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  4. Determinants of low satisfaction with life among wheelchair users with spinal cord injury in Egypt: a cross-sectional study

Determinants of low satisfaction with life among wheelchair users with spinal cord injury in Egypt: a cross-sectional study

BMC Neurology, 2024 · DOI: https://doi.org/10.1186/s12883-024-03836-4 · Published: January 1, 2024

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study investigates factors affecting the satisfaction with life (SWL) among wheelchair users with spinal cord injury (SCI) in Egypt, highlighting the importance of identifying these factors due to the lower SWL reported by SCI patients compared to the general population. The research identified significant associations between lower SWL and factors such as older age, living in Upper Egypt, depression, and environmental barriers related to work and school, while functional independence was positively correlated with SWL. The conclusion emphasizes the need for effective management of neuropathic pain, depression, and anxiety, along with the promotion of functional independence, to improve the SWL for wheelchair users with SCI, especially in regions like Upper Egypt.

Study Duration
January 2022 to March 2022
Participants
105 wheelchair users with SCI in Egypt
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The prevalence of low SWL among the study participants was found to be 57.1%.
  • 2
    Living in Upper Egypt, depression, older age, and work/school environmental barriers were significant predictors of low SWL.
  • 3
    SWL correlated negatively with anxiety, depression, neuropathic pain, and environmental barriers, but positively with functional independence.

Research Summary

This cross-sectional study assessed the prevalence and determinants of low satisfaction with life (SWL) among 105 wheelchair users with spinal cord injury (SCI) in Egypt. The study found that over half of the participants reported low SWL, and significant associations were identified between SWL and various sociodemographic, injury-related, and psychological factors. The binary multiple logistic regression revealed that living in Upper Egypt, depression, older age, and work and school environmental barriers were the predictors of low SWL.

Practical Implications

Healthcare Intervention

Healthcare services should include screening and management of pain, depression and anxiety.

Policy and Legislation

The Egyptian government must enforce laws to enhance the SWL for wheelchair users with SCI.

Future Research

Future studies should assess other determinants of SWL for wheelchair users with SCI.

Study Limitations

  • 1
    The study's recruitment from Al-Hassan Foundation may limit generalization to all SCI patients in Egypt.
  • 2
    The cross-sectional nature of the study limits causal inferences.
  • 3
    The services provided by the Foundation may have affected findings of the study.

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