Sexual, bladder and bowel problems in people with spinal cord injury in rural KwaZulu-Natal, South Africa.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
African Journal of Disability Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI:10.4102/ajod.v14i0.1480
Lauren Tomes, Sonti Pilusa
{"title":"Sexual, bladder and bowel problems in people with spinal cord injury in rural KwaZulu-Natal, South Africa.","authors":"Lauren Tomes, Sonti Pilusa","doi":"10.4102/ajod.v14i0.1480","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) is a life-changing experience that comes with multiple health challenges such as bowel, bladder and sexual health problems. Studies on the experiences of people with SCI based in rural South Africa are scarce.</p><p><strong>Objectives: </strong>This study aimed to explore the experience and long-term care needs related to sexual, bowel and bladder problems in people with SCI in a rural setting.</p><p><strong>Method: </strong>An exploratory qualitative design was employed. Semi-structured interviews were conducted with people with SCI living in rural KwaZulu-Natal. The interviews were transcribed verbatim and coded. The content analysis steps were followed to identify categories and themes.</p><p><strong>Results: </strong>A total of 12 individuals with SCI were interviewed. Frustration was the main theme that emerged with three sub-themes: types, management and effects of sexual, and bladder and bowel problems on individuals with SCI. The expressed long-term care needs were medication specific to SCI conditions, health information on secondary health conditions and prevention care, and resources such as nappies and quality catheters.</p><p><strong>Conclusion: </strong>The findings confirm that secondary health conditions such as bowel, bladder and sexual health problems affect the well-being of people with SCI in rural settings. Prevention care is urgently needed.</p><p><strong>Contribution: </strong>Patient education information on bowel, bladder and sexual health problems, and access to medication is imperative to support self-management practice.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"14 ","pages":"1480"},"PeriodicalIF":1.3000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067624/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"African Journal of Disability","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/ajod.v14i0.1480","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Spinal cord injury (SCI) is a life-changing experience that comes with multiple health challenges such as bowel, bladder and sexual health problems. Studies on the experiences of people with SCI based in rural South Africa are scarce.

Objectives: This study aimed to explore the experience and long-term care needs related to sexual, bowel and bladder problems in people with SCI in a rural setting.

Method: An exploratory qualitative design was employed. Semi-structured interviews were conducted with people with SCI living in rural KwaZulu-Natal. The interviews were transcribed verbatim and coded. The content analysis steps were followed to identify categories and themes.

Results: A total of 12 individuals with SCI were interviewed. Frustration was the main theme that emerged with three sub-themes: types, management and effects of sexual, and bladder and bowel problems on individuals with SCI. The expressed long-term care needs were medication specific to SCI conditions, health information on secondary health conditions and prevention care, and resources such as nappies and quality catheters.

Conclusion: The findings confirm that secondary health conditions such as bowel, bladder and sexual health problems affect the well-being of people with SCI in rural settings. Prevention care is urgently needed.

Contribution: Patient education information on bowel, bladder and sexual health problems, and access to medication is imperative to support self-management practice.

南非夸祖鲁-纳塔尔省农村脊髓损伤患者的性、膀胱和肠道问题。
背景:脊髓损伤(SCI)是一种改变生活的经历,伴随着多种健康挑战,如肠道、膀胱和性健康问题。关于南非农村脊髓损伤患者经历的研究很少。目的:本研究旨在探讨农村地区脊髓损伤患者与性、肠道和膀胱问题相关的经历和长期护理需求。方法:采用探索性定性设计。对生活在夸祖鲁-纳塔尔省农村的脊髓损伤患者进行了半结构化访谈。采访被逐字逐句地记录下来并进行了编码。遵循内容分析步骤来确定类别和主题。结果:共访谈了12例SCI患者。挫折感是主要主题,同时出现了三个次要主题:SCI患者的类型、管理和性影响、膀胱和肠道问题。所表达的长期护理需求是针对脊髓损伤的药物治疗,关于二级健康状况和预防护理的健康信息,以及尿布和优质导尿管等资源。结论:研究结果证实了二级健康状况,如肠、膀胱和性健康问题影响农村脊髓损伤患者的幸福感。迫切需要预防保健。贡献:患者教育信息肠,膀胱和性健康问题,并获得药物是必要的,以支持自我管理实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信