Journal
SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY
Volume 77, Issue 1, Pages -Publisher
AOSIS
DOI: 10.4102/sajp.v77i1.1493
Keywords
secondary health conditions; spinal cord injuries; prevention; factors; ICF
Categories
Funding
- Consortium for Advanced Research Training in Africa (CARTA)
- Carnegie Corporation of New York [B 8606.R02]
- Sida [54100113]
- DELTAS Africa Initiative [107768/Z/15/Z]
- Deutscher Akademischer Austauschdienst (DAAD)
- African Academy of Sciences (AAS)'s Alliance for Accelerating Excellence in Science in Africa (AESA)
- New Partnership for Africa's Development Planning and Coordinating Agency (NEPAD Agency)
- Welcome Trust (UK)
- UK government
- National Research Foundation
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This study explored personal factors influencing the prevention of secondary health conditions in individuals with spinal cord injury, including socio-economic status, mental well-being, knowledge of SHCs and prevention, behavior patterns, patient activation, and owning an appropriate assistive device. To enhance patient-oriented care, future research should focus on identifying environmental factors that influence the prevention of SHCs.
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.
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