Socio-cultural considerations of home modifications from the perspective of people with spinal cord injury in Iran.

IF 2.2 4区 医学 Q2 REHABILITATION
Shiva Abedi, Azam Naghavi, Farzaneh Zamani, Libby Callaway, Linda Barclay
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引用次数: 0

Abstract

Purpose: The main purpose of this study was to investigate the socio-cultural considerations for home modifications among individuals with spinal cord injury (SCI) in Iran.

Materials and methods: A descriptive qualitative design was employed, involving semi-structured interviews with 18 participants. Data were analyzed using reflexive thematic analysis to identify key themes and subthemes.

Results: Three main themes were identified: (1) Holding out hope for recovery from SCI, (2) Absence of home modifications led to unique solutions but potential risks, and (3) Occupational therapy recommendations regarding home modifications need to be culturally safe. Participants often received misinformation about their prognosis, leading to delayed or avoided home modifications.

Conclusion: The findings underscore the importance of providing accurate information regarding SCI prognosis to facilitate the implementation of needed home modifications. Occupational therapists and other health care professionals are advised to consider cultural factors, including practices related to values such as privacy, to ensure that recommendations are client-centered, effective, and culturally adaptable. This study highlights the necessity of developing culturally sensitive guidelines for home modifications and emphasize the critical role of involving in decision-making process, and improving access to appropriate assistive technology.

从伊朗脊髓损伤患者的角度看家庭改造的社会文化因素。
目的:本研究的主要目的是调查伊朗脊髓损伤(SCI)患者家庭改造的社会文化因素。材料与方法:采用描述性定性设计,对18名参与者进行半结构化访谈。使用反身性主题分析来分析数据,以确定主要主题和次主题。结果:确定了三个主要主题:(1)对脊髓损伤恢复抱有希望;(2)缺乏家庭改造导致了独特的解决方案,但存在潜在风险;(3)关于家庭改造的职业治疗建议需要在文化上安全。参与者经常收到关于其预后的错误信息,导致延迟或避免房屋改造。结论:研究结果强调了提供关于脊髓损伤预后的准确信息的重要性,以促进实施所需的家庭改造。建议职业治疗师和其他卫生保健专业人员考虑文化因素,包括与隐私等价值观相关的实践,以确保建议以客户为中心,有效并适应文化。这项研究强调了为家庭改造制定具有文化敏感性的指导方针的必要性,并强调了参与决策过程和改善获得适当辅助技术的关键作用。
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
5.70
自引率
13.60%
发文量
128
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