Psychosocial challenges of social reintegration for people with spinal cord injury: a qualitative study

Mahooti, Fariba; Ghorbani, Raheb; Alipour, Fardin; Hatamizadeh, Nikta

doi:10.1038/s41393-020-0449-z

Cited by 17 publications

(16 citation statements)

References 23 publications

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“…Spinal cord injury is an event that usually occurs abruptly and requires changes in life, based on new knowledge and experiences, causing a series of psychosocial changes that can interfere with the expected development of these patients and their family members (12) . Studies (13)(14) indicate negative emotions (denial, disbelief, helplessness, feelings of isolation and depression), difficulty in dealing with life and physical changes, and unrealistic expectations of recovery as the main challenges faced in the rehabilitation of these patients, generating self-care deficits.…”

Section: Discussionmentioning

confidence: 99%

ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation

Clares¹,

Moreira²,

Fernandes

et al. 2022

Rev. Bras. Enferm.

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Objectives: to construct statements of nursing diagnoses for the clinical practice of rehabilitation of people with spinal cord injury using the International Classification for Nursing Practice (ICNP®) and Orem’s theory of self-care. Methods: methodological study developed in four steps: identification of relevant terms to clinical nursing practice in the rehabilitation of people with spinal cord injury; mapping of selected terms with ICNP® terms; construction of nursing diagnoses statements; mapping of statements constructed with pre-coordinated concepts of the ICNP®. Results: 241 statements of nursing diagnoses were constructed and categorized according to the self-care requisites of the theory. The most prevalent statements were those related to universal requisites, followed by developmental requisites and health deviation requisites. Conclusions: the constructed nursing diagnoses reflect the complexity of phenomena evidenced in the clinical practice of rehabilitation, allowing a systematic and comprehensive care to the person with spinal cord injury.

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Section: Discussionmentioning

confidence: 99%

ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation

Clares¹,

Moreira²,

Fernandes

et al. 2022

Rev. Bras. Enferm.

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“…They have also seen their occupations, emotional interactions, and marital relationships suffer as a result, and they hold no hope of change [4,6,7,9]. Some qualitative studies have examined the life challenges of SCI patients from the perspective of the patients themselves [8,[10][11][12].…”

Section: Previous Research On Spinal Cord Injury Patients' Needsmentioning

confidence: 99%

Perception of facing life's challenges in patients with spinal cord injury in Iran: a qualitative study

et al. 2022

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Background Spinal cord injury (SCI) is one of the most serious types of physical trauma and has become a major life-threatening condition in the recent decade. It is essential that the life perception and experiences of patients with SCI be studied and evaluated in different cultural contexts so that their needs and the challenges they face can be properly determined. The present study aims to explore the how patients with SCI in the south of Iran perceive facing life's challenges. Methods The present study is a qualitative research with a descriptive phenomenological design. Participants were identified through purposive sampling of patients with spinal cord injury admitted to two state hospitals affiliated with a university of medical sciences in western Iran. The researchers collected data using semi-structured, in-depth interviews with 25 SCI patients conducted between August and October 2021. Data was analyzed according to Colaizzi's method using MAXQDA v. 2007. Results Analysis of the data led to the emergence of three themes and nine sub-themes. The three main themes were emotional shock (crisis making and mental rumination, persistent depressive disorder, pitying behaviors, fear of the future), loss of dignity (poor self- care, sexual dysfunction, loss of job and educational status), and lack of effective support (lack of financial institutions and sponsors, lack of social support). Conclusion Patients with spinal cord injuries face various issues in their care and social lives. Attention to their psycho-emotional needs along with comprehensive health support play key roles in generating a sense of self efficacy and promoting the mental well-being and dignity of patients with spinal cord injuries. Accordingly, healthcare administrators and caregivers are recommended to provide more comprehensive health support to SCI patients to meet their needs more effectively.

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“…Eighty rats were divided into four groups: (i) SCI group; (ii) AC-YVAD-CMK treatment group: intraperitoneal injection of AC-YVAD-CMK dissolved by DMSO (10mg/kg) immediately after injury, three times every other day; (iii) BMSCs treatment group: immediately after injury, 1×10 5 BMSCs were injected into 3ul medium with microinjector to the epicenter of spinal cord contusion, and single dose DMSO with equal volume was injected into abdominal cavity; (iiii) Combined treatment group (AC-YVAD-CMK + BMSCs): immediately after injury, inject AC-YVAD-CMK solution and BMSCs into corresponding parts.…”

Section: Experimental Groups and Intraperitoneal Administrationmentioning

confidence: 99%

“…Vehicle crashes are currently the leading cause of injury followed by falls, acts of violence, and sports/recreation activities, according to the National Spinal Cord Injury Statistical Center [2]. It is one kind of devastating disease in orthopedics and causes serious physiological and psychological damage to the patients [3][4][5]. Researchers found that the nal neurological damage of SCI is caused by two mechanisms, namely primary injury and secondary injury.…”

Section: Introductionmentioning

confidence: 99%

AC-YVAD-CMK Inhibits Caspase-1-mediated Imflammatory Response to Improve Bone Marrow Stromal Cells on Neuroprotection After Sci in Rats

Zhang

Gao

et al. 2020

Preprint

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Background: Stem cell transplantation maybe an advantaged method for curing spinal cord injury (SCI). However, the adverse environment of the injured area makes the treatment effects on transplantation unsatisfactory. The aim of this study was to investigate whether AC-YVAD-CMK could change enviroment by inhibiting caspase-1-mediated imflammatory response to improve Bone marrow stromal cells (BMSCs) transplantation on neuroprotection after SCI.Methods: Firstly, BMSCs were prepared and cultured in vitro and the SCI rat model was constructed. Then, AC-YVAD-CMK and BMSCs were injected into the SCI model at the same time. Western blot and ELISA were used to detect the production of inflammatory factors and neurotrophic factors in the injured area, meanwhile immunohistochemistry was employed to clarify the effect of AC-YVAD-CMK on BMSCs transplantation. Finally, we evaluated the recovery of limb motor function by BBB score in SCI rats.Result: In the AC-YVAD-CMK + BMSCs group, the active caspase-1, IL-18 and IL-1β expressed less than those in the BMSCs group or AC-YVAD-CMK group at 1 week after SCI (P < 0.01). Meanwhile, increasing brain derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3) levels, the PKH26 labeled BMSCs with some being neurofilament protein-200 (NF-200)-positive were still observed in the contusion site. Furthermore, the restoration of motor connections across the injury sites was positively correlated with the recovery of spinal cord function in cotreatment group (P < 0.01).Conclusions: These results show that caspase-1-mediated inflammatory response is inhibited by AC-YVAD-CMK to enhance BMSCs transplantation to improve neuroprotection after SCI.

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Psychosocial challenges of social reintegration for people with spinal cord injury: a qualitative study

Cited by 17 publications

References 23 publications

ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation

ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation

Perception of facing life's challenges in patients with spinal cord injury in Iran: a qualitative study

AC-YVAD-CMK Inhibits Caspase-1-mediated Imflammatory Response to Improve Bone Marrow Stromal Cells on Neuroprotection After Sci in Rats

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