Lennox Alyse, Gabbe Belinda, Nunn Andrew, Braaf Sandra
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Victorian Spinal Cord Service, Austin Health, Melbourne, Victorian, Australia.
Top Spinal Cord Inj Rehabil. 2018 Fall;24(4):315-324. doi: 10.1310/sci17-00050. Epub 2018 May 3.
People living with spinal cord injury (SCI) have reported difficulties managing information in the community, which can negatively impact their functional independence and ability to prevent secondary complications. This exploratory qualitative study aimed to describe the experiences of people living with SCI with navigating and managing information in the community from their perspective. Participants were recruited through the Australian Quadriplegic Association. Twenty-two semi-structured in-depth interviews were conducted with purposively selected participants to ensure representation of age, gender, SCI level, and compensation status. Data were thematically analyzed using a framework approach. People living with SCI reported using multiple, complementary sources of information to prevent and manage secondary conditions. Over time, they learned to appraise the content, relevance, timing, and sources of information. Information delivered by health professionals in the rehabilitation setting was appraised as lacking personalization, but it acted as a springboard to search for more relevant information. Participants described the process of becoming experts about their condition to overcome the lack of knowledge of many general practitioners, guide their own care, and act as a source of information for others. Due to a lack of information provision, some participants missed health improvement opportunities and experienced frustration at the uncertainty of their future with SCI. Greater support is required for individuals with SCI to navigate information sources in the community. Rehabilitation is an opportune time to provide education related to finding and appraising information. Improved access to community health providers with SCI knowledge is also required.
脊髓损伤(SCI)患者报告称,在社区中管理信息存在困难,这可能会对他们的功能独立性以及预防继发性并发症的能力产生负面影响。这项探索性定性研究旨在从脊髓损伤患者的角度描述他们在社区中获取和管理信息的经历。参与者通过澳大利亚四肢瘫痪协会招募。对经过有目的选择的参与者进行了22次半结构化深度访谈,以确保涵盖不同年龄、性别、脊髓损伤水平和赔偿状况的人群。采用框架方法对数据进行了主题分析。脊髓损伤患者报告称,他们使用多种互补的信息来源来预防和管理继发性疾病。随着时间的推移,他们学会了评估信息的内容、相关性、时机和来源。康复环境中健康专业人员提供的信息被认为缺乏个性化,但它成为了寻找更相关信息的跳板。参与者描述了成为自身病情专家的过程,以克服许多全科医生知识不足的问题,指导自己的护理,并成为他人的信息来源。由于信息提供不足,一些参与者错过了改善健康的机会,并对自己脊髓损伤后的未来不确定性感到沮丧。脊髓损伤患者在社区中获取信息来源需要更多支持。康复是提供与查找和评估信息相关教育的适当时机。还需要改善与脊髓损伤知识相关的社区健康服务提供者的可及性。