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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 1999 June;35(2):49-59

language: English

Family, voca­tion­al and ­social rein­te­gra­tion of spi­nal ­cord ­injured ­patients fol­low­ing dis­charge ­from a reha­bil­i­ta­tion cen­tre

Lotta S., Nora M., Boselli M., Bocchi R., Nicolotti D.

“G. Verdi” Rehabilitation Centre, Villanova sull’Arda (PC), Azienda USL - Piacenza, Italy


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BACKGROUND: The aim of ­this ­study was to eval­u­ate the ­social, voca­tion­al and fam­i­ly rein­te­gra­tion of a sam­ple of 50 spi­nal ­cord ­injured ­patients fol­low­ing dis­charge ­from a Rehabilitation Centre. Recent ­data in the lit­er­a­ture indi­cate ­that the qual­ity of ­life (QoL or QL) of SCI sub­jects is strong­ly relat­ed to main­te­nance of ­self, mobil­ity, exchang­es of infor­ma­tion, ­social rela­tion­ships, edu­ca­tion, ­work, lei­sure ­time, finan­cial ­life, civ­il and ­social ­life. With ref­er­ence to the ­data ­from the lit­er­a­ture, we cal­cu­lat­ed the per­cent­age of ­patients who ­achieved the con­di­tions ­that ­seemed to influ­ence QL.
METHODS: Included in the ­study ­were 50 ­patients, 36 para­ple­gics and 14 tet­ra­pleg­ics, who had ­been admit­ted to the Centre and dis­charged at ­least 6 ­months pre­vi­ous­ly. The ­patients ­were eval­u­at­ed ­using a ques­tion­naire ­which includ­ed ­items relat­ed to ­their ­state of ­health, fam­i­ly ­life, occu­pa­tion, ­means of eco­nom­ic sup­port, mobil­ity, ­social inte­gra­tion and sub­jec­tive per­cep­tion of QL. Items per­ti­nent to the ­aims of the ­present ­study ­were select­ed ­from ques­tion­naires and eval­u­a­tion ­scales ­present in the lit­er­a­ture.
RESULTS: Results are pre­sent­ed sche­mat­i­cal­ly in ­tables and ­graphs. On the ­whole, the ­data on fam­i­ly rein­te­gra­tion ­were pos­i­tive ­with 100% of the sam­ple return­ing to ­their nucle­ar fam­i­ly. Vocational rein­te­gra­tion rep­re­sents a ­still ­unsolved prob­lem: the num­ber of ­employed sub­jects ­decreased ­from 66 to 28% and ­only 16% of the ­patients ­were finan­cial­ly inde­pen­dent. The eval­u­a­tion of ­social rein­te­gra­tion is com­plex in ­that it is affect­ed by var­i­ous fac­tors, objec­tive and sub­jec­tive, ­able to accen­tu­ate or less­en the ­impact of the dis­abil­ity on an ­individual’s ­life. One note­wor­thy find­ing was ­that the ­degree of sat­is­fac­tion ­with QL (VAS) was sim­i­lar in the para­ple­gics and tet­ra­pleg­ics, irre­spec­tive of the ­lesion lev­el.
CONCLUSIONS: The ­data yield­ed ­from the ­present ­study pro­vide us ­with a gen­er­al ­view of the ­social, voca­tion­al and fam­i­ly rein­te­gra­tion of the 50 sub­jects con­sid­ered. The ­present ­approach ­allowed us to deter­mine the achieve­ment of ­goals ­such as the ­return to fam­i­ly ­life, ­work and the com­mu­nity, all of ­which are con­sid­ered deter­mi­nant ele­ments of a sat­is­fac­to­ry QL, and under­score the impor­tance of pur­su­ing func­tion­al ­goals dur­ing hos­pi­tal­isa­tion as ­their achieve­ment facil­i­tates rein­te­gra­tion fol­low­ing dis­charge.

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