Khazaeipour Zahra, Abouie Abolfazl, Zarei Fatemeh, Mirzaaghaie Hamid, Abd-Mousavi Afsaneh, Salehi-Nejad Alireza, Vaccaro Alexander R, Rahimi-Movaghar Vafa
Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Neurosciences (Riyadh). 2018 Jul;23(3):216-222. doi: 10.17712/nsj.2018.3.20180023.
To explore individuals` perception of the personal, family and societal educational needs following a spinal cord injury (SCI).
Sixty-one patients who sustained a traumatic SCI between March 2015 and June 2016 referred to Brain and Spinal Cord Injury Research Center (BASIR) were included in a cross sectional study and completed an online survey containing open-and closed-ended questions, in Iran. Participants` responses were analyzed using a qualitative approach with a thematic analysis.
Following a thematic analysis of the patient`s perceived educational needs, 3 themes and 14 subthemes were identified. The 3 themes included personal, family, and societal educational perceived needs. Within personal educational needs, there were 7 subthemes which included personal independence and transportation, financial independence, life skills modification, knowledge about SCI, prevention of SCI complications, relationships and sexual function, and psychological adjustments. Among family educational needs, the 3 subthemes were caregiver skills and communication, first aid and emergency skills, and emotional and psychological support. For societal educational needs, the 4 subthemes described were social integration, interpersonal communication skills, SCI awareness and injury prevention, sympathize while avoiding pity.
According to our findings, people with SCI have various needs that need to be addressed. Educational support should be a part of a comprehensive rehabilitation program and geared towards addressing the patients` personal and family needs, while educating the community about SCI in order to allow for reintegration into society.
探讨脊髓损伤(SCI)患者对个人、家庭及社会教育需求的认知。
纳入2015年3月至2016年6月间转诊至脑与脊髓损伤研究中心(BASIR)的61例创伤性SCI患者,在伊朗进行一项横断面研究,他们完成了一项包含开放式和封闭式问题的在线调查。采用定性研究方法及主题分析法对参与者的回答进行分析。
对患者感知到的教育需求进行主题分析后,确定了3个主题和14个子主题。3个主题包括个人、家庭和社会教育感知需求。在个人教育需求中,有7个子主题,包括个人独立与交通、经济独立、生活技能调整、SCI知识、SCI并发症预防、人际关系与性功能以及心理调适。在家庭教育需求中,3个子主题是照顾者技能与沟通、急救与应急技能以及情感与心理支持。对于社会教育需求,所描述的4个子主题是社会融合、人际沟通技能、SCI认知与损伤预防、同情而不怜悯。
根据我们的研究结果,SCI患者有各种需求需要得到满足。教育支持应成为综合康复计划的一部分,旨在满足患者的个人和家庭需求,同时向社区宣传SCI知识,以便患者重新融入社会。