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  4. Associations between health behaviour, secondary health conditions and quality of life in people with spinal cord injury

Associations between health behaviour, secondary health conditions and quality of life in people with spinal cord injury

African Journal of Disability, 2019 · DOI: 10.4102/ajod.v8i0.463 · Published: June 11, 2019

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Simple Explanation

This study explores the connection between lifestyle choices, the presence of other health issues, and overall well-being in individuals with spinal cord injuries (SCI). It looks at how behaviors like exercise and self-care relate to their quality of life. The research involved 36 people with SCI who completed questionnaires about their habits, independence, any additional health problems they faced, their support systems, and their quality of life. The data was analyzed to see if there were any links between these factors. The study found that engaging in healthy behaviors was linked to a better quality of life and more support from family and friends. Also, not taking part in specific exercises for muscles and bones was connected to having more secondary health conditions.

Study Duration
January 2008 to December 2012
Participants
36 PWSCI discharged from a private rehabilitation facility in Pretoria, South Africa
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Participation in health-benefiting behavior was associated with increased QOL (r = 0.457, p < 0.01) and increased social support from family and friends (r = 0.425, p < 0.01).
  • 2
    Increased social support from family and friends was associated with increased QOL (r = 0.671, p < 0.001).
  • 3
    Not participating in specific neuromusculoskeletal health behaviours was found to be associated with the overall presence of SHCs (r = -0.426, p < 0.01).

Research Summary

This research study was conducted in order to determine the associations between health behaviour, SHCs and QOL in people with SCI (PWSCI). Participating in health-benefiting behaviour can reduce the development of SHCs and subsequently increase QOL in PWSCI. Health professionals must focus on minimising the development of SHCs by providing specific education on good health-benefiting behaviour.

Practical Implications

Targeted Education Programs

Rehabilitation health professionals can focus on educating PWSCI at risk of specific SHCs on different SHCs prevention measures.

Addressing Risk Factors

Rehabilitation health professionals can focus on addressing the specific factors that increase the risk of developing SHCs.

Promoting Social Relationships

Introduce ways to maintain good social relationships with family and friends of PWSCI.

Study Limitations

  • 1
    Small sample size
  • 2
    Focus on PWSCI discharged from a private rehabilitation institution, who resided in the CoT metropolitan area
  • 3
    Possibility that PWSCI from a government rehabilitation institution may present with different health behaviors, SHCs and QOL

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