Functional independence measure association with pressure sore risk among the people with spinal cord injury at Centre for the Rehabilitation of the Paralysed (CRP)

Abstract

Purpose: To investigate the relationship between Functional Independence Measure (FIM) and pressure sore risk among the people with spinal cord injury at Centre for the Rehabilitation of the Paralysed. Objectives: The objective of this study was to identify the association between functional Independence Measure (FIM) and pressure sore risk as well as the prevalence of pressure sore at CRP. Methodology: The study design was cross-sectional. Total 145 samples were selected conveniently for this study from Centre for the rehabilitation of the paralyzed (CRP), Spinal cord injury unit, at Savar. Data was collected by using of questionnaire where functional independence was measured by FIM scale and pressure sore risk was assessed by the Braden scale. The study was conducted by using quantitative descriptive analysis through using SPSS software 20.0 version. Results: 48 patients out of 145 were found to have active pressure sores, with a prevalence of 33.1%. The Braden scale had significant (P=0.0001) association with the presence of active pressure sore. Among 145 SCI patients evaluation, 8 (5.50%) respondents had severe risk, 45 (31%) respondents had high risk, 12 (8.30%) respondents had moderate risk, 33 (22.80%) respondents had mild risk and 47 (32.80%) respondents had no risk of pressure developing pressure sore. It was found that there was a major correlation between Braden scale (severe, P=0.0001), with the thirteen motor components of FIM scale. Respondents who were smokers, had greater odds ratio (OR=5.115) of having PU than the non-smokers. Functional Independence Measure was associated (P<0.01) with risk of developing pressure sore. Conclusion: Pressure sore is the common and costly complications following SCI, which have a profound effect on the affected individual. The prevalence of pressure sore among the SCI patients at CRP was 31.1%. The Braden Scale, severity of injury according to ASIA Impairment Scale and having unhealthy behaviors such as smoking was positively associated with current PU. This study also found a positive association between Functional Independence Measure and pressure sore risk among the people with spinal cord injury at CRP. Key words: Pressure Sore, Functional Assessment, Risk Assessment, Spinal Cord Injury