A national cross-sectional survey on community spinal cord injury individuals profiles, health-related quality of life and support services in China: implications for healthcare and rehabilitation

BMC Musculoskeletal Disorders, 2024 · DOI: https://doi.org/10.1186/s12891-024-07877-1 · Published: September 16, 2024

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study investigates the living conditions and health-related quality of life (HRQoL) of individuals with spinal cord injury (SCI) in China. The study found that SCI participants in China have low HRQoL and reemployment rates, highlighting the need for better community and vocational rehabilitation programs. The research emphasizes the importance of accessible medical services to improve the well-being and reduce the burden of SCI in China.

Study Duration

May to September 2023

Participants

3055 SCI participants aged 8 to 78 years

Evidence Level

Cross-sectional study

Key Findings

1
The majority (88.9%) of respondents were aged 15 to 59 years, with a male-to-female ratio of 2.36:1.
2
Car accidents caused 45.4% of tetraplegia cases, falls caused 35.9% of paraplegia cases, and myelitis was the leading cause of non-traumatic SCI.
3
Half (50.3%) of the respondents were unemployed, and 75% had incomes below the national average.

Research Summary

This cross-sectional study examined the epidemiological characteristics, living conditions, and health-related quality of life (HRQoL) of spinal cord injury (SCI) participants in China. The study found that SCI participants in China exhibit low HRQoL and reemployment rates, with significant impact from injury site, income, age and etiology. The research emphasizes the importance of accessible community and vocational rehabilitation programs, alongside robust public medical services, to enhance reemployment and HRQoL among SCI participants.

Practical Implications

Community Rehabilitation Programs

Accessible community rehabilitation programs are crucial for enhancing the daily living activities and improving employment prospects for individuals with SCI.

Vocational Training

Vocational skills training and workplace environment optimization are needed to promote workforce reintegration.

Financial Assistance

Financial assistance programs, including enhancing commercial insurance coverage alongside the national basic healthcare system, can alleviate economic burdens faced by SCI individuals and their families.

Study Limitations

1
The utilization of online questionnaires potentially excluded individuals lacking access to intelligent devices or internet services.
2
The study heavily relied on self-evaluation forms completed by either participants or their caregivers.
3
A simplified descriptive assessment of limb activity, injury location, sensory or motor retention around the anus was used instead of detailed ISNCSCI standards.

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