An interview study of 26 persons who have learnt to live with their disability. Scandinavian Journal of Caring Sciences 2006;20(3):355–363. [doi: 10.1111/j.1471-6712.2006.00418.x]
    1. Sherbourne CD, Stewart AL. The MOS social support survey. Social Science & Medicine 1991;32(6):705–714. [doi: 10.1016/0277-9536(91)90150-B]
    1. Shin SR, Kim AL. Factors effect on quality of life of spinal cord injury patients. Journal of Korean Academy of Nursing 2001;31(1):126–138.
    1. Siddall PJ, Taylor DA, Cousins MJ. Classification of pain following spinal cord injury. Spinal Cord 1997;35(2):69–75. [doi: 10.1038/sj.sc.3100365]
    1. The Korea Institute for Health and Social Affairs. Survey on person with disabilities. Seoul: The Korea Institute for Health and Social Affairs; 2012.
      Issue Brief No.: 2011-82.
    1. Williams DA, Thorn BE. An empirical assessment of pain beliefs. Pain 1989;36(3):351–358. [doi: 10.1016/0304-3959(89)90095-X]
    1. Unalan H, Celik B, Sahin A, Caglar N, Esen S, Karamehmetoglu SS. Quality of life after spinal cord injury: The comparison of the SF-36 health survey and its spinal cord injury-modified version in assessing the health status of people with spinal cord injury. Neurosurgery Quarterly 2007;17(3):175–179. [doi: 10.1097/WNQ.0b013e318063eb72]
    1. World Health Organization. International classification of functioning, disability and health (ICF). Geneva: WHO; 2001.
    1. Wollaars MM, Post MW, Asbeck FW, Brand N. Spinal cord injury pain: The influence of psychologic factors and impact on quality of life. The Clinical Journal of Pain 2007;23(5):383–391. [doi: 10.1097/AJP.0b013e31804463e5]

Metrics
Share
Tables

1 / 5

PERMALINK