Objectives

To assess perceived levels of community reintegration, and examine whether self-efficacy relates to community reintegration among persons with a TSCI.

Design

A cross-sectional exploratory survey.

Settings

Cape Metropolitan Area. Western Cape Province, South Africa.

Participants

A hundred and eight (108) conveniently selected community-dwelling adults between the ages of 19 and 71 years old, who sustained a TSCI more than 1-year post-injury.

Outcomes Measures

Community Integration Measure (CIM) and the Moorong Self-Efficacy (MSES).

Results

The CIM score ranged between 10 and 50 with an overall mean score of 31.48; SD = 12.5. CIM item 10 “I have something useful and productive to do in this community” was the least scored by participants (M = 2.50, SD = 1.4). Multivariate analysis demonstrated that social functioning factor of self-efficacy, accommodation type, and level of injury were the only variables influencing perceived community reintegration that explained 47.3% of the total variance, of which social functioning factor of self-efficacy was the strongest predictor that alone explained 33% of the variance in the model after controlling for the influence of accommodation and the level of injury.

Conclusion

Community reintegration achieved by individuals with a TSCI in this study is generally low. Individuals’ perceptions about community reintegration are affected by the community in which one lives. Self-efficacy plays a major role in community reintegration following a TSCI. However, reintegration is largely dependent on social functioning rather than the activity of daily living factors of self-efficacy.

中文翻译：

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自我效能感在南非创伤性脊髓损伤患者重新融入社区中的作用

目标

评估社区重新融入的感知水平，并检查自我效能是否与 TSCI 患者的社区重新融入有关。

设计

横断面探索性调查。

设置

开普都市区。南非西开普省。

参加者

一百零八 (108) 名方便地选择了年龄在 19 至 71 岁之间的社区成年人，他们在受伤后持续 TSCI 超过 1 年。

结果措施

社区融合措施 (CIM) 和 Moorong 自我效能感 (MSES)。

结果

CIM 分数介于 10 和 50 之间，总平均分数为 31.48；标准差 = 12.5。CIM 项目 10“我在这个社区有一些有用且富有成效的事情要做”是参与者得分最低的（M = 2.50，SD = 1.4）。多变量分析表明，自我效能感社会功能因素、住宿类型和伤害程度是影响感知社区重新融入的唯一变量，解释了总方差的 47.3%，其中自我效能感社会功能因素是最强的预测因子在控制了住宿和受伤程度的影响后，单独解释了模型中 33% 的方差。

结论

在本研究中，具有 TSCI 的个人实现的社区重新融合通常很低。个人对重新融入社区的看法受到其所居住社区的影响。自我效能在 TSCI 后的社区重新融入中起着重要作用。然而，重返社会在很大程度上取决于社会功能而不是日常生活活动的自我效能感因素。