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脊髓损伤成年人的同伴指导:受指导者与非受指导者所报告应对策略的静态组比较

Peer mentorship for adults with spinal cord injury: a static group comparison between mentees and non-mentees' reported coping strategies.

作者信息

Rocchi Meredith Anne, Zelaya Walter, Sweet Shane Norman

机构信息

Department of Kinesiology and Physical Education, McGill University, Montreal, Canada.

Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada.

出版信息

Spinal Cord. 2018 Nov;56(11):1102-1109. doi: 10.1038/s41393-018-0197-5. Epub 2018 Sep 25.

DOI:10.1038/s41393-018-0197-5
PMID:30254205
Abstract

STUDY DESIGN

Cross-sectional study OBJECTIVES: Determine whether participating in peer mentorship is related to differences in reported use of coping strategies (acceptance of injury and fighting spirit) for adults with spinal cord injury.

SETTING

Quebec, Canada METHODS: A static group comparison design was used to retrospectively compare mentees (n = 68) and non-mentees (n = 63) on their reported coping strategies. Moderation analyses examined differences on coping strategies, while controlling for years since injury (significant covariate).

RESULTS

A significant interaction was found between years since injury and peer mentorship for acceptance of injury and fighting spirit, where mentees living with their injury for longer (~30 years) reported more use of the acceptance of injury and fighting spirit coping strategies.

CONCLUSION

Peer mentorship programs could serve as a means for promoting positive coping strategies for adults with SCI. To better understand the role of peer mentorship, follow-up studies using more rigorous research methodologies such as cohort or randomized controlled trial study designs should be conducted.

摘要

研究设计

横断面研究

目的

确定参与同伴指导是否与脊髓损伤成人报告的应对策略(接受损伤和斗志)的差异有关。

地点

加拿大魁北克省

方法

采用静态组比较设计,回顾性比较接受指导者(n = 68)和未接受指导者(n = 63)报告的应对策略。调节分析在控制受伤年限(显著协变量)的同时,检验应对策略的差异。

结果

在接受损伤和斗志方面,发现受伤年限与同伴指导之间存在显著交互作用,即受伤时间较长(约30年)的接受指导者报告更多地使用接受损伤和斗志的应对策略。

结论

同伴指导项目可作为促进脊髓损伤成人积极应对策略的一种手段。为了更好地理解同伴指导的作用,应采用更严格的研究方法,如队列研究或随机对照试验研究设计进行后续研究。

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Arch Phys Med Rehabil. 2018 Mar;99(3):468-476.e12. doi: 10.1016/j.apmr.2017.08.487. Epub 2017 Sep 22.
2
Effects of Peer Mentoring on Self-Efficacy and Hospital Readmission After Inpatient Rehabilitation of Individuals With Spinal Cord Injury: A Randomized Controlled Trial.同伴辅导对脊髓损伤患者住院康复后自我效能感和再入院率的影响:一项随机对照试验
Arch Phys Med Rehabil. 2017 Aug;98(8):1526-1534.e2. doi: 10.1016/j.apmr.2017.02.018. Epub 2017 Mar 23.
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Randomized Trial of a Peer-Led, Telephone-Based Empowerment Intervention for Persons With Chronic Spinal Cord Injury Improves Health Self-Management.
一项针对慢性脊髓损伤患者的由同伴主导的基于电话的赋权干预随机试验改善了健康自我管理。
Arch Phys Med Rehabil. 2017 Jun;98(6):1067-1076.e1. doi: 10.1016/j.apmr.2017.02.005. Epub 2017 Mar 8.
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A 21-year longitudinal analysis of impact, coping, and appraisals following spinal cord injury.一项对脊髓损伤后影响、应对方式及评估的21年纵向分析。
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