上海脊髓损伤者社区康复需求状况及影响因素分析OA

Objective:To analyze the rehabilitation needs and the associated factors of individuals with spinal cord injury(SCI)in Shanghai.Meth-ods:The participants were individuals with SCI from permanent Shanghai families who participated in rehabilitation training at Shanghai Sunshine Rehabilitation Center.The evaluation table of community-based rehabilitation demand of individuals with SCI developed by our research team,Com-munity Integration Questionnaire(CIQ),EQ-VAS,Zung self-rating anxiety/depression Scale(SAS/SDS)and a self-designed questionnaire were used.Descriptive statistics,reliability and validity analysis,and multiple logistic regression were employed in statistical analysis.Results:A total of 280 individuals with SCI were included in the study,of which 65 participated in the test-retest study.The evaluation table of community-based reha-bilitation demand showed good internal consistency,test-retest reliability,and content and structural validity.Exploratory Factor Analysis revealed that the 15 assessment items could be categorized into four need dimensions:education/employment,social,empowerment and health.The overall level of community rehabilitation needs was 64.6%,with education/employment needs(55.3%)and social needs(58.4%)scoring lower than 60%.The percentages of the seven need items were lower than 50%:cultural and artistic activities(34.7%),psychological counselling(35.0%),informal education(35.3%),formal school education(41.9%),sports activities(43.6%),employment and entrepreneurship(43.7%),and entertainment and lei-sure activities(48.6%).The multivariate analysis found that individuals with high school or lower education level(OR=2.20)and those from other provinces/cities(OR=2.06)had higher possibilities to demand psychological counselling compared to those with a higher education background and Shanghai Hukou residents.The participants who had been enrolled in 2018-2019(OR=3.21),had a college degree or above(OR=2.31),and acted as community rehabilitation instructors(OR=2.10)were associated with higher proportions of informal education needs compared to those who had been enrolled in 2020,had a high school education background or below,and were normal individuals with SCI.Unmarried/divorced/widowed partic-ipants(OR=2.24)and those who were employed/students(OR=2.12)were more inclined to pursue formal education compared to the married or un-employed participants.The participants who were from other provinces/cities(OR=2.72),those aged under 50 years(OR=2.84),and with a monthly income below 6000 yuan(OR=3.63)had a higher possibility to demand employment and entrepreneurship compared to participants with Shanghai Hukou,those aged over 50 years,and those with a monthly income above 6000 yuan.Community rehabilitation instructors(OR=4.73 and 2.99)and females(OR=1.83 and 2.49)had greater needs for cultural and artistic activities,and sports activities compared to normal individuals with SCI and the males,respectively.The participants with more than 10 years of injury history(OR=1.72)had a higher percentage of cultural and artistic activities needs,while the participants with complete injury had a high possibility of needing sports activities compared to those with incomplete injury(OR= 1.90).Conclusion:The community rehabilitation needs of individuals with SCI from permanent Shanghai families were at a medium level,with em-powerment and health needs being at a high level,and education/employment and social needs being at a relatively low level.