Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan

Introduction: This study aimed to determine the predictors of quality of life (QOL) among persons with paraplegic spinal cord injury (SCI) after discharge from the hospital to the community in Pakistan, based on the International Classification of Functioning (ICF) components, including participatio...

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Published in:Medical Journal of Malaysia
Main Author: Khanzada F.J.; Masuri M.G.; Rahim Z.A.; Daud A.Z.C.
Format: Article
Language:English
Published: Malaysian Medical Association 2024
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85189606524&partnerID=40&md5=369e609517fbc7172872a9097c08df3b
id 2-s2.0-85189606524
spelling 2-s2.0-85189606524
Khanzada F.J.; Masuri M.G.; Rahim Z.A.; Daud A.Z.C.
Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
2024
Medical Journal of Malaysia
79


https://www.scopus.com/inward/record.uri?eid=2-s2.0-85189606524&partnerID=40&md5=369e609517fbc7172872a9097c08df3b
Introduction: This study aimed to determine the predictors of quality of life (QOL) among persons with paraplegic spinal cord injury (SCI) after discharge from the hospital to the community in Pakistan, based on the International Classification of Functioning (ICF) components, including participation, impairments of body function/structures, personal factors, and environmental factors. Materials and Methods: A cross-sectional study was conducted with, one hundred and forty individuals with paraplegic SCI, who met the inclusion and exclusion criteria and attended an outpatient rehabilitation clinic. The impairment of body function/structures of participants was assessed using the American Spinal Injury Association (ASIA) Scale, which classified them as A, B, C, D, or E. A set of questionnaire survey forms was used to collect socio-demographic information, occupational participation, environmental factors, and QOL by using a demographic questionnaire, World Health Organization Disability Assessment Schedule 2.0 (WHODAS-II), Craig Hospital Inventory of Environmental Factors (CHIEF) scale and World Health Organization Quality of Life (WHOQOL) BREF form respectively. Results: The results showed that occupational participation was the strongest predictor of QOL among persons with paraplegic SCI (β=-0.586, p<0.001). In the second step, variables representing body function/structure factors (ASIA-A, B, C, D, E) were added, and the overall model explained 40.7% of the variance in QOL. In the third step, personal factors (age groups, gender, marital status, level of education, and rehabilitation duration) were added, and the overall model explained 51.4% of the variance in QOL. In the final step, environmental factors (CHIEF 12 Items scale) were added, but they did not significantly explain the model. Conclusion: The findings suggest that occupational participation was found to be the most significant predictor of QOL among individuals with paraplegic SCI. Body function/structure factors, personal factors, and environmental factors were also significant predictors, but to a lesser extent. The findings of this study can inform healthcare professionals and policymakers in developing interventions and, policies targeting occupational participation, and personal factors that may be effective to improve the QOL of individuals with paraplegic SCI in Pakistan. © 2024, Malaysian Medical Association. All rights reserved.
Malaysian Medical Association
3005283
English
Article

author Khanzada F.J.; Masuri M.G.; Rahim Z.A.; Daud A.Z.C.
spellingShingle Khanzada F.J.; Masuri M.G.; Rahim Z.A.; Daud A.Z.C.
Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
author_facet Khanzada F.J.; Masuri M.G.; Rahim Z.A.; Daud A.Z.C.
author_sort Khanzada F.J.; Masuri M.G.; Rahim Z.A.; Daud A.Z.C.
title Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
title_short Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
title_full Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
title_fullStr Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
title_full_unstemmed Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
title_sort Predictors of quality of life among individuals with paraplegic spinal cord injury after discharge from hospital to community in Pakistan
publishDate 2024
container_title Medical Journal of Malaysia
container_volume 79
container_issue
doi_str_mv
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85189606524&partnerID=40&md5=369e609517fbc7172872a9097c08df3b
description Introduction: This study aimed to determine the predictors of quality of life (QOL) among persons with paraplegic spinal cord injury (SCI) after discharge from the hospital to the community in Pakistan, based on the International Classification of Functioning (ICF) components, including participation, impairments of body function/structures, personal factors, and environmental factors. Materials and Methods: A cross-sectional study was conducted with, one hundred and forty individuals with paraplegic SCI, who met the inclusion and exclusion criteria and attended an outpatient rehabilitation clinic. The impairment of body function/structures of participants was assessed using the American Spinal Injury Association (ASIA) Scale, which classified them as A, B, C, D, or E. A set of questionnaire survey forms was used to collect socio-demographic information, occupational participation, environmental factors, and QOL by using a demographic questionnaire, World Health Organization Disability Assessment Schedule 2.0 (WHODAS-II), Craig Hospital Inventory of Environmental Factors (CHIEF) scale and World Health Organization Quality of Life (WHOQOL) BREF form respectively. Results: The results showed that occupational participation was the strongest predictor of QOL among persons with paraplegic SCI (β=-0.586, p<0.001). In the second step, variables representing body function/structure factors (ASIA-A, B, C, D, E) were added, and the overall model explained 40.7% of the variance in QOL. In the third step, personal factors (age groups, gender, marital status, level of education, and rehabilitation duration) were added, and the overall model explained 51.4% of the variance in QOL. In the final step, environmental factors (CHIEF 12 Items scale) were added, but they did not significantly explain the model. Conclusion: The findings suggest that occupational participation was found to be the most significant predictor of QOL among individuals with paraplegic SCI. Body function/structure factors, personal factors, and environmental factors were also significant predictors, but to a lesser extent. The findings of this study can inform healthcare professionals and policymakers in developing interventions and, policies targeting occupational participation, and personal factors that may be effective to improve the QOL of individuals with paraplegic SCI in Pakistan. © 2024, Malaysian Medical Association. All rights reserved.
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