Faculty of Health Sciences, Department of Physiotherapy, School of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, South Africa.
PLoS One. 2021 Jun 25;16(6):e0252280. doi: 10.1371/journal.pone.0252280. eCollection 2021.
The environment where people live, work or play can influence health and disability outcomes. People with spinal cord injury are at risk for secondary health conditions, with this increasing readmission rates and decreasing quality of life. Studies on preventative care for secondary health conditions and factors influencing the prevention of secondary health conditions are scarce in low to middle-income countries.
To explore environmental factors influencing the prevention of secondary health conditions in people with spinal cord injury.
This study was based at a public rehabilitation hospital, South Africa.
Explorative qualitative design was used. Semi-structured interviews were conducted with 21 therapists, 17 people with a spinal cord injury and six caregivers. The interviews were transcribed verbatim. Analysis was conducted using content analysis.
The categories that emerged included the impact of social support, inaccessible built environment and transport system, and an inefficient health care system. Sub-categories for the inefficient health care systems were: Shortage of resources, health workers lack of knowledge on prevention of secondary health conditions and inadequate patient care approach.
Environmental factors influencing the prevention of secondary health conditions are complex and multifactorial. When developing rehabilitation and prevention programmes, environmental factors must be considered.
人们生活、工作或娱乐的环境会影响健康和残疾状况。脊髓损伤患者存在发生继发性健康问题的风险，这会增加再入院率并降低生活质量。在中低收入国家，关于继发性健康问题的预防护理以及影响继发性健康问题预防的因素的研究很少。
探讨影响脊髓损伤患者继发性健康问题预防的环境因素。
本研究在南非一家公立康复医院进行。
采用探索性定性设计。对 21 名治疗师、17 名脊髓损伤患者和 6 名照顾者进行了半结构式访谈。访谈内容逐字记录。采用内容分析法进行分析。
出现的类别包括社会支持的影响、建筑环境和交通系统不可用以及医疗保健系统效率低下。医疗保健系统效率低下的子类别包括：资源短缺、卫生工作者缺乏预防继发性健康问题的知识以及患者护理方法不足。
影响继发性健康问题预防的环境因素复杂且多因素。在制定康复和预防计划时，必须考虑环境因素。
