Post traumatic paraplegics living in Athens: the impact of pressure sores and UTIs on everyday life activities

Spinal Cord. 1998 Jun;36(6):432-7. doi: 10.1038/sj.sc.3100641.

Abstract

This paper contains the findings of a scientific research which was done on post-traumatic paraplegics who live in the area of Athens. Greece, and measured the impact of pressure sores and UTIs on their everyday life activities. The target population was 127 individuals out of which 98 were observed and interviewed. A semi-structured questionnaire which consisted of two parts used; the first part of the questionnaire included general questions whereas the second contained the Sarno Functional Life Scale (SFLS) which is a tool measuring the level of independence of disabled people. Sixty-two per cent of the population was male. The mean age of the sample population at the time they had the accident which caused the paraplegia was 31.5, while the median was 28.5. The majority of the subjects comes from the lower socioeconomic class. Traffic accidents accounted for the 55% of the occurrences of paraplegia, falls for 37%, surgical complication for 4% and athletic activities for the remaining 4%. Forty-nine percent of the sample had been hospitalised in a rehabilitation centre. However, the multiple regressions used did not reveal any statistically significant relation between the hospitalisation in a rehabilitation centre and the paraplegic's scores in any of the Sarno Functional Life Scale's (SFLS) variables. Instead, the multiple regressions employed yielded paraplegics' scores in the SFLS's everyday life activities that were negatively related to age (P = 0.004) and pressure sores (P = 0.021). The paraplegics' scores on the SFLS's indoors activities are positively related to the years since injury (P = 0.048) and health education on daily fluid consumption (P = 0.003). The scores of the subjects on the SFLS's outdoor activities are positively related to the years of education (P = 0.008), the years since injury (P = 0.011), while are negatively related to pressure sores (P = 0.034) and UTIs (0.044). The subjects' scores on the SFLS variables regarding social relations had a negative relation to sex, (female) (P = 0.0001), age (P = 0.001) and pressure sores (P = 0.019), while they have a positive relation with the years since injury (P = 0.024).

MeSH terms

  • Activities of Daily Living*
  • Adolescent
  • Adult
  • Child
  • Female
  • Greece
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Occupations
  • Paraplegia / complications*
  • Paraplegia / psychology*
  • Patient Education as Topic
  • Pressure Ulcer / etiology*
  • Pressure Ulcer / psychology*
  • Spinal Cord Injuries / complications*
  • Spinal Cord Injuries / psychology*
  • Surveys and Questionnaires
  • Urinary Tract Infections / etiology*
  • Urinary Tract Infections / psychology*