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  4. Prevalence, severity, and self-management of depressive mood among community-dwelling people with spinal cord injury in Nepal

Prevalence, severity, and self-management of depressive mood among community-dwelling people with spinal cord injury in Nepal

Belitung Nursing Journal, 2022 · DOI: https://doi.org/10.33546/bnj.1991 · Published: March 1, 2022

Spinal Cord InjuryPatient ExperienceMental Health

Simple Explanation

This study examines the prevalence, severity, and management of depressive mood among individuals with spinal cord injuries (SCI) living in communities in Nepal. Depression is common after SCI, leading to self-harm, suicidal behavior, and reduced quality of life. The study highlights the need to explore self-management strategies for depressive symptoms in community settings. The research found that a large percentage of SCI patients in Nepal experience depressive moods, often moderate to severe. They commonly use methods like internet/social media, sharing feelings with family, and religious activities to manage their depression, primarily due to physical barriers in accessing healthcare facilities. The study concludes that nurses and health professionals should offer psychoeducation to SCI patients and their families to address mental health issues. Improving access to social activities and timely treatment in rural areas and utilizing social media for assessment and management could improve depressive mood.

Study Duration
Not specified
Participants
115 people with spinal cord injury
Evidence Level
Descriptive study

Key Findings

  • 1
    A high prevalence of depressive mood was found among people with spinal cord injury, with 84.3% experiencing it.
  • 2
    Among those with depressive mood, 60.8% had moderate to severe depressive moods.
  • 3
    Participants commonly used non-pharmacological methods such as internet and social media, sharing feelings with family members, and Hindu religious practices to manage their depressive mood.

Research Summary

The study investigated the prevalence, severity, and self-management strategies of depressive mood among community-dwelling individuals with spinal cord injury (SCI) in Nepal. The findings revealed a high prevalence of depressive mood among individuals with SCI, with many relying on non-pharmacological methods for self-management due to barriers in accessing healthcare. The study emphasizes the importance of psychoeducation and accessible mental health support for individuals with SCI and their families, especially in rural areas, and suggests leveraging social media for assessment and management.

Practical Implications

Psychoeducation

Nurses and health professionals should provide psychoeducation to SCI patients and their families to recognize and address depressive mood symptoms.

Accessibility to Care

Efforts should be made to improve access to social activities and healthcare services for individuals with SCI living in rural areas to facilitate timely treatment and support.

Use of Social Media

Healthcare providers can utilize social media platforms to assess depressive moods and deliver management approaches to individuals with SCI in the community.

Study Limitations

  • 1
    The study was conducted in a single province of Nepal.
  • 2
    Limited sample size may affect the generalizability of findings.
  • 3
    Findings may not be generalizable to all individuals with SCI living in Nepal.

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