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Factors Associated with Subjective Health Status among People with Spinal Cord Injury: An Application of the International Classification of Functioning, Disability and Health Model.

Purpose: This study aimed to identify factors influencing subjective health status among individuals with spinal cord injury (SCI) using the International Classification of Functioning, Disability and Health (ICF) model. Methods: This study analyzed secondary data from the 2021 Survey on the Status...

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Published in:Research in Community & Public Health Nursing (RCPHN) Vol. 36; no. 1; pp. 73 - 85
Main Authors: Haesun Lee, Hye Jin Nam, Ju Young Yoon
Format: research tables/charts Journal Article
Published: Korean Academy of Community Health Nursing Mar2025
Online Access:View this record in EBSCOhost
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      dt: Mar2025
      vid: 36
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      pid: 92484
      pub: Korean Academy of Community Health Nursing
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        184966984
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        184966984
        10.12799/rcphn.2025.00962
        184966984
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        atl: Factors Associated with Subjective Health Status among People with Spinal Cord Injury: An Application of the International Classification of Functioning, Disability and Health Model.
      aug:
        au:
          Haesun Lee
          Hye Jin Nam
          Ju Young Yoon
        affil: Graduate Student, College of Nursing, Seoul National University, Seoul, Korea
      sug:
        subj:
          Health Status Psychosocial Factors
          Spinal Cord Injuries
          International Classification of Functioning, Disability, and Health
          Persons with Disabilities Psychosocial Factors
          South Korea
          Funding Source
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Secondary Analysis
          Cross Sectional Studies
          Correlational Studies
          Sociodemographic Factors
          Patient Satisfaction
          Weight Control
          Nutrition Education
          Diet
          Activities of Daily Living
          Exercise
          Health Promotion
          Multiple Regression
          Pearson's Correlation Coefficient
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: This study aimed to identify factors influencing subjective health status among individuals with spinal cord injury (SCI) using the International Classification of Functioning, Disability and Health (ICF) model. Methods: This study analyzed secondary data from the 2021 Survey on the Status and Needs of Individuals with SCI conducted by the Korea Spinal Cord Injury Association. A hierarchical multiple regression analysis was conducted in four steps. Independent variables included sociodemographic factors, satisfaction with medical services (environmental factor), the need for weight control, the need for nutritional education, the need for dietary management, and disability acceptance (personal factors) along with exercise and activity of daily living (activity and participation factors). These factors were added sequentially at each step based on the ICF model. Results: A total of 513 participants were analyzed in this study, with an average subjective health status of 5.51±2.39. Higher satisfaction with medical services (β=.27, p<.001), frequent exercise (β=.19, p=.008), and a greater level of activities of daily living (β=.02, p<.001) were significantly associated with improved subjective health status. Conversely, a lower need for nutritional education (β=-.25, p=.042) was negatively associated. Conclusion: This study highlighted satisfaction with medical services, nutrition education needs, exercise frequency, and activities of daily living as important factors. These findings provide insight into how the health status of individuals with SCI can be enhanced through targeted interventions and support from healthcare providers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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