Understanding barriers to spinal cord injury rehabilitation services in Nepal: A qualitative study of rehabilitation professionals' perspectives.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2024-08-08 DOI:10.1037/rep0000575

Muna Bhattarai, Sadiksha Karki, Mandira Baniya, Raju Dhakal, Heather B Taylor

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Abstract

Purpose/objective: This study aims to explore the perspectives of rehabilitation professionals regarding the barriers to spinal cord injury (SCI) rehabilitation services in Nepal.

Research method/design: A qualitative study involved 15 rehabilitation professionals working in the Spinal Injury Rehabilitation Center in Nepal. After obtaining informed consent, in-depth semistructured interviews were conducted using Zoom and phone calls between June and July 2023. Braun and Clarke's thematic analysis approach was utilized to analyze the interviews and generate themes from the participants' responses.

Results: The participants represented nine different rehabilitation professions. Over half of them were female (53.33%), and 86.67% had one to 10 years of experience in SCI rehabilitation. From in-depth interviews, four themes depicting barriers to rehabilitation were identified: (a) resource constraints within the rehabilitation centers, (b) concerns related to finance, awareness, and support mechanisms, (c) systemic problems coupled with geographical and physical barriers, and (d) beliefs and practices influencing access and adherence to rehabilitation.

Conclusions and implications: Delivering effective rehabilitation services for people with SCI presents a range of barriers. Considering the critical importance of rehabilitation for this population, the findings underscore the necessity of engaging stakeholders at multiple levels, individuals, communities, and government agencies to address the identified barriers and improve rehabilitation services in Nepal. The implications of the findings are further discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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了解尼泊尔脊髓损伤康复服务的障碍：对康复专业人员观点的定性研究。

目的/目标：本研究旨在探讨康复专业人员对尼泊尔脊髓损伤（SCI）康复服务障碍的看法：这项定性研究涉及 15 名在尼泊尔脊髓损伤康复中心工作的康复专业人员。在获得知情同意后，研究人员于 2023 年 6 月至 7 月期间使用 Zoom 和电话进行了深入的半结构式访谈。采用布劳恩和克拉克的主题分析方法对访谈进行分析，并从参与者的回答中生成主题：结果：参与者代表了九种不同的康复专业。超过半数的参与者为女性（53.33%），86.67%的参与者拥有一至十年的 SCI 康复经验。通过深入访谈，确定了四个描述康复障碍的主题：(a) 康复中心内部的资源限制，(b) 与资金、意识和支持机制有关的问题，(c) 系统性问题加上地理和物理障碍，以及 (d) 影响获得和坚持康复的信念和做法：为 SCI 患者提供有效的康复服务存在一系列障碍。考虑到康复对这一人群的极端重要性，研究结果强调有必要让个人、社区和政府机构等多个层面的利益相关者参与进来，以解决已发现的障碍并改善尼泊尔的康复服务。本报告还进一步讨论了研究结果的意义。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.