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  4. Learning self‑care skills after spinal cord injury: a qualitative study

Learning self‑care skills after spinal cord injury: a qualitative study

BMC Psychol, 2021 · DOI: https://doi.org/10.1186/s40359-021-00659-7 · Published: September 22, 2021

Spinal Cord InjuryPatient ExperienceRehabilitation

Simple Explanation

This study explores how individuals with spinal cord injuries (SCI) learn self-care skills during their initial inpatient rehabilitation. It looks at the role of the rehabilitation team in this process. The research involved interviewing 15 people with SCI who had recently completed inpatient rehabilitation. The interviews were analyzed to identify common themes related to learning self-care. The study found that learning self-care was primarily achieved through practical experience, personal effort, and utilizing the opportunities provided by the rehabilitation team. The team's strategies for teaching self-care also helped patients gain confidence.

Study Duration
Not specified
Participants
15 people with SCI
Evidence Level
Qualitative study

Key Findings

  • 1
    Learning self-care skills was mainly achieved through experience, challenging oneself, and utilizing opportunities provided by the rehabilitation team.
  • 2
    The attitude of both the participants and the team members was essential for this learning process, including motivation, stimulation, comfort, and respect.
  • 3
    Participants often associated learning self-care with occupational therapists and physiotherapists, but the nursing staff also played a crucial role.

Research Summary

The study investigated how individuals with SCI learn self-care skills during inpatient rehabilitation, focusing on the role of the rehabilitation team. Participants emphasized learning through experience, with the rehabilitation team providing opportunities and support, and the individual challenging themselves. The study highlights the importance of a multidisciplinary approach, integrating the roles of therapists and nursing staff, to enhance self-care training and interdisciplinary collaboration.

Practical Implications

Enhance Self-Care Training

Explicitly incorporate self-care training into SCI rehabilitation programs to improve patient outcomes.

Strengthen Nursing Staff Role

Recognize and strengthen the role of nursing staff in self-care training to promote a more integrated approach.

Promote Interdisciplinary Working

Encourage interdisciplinary collaboration among rehabilitation team members to optimize self-care education and support.

Study Limitations

  • 1
    Potential bias due to a higher number of participants with high self-efficacy scores.
  • 2
    Small number of participants per rehabilitation center.
  • 3
    Most participants were diagnosed with AIS D or C, which might influence the results.

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