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Biomedical subjects

D J Stanwyck

Publications and source records attributed to D J Stanwyck.

4 recordsLinked to original sources

Social support and health status in spinal cord injury.

In a mailed survey, 125 persons with spinal cord injury responded to questions on the SCI Quality of Life Index (QOLI), and the Reciprocal Social Support Scale. The results indicated that people with SCI who believe that they receive support from the community, compared to those who believed they received less support (1) perceived themselves to be better adjusted to their injury, and (2) had significantly fewer health problems (fewer spinal cysts, lower blood pressure, shorter recovery time from decubitus ulcers, less pain below the level of injury, and fewer hospital admissions). The results also showed that people who believe that they contribute to the community in some way, compared to those who believed they contributed little or nothing (1) perceived themselves to be better adjusted to their injury, and (2) had significantly fewer health problems (fewer urinary tract infections, fewer decubitus ulcers, less severe decubiti, less pain above the level of injury, and fewer hospital admissions). A community support score, a summary score of support given and received, was also related to adjustment and health.

Adaptation, Psychological↗

Social support and subsequent mortality among patients with end-stage renal disease.

The association between social support in newly entered dialysis patients and their subsequent risk of mortality was investigated. Two hundred forty-nine dialysis patients were enrolled from dialysis facilities in two southeastern states. A score was calculated for the amount of social support a patient reported giving and receiving from spouse, family, friends, nurses, physicians, staff, and fellow patients. Patients were monitored for 12 months after enrollment into the cohort: 43 (17.6%) died. Mean (SD) scores for giving support to the family were higher among survivors, 3.59 (0.92), than among those who died, 3.17 (1.32) (P = 0.022). Mean scores for giving support to friends were also higher among survivors, 3.38 (1.13), than among nonsurvivors, 2.94 (1.33) (P = 0.044). After other factors associated with increased risk of dying, including age, sex, race, diabetic renal disease, angina pectoris, and functional status, were controlled for, individuals in the lowest quartile of giving social support to friends continued to have a greater risk of dying, with adjusted relative risk (95% confidence interval) = 2.02 (1.01, 4.07). In contrast, there were no differences in risk of death found for differing levels of receiving social support. It was concluded that social support is an independent risk factor for mortality among new dialysis patients.

Cohort Studies↗