Sherri L LaVela, Marissa Wirth, Keith Aguina, Charles H Bombardier, Robert W Motl
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Ten themes described loneliness cues exhibited by persons with SCI/D: (a) direct or indirect verbal expression; (b) physical health symptoms/conditions; (c) mental health indicators; (d) withdrawal/lack of engagement; (e) \"severe\" voluntary seclusion, for example, not leaving house, not getting out of bed, sitting in the dark; (f) poor lifestyle behaviors, for example, substance use, poor nutrition; (g) neglecting personal self-care, for example, poor hygiene; (h) neglecting ones' internal environment, for example, dirty home, hoarding; (i) avoiding health care and health care management needs, for example, missing medical appointments, neglecting bowel care; and (j) fixating on health care to meet social health needs.</p><p><strong>Conclusions/implications: </strong>Health care providers identified several loneliness cues commonly exhibited by individuals with SCI/D. These cues, whether verbal or nonverbal, may represent a signal that alerts the provider of a concern around loneliness. The value of such cues depends on the health provider's ability to identify them in order to decide on next steps, which may involve formal screening or validated measurement followed by collaborative patient engagement to identify potential sources contributing to loneliness and areas patients wish to address. 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引用次数: 0
摘要
目的/目的：患有脊髓损伤和障碍（SCI/D）的个体可能会表现出讲述他们孤独故事的线索。卫生保健提供者必须认识到孤独的线索，以便采取行动。本研究从医疗服务提供者的角度确定并描述了SCI/D患者表现出的孤独线索。研究方法/设计：描述性定性设计采用与保健提供者的深入访谈，并使用专题分析进行分析。结果：来自全国10个退伍军人健康管理机构的多学科SCI/D保健提供者。10个主题描述了SCI/D患者表现出的孤独线索：(a)直接或间接的言语表达；(b)身体健康症状/状况；(c)心理健康指标；(d)退出/不参与；(e)“严重的”自愿隐居，例如，不出家门，不下床，坐在黑暗中；不良的生活方式行为，例如滥用药物、营养不良；(g)忽视个人自我照顾，例如不讲卫生；(h)忽视自己的内部环境，如家里脏乱、囤积；(i)逃避保健和保健管理需求，例如，错过医疗预约，忽视肠道护理；(j)注重卫生保健，以满足社会卫生需求。结论/启示：卫生保健提供者确定了SCI/D患者通常表现出的几种孤独线索。这些暗示，无论是口头的还是非口头的，都可能是一个信号，提醒提供者担心孤独。这些线索的价值取决于卫生保健提供者识别它们的能力，以便决定下一步的步骤，这可能涉及正式的筛选或经过验证的测量，然后是协作患者参与，以确定导致孤独感的潜在来源和患者希望解决的领域。（PsycInfo Database Record (c) 2025 APA，版权所有）。
Identifying loneliness cues in persons with spinal cord injuries and disorders: A qualitative inquiry of provider's perspectives.
Purpose/objective: Individuals with spinal cord injuries and disorders (SCI/D) may exhibit cues that tell a story about their loneliness. Health care providers must recognize loneliness cues in order to take action. This study identified and described loneliness cues exhibited by persons with SCI/D from health provider perspectives.
Research method/design: Descriptive qualitative design using in-depth interviews with health providers and analyzed using thematic analysis.
Results: Multidisciplinary SCI/D health providers from 10 nationwide Veterans Health Administration facilities. Ten themes described loneliness cues exhibited by persons with SCI/D: (a) direct or indirect verbal expression; (b) physical health symptoms/conditions; (c) mental health indicators; (d) withdrawal/lack of engagement; (e) "severe" voluntary seclusion, for example, not leaving house, not getting out of bed, sitting in the dark; (f) poor lifestyle behaviors, for example, substance use, poor nutrition; (g) neglecting personal self-care, for example, poor hygiene; (h) neglecting ones' internal environment, for example, dirty home, hoarding; (i) avoiding health care and health care management needs, for example, missing medical appointments, neglecting bowel care; and (j) fixating on health care to meet social health needs.
Conclusions/implications: Health care providers identified several loneliness cues commonly exhibited by individuals with SCI/D. These cues, whether verbal or nonverbal, may represent a signal that alerts the provider of a concern around loneliness. The value of such cues depends on the health provider's ability to identify them in order to decide on next steps, which may involve formal screening or validated measurement followed by collaborative patient engagement to identify potential sources contributing to loneliness and areas patients wish to address. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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