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纳米比亚霍马斯地区国家转诊医院康复科收治的脊髓损伤患者的经历。

Experiences of spinal cord injury patients admitted to the rehabilitation unit at the national referral hospital in Khomas region, Namibia.

作者信息

Ashipala Daniel O, Langendorf Lettie

机构信息

Department of General Nursing Science, School of Nursing and Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Rundu, Namibia.

出版信息

Afr J Disabil. 2022 Jul 27;11:1018. doi: 10.4102/ajod.v11i0.1018. eCollection 2022.

Abstract

BACKGROUND

Spinal cord injury (SCI) remains one of the major causes of disability globally. It results in permanent physical disability secondary to devastating neurological defects. When a person sustains SCI, substantial changes and challenges in their lives occur, regardless of their age or socioeconomic status. In Namibia, the knowledge on SCI experiences could be used to improve the care rendered to patients with this injury.

OBJECTIVES

The purpose of this study was to explore and describe the experiences of patients with SCIs admitted to the rehabilitation unit at the national referral hospital in Khomas region, Namibia.

METHOD

A qualitative, explorative and descriptive study design was used. Data were collected by means of in-depth, semi-structured, face-to-face interviews with 15 participants from the rehabilitation unit. Data were analyzed using thematic analysis.

RESULTS

Analysis of the data in this study identified three themes: negative experiences, positive experiences and measures to improve the lives of people living with SCI in the community. Participants experienced varied emotions from anger, stress, disbelief, frustration and sadness, which led to depression. In addition, participants experienced discrimination due to lack of community acceptance hence, improving awareness remains key.

CONCLUSION

This study provided insight into the lived experiences of those living with SCI as they narrated their struggle from the onset of SCI to their reintegration into the community. The study's findings can be used to develop self-care strategies and ongoing interventions that focus on maintaining physical and psychological health for spinal-cord injured persons throughout the course of living with disability.

摘要

背景

脊髓损伤(SCI)仍是全球主要的致残原因之一。它会导致继发于严重神经缺陷的永久性身体残疾。当一个人遭受脊髓损伤时,无论其年龄或社会经济地位如何,其生活都会发生重大变化并面临挑战。在纳米比亚,关于脊髓损伤经历的知识可用于改善对这类受伤患者的护理。

目的

本研究的目的是探索和描述纳米比亚霍马斯地区国家转诊医院康复科收治的脊髓损伤患者的经历。

方法

采用定性、探索性和描述性研究设计。通过对康复科的15名参与者进行深入、半结构化的面对面访谈收集数据。使用主题分析法对数据进行分析。

结果

本研究数据分析确定了三个主题:负面经历、正面经历以及改善社区脊髓损伤患者生活的措施。参与者经历了从愤怒、压力、怀疑、沮丧到悲伤等各种情绪,这些情绪导致了抑郁。此外,由于缺乏社区接纳,参与者还遭受了歧视,因此,提高认识仍然是关键。

结论

本研究深入了解了脊髓损伤患者的生活经历,他们讲述了从脊髓损伤开始到重新融入社区的挣扎过程。该研究结果可用于制定自我护理策略和持续干预措施,这些措施侧重于在脊髓损伤患者的整个残疾生活过程中维持其身心健康。

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