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  4. Correlations between ADL in patients with SCI and caregiver burden, quality of life, and presenteeism in South Korea

Correlations between ADL in patients with SCI and caregiver burden, quality of life, and presenteeism in South Korea

Scientific Reports, 2024 · DOI: https://doi.org/10.1038/s41598-023-50559-6 · Published: January 25, 2024

Spinal Cord InjuryParticipationSocial Support

Simple Explanation

The study investigated the relationship between the ability of spinal cord injury (SCI) patients to perform daily activities (ADL) and the burden, quality of life (QoL), and presenteeism of their caregivers. Participants included both inpatients and outpatients with SCI at a rehabilitation center, along with their caregivers, recruited between March 2020 and April 2021. The results indicated that there was a difference in caregiver burden depending on the ADL performance of patients. Additionally, caregivers' QoL was negatively correlated with their burden and presenteeism, while caregiver burden and presenteeism showed a positive correlation.

Study Duration
March 2020 and April 2021
Participants
87 dyads of SCI patients and their caregivers
Evidence Level
Not specified

Key Findings

  • 1
    Caregivers of patients with lower ADL scores (≤ 24) reported significantly higher caregiver burden compared to those with higher ADL scores.
  • 2
    There was a significant negative correlation between caregivers’ quality of life and their burden.
  • 3
    A positive correlation was found between caregiver burden and presenteeism, indicating that higher burden is associated with higher presenteeism.

Research Summary

This study examined the correlation between ADL performance in patients with SCI and their caregivers’ caregiver burden, QoL, and presenteeism in rehabilitation centers and the community. The findings suggest the need for social support to improve caregivers’ QoL and reduce their burden and presenteeism-induced work impairment. Significant differences in caregiver burden based on ADL scores (with 24 points as a threshold) were observed.

Practical Implications

Social Support Programs

Implement social support programs targeting caregivers of SCI patients to improve their quality of life and reduce burden.

Assistive Devices

Develop and distribute assistive devices and care robots to alleviate the physical demands on caregivers.

Policy Development

Create social policies focused on reducing caregiver burden and providing adequate support to caregivers of SCI patients.

Study Limitations

  • 1
    Participants were limited to a single institution in a single region.
  • 2
    The average ADL score of patients with SCI was approximately 35, making it difficult to compare them across a wide range.
  • 3
    Future research should include participants at various levels of ADL performance from multiple institutions to improve generalizability.

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