Development and Evaluation of the Korean Version of Hospital-Based Transitional Rehabilitation Program Using Daily Living Home for Spinal Cord Injury

Objective To develop and evaluate the Korean version of a hospital-based transitional rehabilitation program (TRP), using daily living home for spinal cord injury (SCI) patients. Methods In this study, we developed the Korean version of a hospital-based TRP through domestic and overseas surveys and focus group meetings. By applying this to chronic SCI patients, we observed the functional and quality of life (QOL) changes and evaluated the degree of achievement of the core goals set for each patient during hospital-based TRP. Results Hospital-based TRP, for 21.8 +/- 3.9 days on average, was applied to four chronic SCI patients (two patients with long-term hospital stays and two homebound disabled individuals) with an average injury period of 736.8 +/- 185.4 days. The Korean version of the Spinal Cord Independence Measure (49.3 +/- 6.9 vs. 62.5 +/- 6.0; p<0.05) showed functional improvement at the end of TRP, when compared to that before the TRP. The Korean version of the World Health Organization's QOL scale, abbreviated version (159.8 +/- 36.6 vs. 239.8 +/- 36.1; p<0.05), showed improvement in QOL. Goal attainment scaling showed a significant degree of achievement for the core goals through TRP (33.6 +/- 4.4 vs. 70.0 +/- 2.8; p<0.05). These results confirmed that the effect was maintained 1 month after the end of TRP. Additionally, two patients were successfully discharged after TRP completion, and the other two could start social activities. Conclusion The Korean version of the hospital-based TRP, applied to chronic SCI patients, showed the potential to improve the patients' functioning and QOL and appeared to be effective in successful discharge and social participation.