Services and interventions needed to prevent secondary health conditions throughout the life span of people with spinal cord injury, South Africa.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES African Journal of Disability Pub Date : 2022-11-11 eCollection Date: 2022-01-01 DOI:10.4102/ajod.v11i0.881
Sonti I Pilusa, Hellen Myezwa, Joanne Potterton
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Abstract

Background: Current evidence suggests a need for a care model that supports the prevention of secondary health conditions in people with spinal cord injury. Multiple complex factors influence the prevention of secondary health conditions. There is a need for holistic and systems-based prevention approaches, which target multiple levels.

Objective: To identify the services and interventions needed to prevent secondary health conditions throughout the life span of people with spinal cord injury.

Method: We used a descriptive qualitative approach. Data was collected using focus group discussions with professionals in the rehabilitation field. The recorded group discussions were transcribed verbatim, and content analysis was conducted.

Results: Four focus group discussions were conducted. Four themes emerged from the analyses: patient-centred care, access to resources, promotion of health, and skilled healthcare workers.

Conclusions: The suggested services and interventions needed to prevent secondary health conditions target the individuals with spinal cord injury (SCI), health providers, health systems care approach and other sectors outside the health system. These services and interventions will inform the development of a preventive care model.

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南非为预防脊髓损伤患者在一生中出现继发性健康问题所需的服务和干预措施。
背景:目前的证据表明,需要一种支持预防脊髓损伤患者继发性健康问题的护理模式。预防继发性健康问题受到多种复杂因素的影响。因此需要针对多个层面的整体性和以系统为基础的预防方法:确定脊髓损伤患者在整个生命周期中预防继发性健康问题所需的服务和干预措施:我们采用了描述性定性方法。通过与康复领域的专业人士进行焦点小组讨论来收集数据。我们对小组讨论的录音进行了逐字记录,并进行了内容分析:结果:共进行了四次焦点小组讨论。分析得出了四个主题:以患者为中心的护理、获取资源、促进健康和熟练的医护人员:预防继发性健康问题所需的建议服务和干预措施针对的是脊髓损伤(SCI)患者、医疗服务提供者、医疗系统护理方法和医疗系统以外的其他部门。这些服务和干预措施将为预防性护理模式的发展提供参考。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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