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诊断之外:加纳某选定城镇脊髓损伤患者的生活经历

Beyond the Diagnosis: Lived Experiences of Persons with Spinal Cord Injury in a Selected Town in Ghana.

作者信息

Fuseini Abdul-Ganiyu, Aniteye Patience, Alhassan Afizu

机构信息

Department of Nursing, School of Allied Health Sciences, University for Development Studies, Tamale-Ghana. P.O. Box, TL 1883, Tamale, Ghana.

Department of Community Health Nursing, School of Nursing, University of Ghana, P.O. Box LG. 43, Legon, Accra, Ghana.

出版信息

Neurol Res Int. 2019 Jan 16;2019:9695740. doi: 10.1155/2019/9695740. eCollection 2019.

DOI:10.1155/2019/9695740
PMID:30792925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6354163/
Abstract

BACKGROUND

Although several studies have been conducted on the lived experiences of persons with spinal cord injury (SCI) in high income countries, there is no published data on such experiences in Ghana. The purpose of this study was to explore the lived experiences of persons with SCI in the Tamale Metropolis of the Northern Region of Ghana.

MATERIAL AND METHODS

A qualitative descriptive design involving thirteen participants was conducted at the Tamale Metropolis-Ghana. A purposive sampling technique was used to recruit participants, using the Neurosurgical Unit of the Tamale Teaching Hospital as an outlet for recruitment of the sample. Data was gathered mainly through face-to-face in-depth interviews. The data was analyzed concurrently with data collection, using thematic content analysis. Ethical approval was obtained for the study from the Noguchi Memorial Institute for Medical Research and the research unit of the Tamale Teaching Hospital.

RESULTS

The three main themes that emerged from the data during analysis were "physical effects," "psychological effects," and "social issues." . The findings from the study suggest that SCI is a life threatening condition and that persons with SCI grapple with a myriad of physical symptoms that range from chronic pain and paralysis of lower and/or upper limbs, to bladder and bowel incontinence. These physical symptoms have significant psychological and social effects on the functioning of the affected persons.

摘要

背景

尽管在高收入国家已经针对脊髓损伤(SCI)患者的生活经历开展了多项研究,但在加纳,尚无关于此类经历的公开数据。本研究的目的是探索加纳北部地区塔马利市脊髓损伤患者的生活经历。

材料与方法

在加纳塔马利市开展了一项涉及13名参与者的定性描述性研究。采用目的抽样技术招募参与者,以塔马利教学医院神经外科病房作为样本招募渠道。主要通过面对面深度访谈收集数据。采用主题内容分析法,在收集数据的同时进行数据分析。本研究已获得诺古奇纪念医学研究所和塔马利教学医院研究部门的伦理批准。

结果

分析过程中从数据中提炼出的三个主要主题为“身体影响”、“心理影响”和“社会问题”。研究结果表明,脊髓损伤是一种危及生命的疾病,脊髓损伤患者要应对众多身体症状,包括慢性疼痛、下肢和/或上肢瘫痪,以及膀胱和肠道失禁。这些身体症状对患者的功能产生了重大的心理和社会影响。