'I forget to do pressure relief': Personal factors influencing the prevention of secondary health conditions in people with spinal cord injury, South Africa.

Background: Across the lifespan, people with spinal cord injury (SCI) may experience preventable secondary health conditions (SHCs) such as pressures sores, muscle spasms and urinary tract infections (UTIs). Some factors influencing prevention of SHCs include social support, poor access to care and...

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Publicado en:South African Journal of Physiotherapy Vol. 77; no. 1; pp. 1 - 10
Autores principales: Pilusa, Sonti, Myezwa, Hellen, Potterton, Joanne
Formato: research tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD 2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: 'I forget to do pressure relief': Personal factors influencing the prevention of secondary health conditions in people with spinal cord injury, South Africa.
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          Pilusa, Sonti
          Myezwa, Hellen
          Potterton, Joanne
        affil: Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
      sug:
        subj:
          Spinal Cord Injuries Complications
          Social Factors
          International Classification of Functioning, Disability, and Health
          Chronic Disease Prevention and Control
          Human
          Exploratory Research
          Qualitative Studies
          Outpatient Service
          Semi-Structured Interview
          Interviews
          Content Analysis
          Social Class
          Psychological Well-Being
          Health Knowledge
          Life Style
          Self Care
          Problem Solving
          Self-Awareness
          Purposive Sample
          Male
          Female
          Adult
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Background: Across the lifespan, people with spinal cord injury (SCI) may experience preventable secondary health conditions (SHCs) such as pressures sores, muscle spasms and urinary tract infections (UTIs). Some factors influencing prevention of SHCs include social support, poor access to care and the prevention style of individuals. There is limited research on these factors. Objective: To explore personal factors influencing the prevention of SHCs in people with SCI. Method: An explorative qualitative study included participants recruited in an outpatient department at a rehabilitation hospital. Semi-structured interviews were conducted with patients with SCI. Interviews were transcribed verbatim. Data analysis was conducted using content analysis. Results: Seventeen individuals with SCI were interviewed. From the interview analysis, six personal factors were identified, namely, socio-economic status; mental well-being (forgetfulness, beliefs, attitude); lack of knowledge of SHCs and prevention; lifestyle choices and practising prevention care; patient activation (self-management, problem-solving, resilience, self-awareness, help-seeking behaviour) and owning an appropriate assistive device. Conclusion: Socio-economic status, mental well-being, knowledge of SHCs and prevention care, behaviour patterns, patient activation and owning an appropriate assistive device can influence prevention of SHCs. To enhance patient-oriented care, a model of care for people with SCI should consider these factors when developing prevention strategies. Future research could look into identifying environmental factors that influence the prevention of SHCs in people with SCI. Clinical implications: Tailored prevention strategies need to be developed, health professionals must ask patients about individual factors that may be barriers or facilitators to preventing secondary health conditions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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