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  4. Services and interventions needed to prevent secondary health conditions throughout the life span of people with spinal cord injury, South Africa

Services and interventions needed to prevent secondary health conditions throughout the life span of people with spinal cord injury, South Africa

African Journal of Disability, 2022 · DOI: https://doi.org/10.4102/ajod.v11i0.881 · Published: November 11, 2022

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

This study investigates the necessary services and interventions to prevent secondary health conditions (SHCs) in individuals with spinal cord injuries (SCI) throughout their lives. It addresses the current gap in holistic care and the need for comprehensive models. The research employs focus group discussions with rehabilitation professionals to gather insights. The discussions were transcribed and analyzed to identify key themes related to patient care and prevention strategies. The findings emphasize the importance of patient-centered care, access to resources, health promotion, and skilled healthcare workers in preventing SHCs. These elements can inform the development of a preventive care model.

Study Duration
Not specified
Participants
16 professionals in the rehabilitation field
Evidence Level
Level NA, descriptive qualitative approach

Key Findings

  • 1
    Patient-centered care is crucial, requiring a holistic approach that includes physical, mental, spiritual, and social well-being, along with continuity of care through follow-up visits.
  • 2
    Health promotion is vital, involving building personal skills through education on SCI, SHCs, and healthy living, as well as fostering strong support systems and implementing health-promoting policies.
  • 3
    Access to basic resources such as water, social grants, assistive devices, and medication is essential for self-management and prevention of SHCs.

Research Summary

The study identifies essential services and interventions for preventing secondary health conditions (SHCs) in people with spinal cord injury (SCI) across their lifespan. Key themes include patient-centered care, access to resources, promotion of health, and skilled healthcare workers, highlighting a multi-faceted approach to prevention. The findings emphasize the need for interventions targeting individuals with SCI, health providers, health systems, and sectors outside the health system to create a comprehensive prevention model.

Practical Implications

Research

Future research should employ systems thinking tools to conceptualize solutions and model outcomes in SCI care.

Practice

Health professionals should empower people with SCI by providing knowledge on SHCs and self-management skills.

Education

Continuous in-service training for health professionals is needed, focusing on patient-centered and preventive care approaches.

Study Limitations

  • 1
    Focus group discussions were limited due to the COVID-19 pandemic and were conducted online.
  • 2
    Participants with SCI were excluded due to limited access to technology.
  • 3
    Therapists from rehabilitation hospitals did not participate, potentially due to challenges from the COVID-19 pandemic.

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