Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study.

IF 1 Q4 REHABILITATION
South African Journal of Physiotherapy Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI:10.4102/sajp.v80i1.1996
Maurice Kanyoni, Lena N Wikmar, Joliana Philips, David K Tumusiime
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引用次数: 0

Abstract

Background: Traumatic spinal cord injury (TSCI) survivors are confronted by both physical and psychosocial barriers when returning to their communities. Therefore, reintegration is an important aspect of their journey back into social life.

Objectives: To assess psychosocial reintegration after TSCI in Rwanda.

Method: All community-dwelling adults who were registered in the previous epidemiological study were recruited and injury characteristics questionnaire and the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2) were used to collect data through a telephone interview.

Results: The study traced 58 participants, 77.6% (n = 45) were male and 56.9% (n = 33) were categorised with paraplegia. Overall, the results show poor community reintegration. The SPRS-2 and domain mean (SD) scores were: overall SPRS-2 of 20.95 (11.56), occupational activity (OA) of 3.68 (4.31), interpersonal relationship (IR) of 7.11(4.31) and living skills (LS) of 7.43 (5.32). Gender significantly influenced overall SPRS-2 (p = 0.011) and two domains: OA (p = 0.005) and LS (p = 0.012). Level of injury was significantly associated with an OA domain score of SPRS-2 (p = 0.002). Gender explained 29% of the variance in the LS domain of SPRS-2, with males reporting better psychosocial reintegration.

Conclusion: Gender strongly predicted psychosocial reintegration following a TSCI, which is an indication of the role of social support.

Clinical implications: Traumatic SCI rehabilitation should be holistic to help prepare the person to return to the community. There should be an assessment of an individual's readiness to return to the community before discharge from the hospital.

卢旺达创伤性脊髓损伤后重新融入社会心理:一项探索性研究。
背景:创伤性脊髓损伤(TSCI)幸存者在重返社区时会遇到身体和社会心理两方面的障碍。因此,重返社会是他们重返社会生活的一个重要方面:评估卢旺达创伤后重返社会的心理状况:方法:招募所有在之前的流行病学研究中登记过的居住在社区的成年人,通过电话访谈的方式,使用伤害特征问卷和悉尼社会心理重新融入量表第 2 版(SPRS-2)收集数据:研究追踪了 58 名参与者,其中 77.6% (n = 45)为男性,56.9% (n = 33)被归类为截瘫。总体而言,研究结果显示患者重返社区的情况不佳。SPRS-2 和领域平均(标清)得分分别为:SPRS-2 总分 20.95(11.56)、职业活动(OA)3.68(4.31)、人际关系(IR)7.11(4.31)和生活技能(LS)7.43(5.32)。性别对 SPRS-2 的总体(p = 0.011)和两个领域有明显影响:OA (p = 0.005) 和 LS (p = 0.012)。受伤程度与 SPRS-2 的 OA 领域得分明显相关(p = 0.002)。性别解释了 SPRS-2 LS 领域中 29% 的差异,男性的社会心理重新融入情况更好:结论:性别在很大程度上预示着创伤性 SCI 后的心理重新融入,这表明了社会支持的作用:临床启示:创伤性 SCI 康复应是整体性的,以帮助患者为重返社区做好准备。出院前应对患者重返社区的准备情况进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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