Assessment of the knowledge of paraplegic persons regarding self-care activity
Background and objective: Knowledge for getting self-care activity is the one important issue in the quality of life for a paraplegic person to live independently. This study aimed to assess the level of knowledge of persons with complete paraplegia regarding how to do self-care activity during daily living.
Methods: This cross-sectional study involved 58 cases with complete paraplegia out of 202 cases with spinal injuries that were admitted to the Emergency Management Centre in Hawler from 2008 to 2014. Information data on paraplegic persons was collected from August 15th to October 15th, 2014 through the interview by using a questionnaire.
Results: The majority of persons with paraplegia were young (32.8%), male (84.5%), married (58.6%), secondary school graduates (35.3%), unemployed (72.4%), having income exceeding the needs (50%) and live in the urban area (77.6%). Most of them had thoracic injury at level 9 to 12 (70.7%). The most common cause of injury was fall from high (41.4%) and the majority of readmissions were for bedsores (87%). The knowledge of paraplegic persons of self-care activity was at a high level (87.9%). Those living in urban areas had a significantly higher knowledge than those living in rural areas (93.3% vs 69.2%, P = 0.019).
Conclusion: Persons with paraplegia had good knowledge for self-care activity, but still need continuous knowledge and practical training. Urban areas need more help and knowledge.
Ripat JD. Self-perceived Participation amongst Adults with Spinal Cord Injuries: The Role of Assistive Technology. Winnipeg, Manitoba; 2011. Available from http://www.nature.com/sc/journal/v50/n12/pdf/sc201277a.pdf . Accessed at 2nd November 2014).
Brunner HR, Suddarth’s. Textbook of Medical-Surgical Nursing. 10th ed. Suzanne C. O’Connell Smeltzer; 2003. P. 1926-9.
Jongjit J, Sutharom W, Komsopapong L, Numpechitra N, Songjakkaew P. functional independence and rehabilitation outcome in traumatic spinal cord injury, Bangkok. Southeast Asian. J Trop Med Public Health 2004; 35(4): 980-5.
Górska M. Dynamics of the adaptation to self–disability in people with paraplegia. Jagiellonian University, Cracow, Poland. Med Rehabil 2005; 9(2):8-13.
Houghton PE, Campbell KE, Panel CPG. Canadian Best Practice Guidelines for the Prevention and Management of Pressure Ulcers in People with Spinal Cord Injury. A Resource Handbook for Clinicians; 2013. P. 36.
Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Department of Urology, University Hospital Antwerp, Edegem, Belgium. Int Spinal Cord Soc 2006; 38:697-701.
Dahlberg A, Kotila M, Leppa P, Kautiainen H, Alaranta H. Prevalence of spinal cord injury in Helsinki, Heinola. Finland. Spinal Cord 2005; 43(1):47-50.
Henn MJ. Evaluation of the Rehabilitation Program for Persons with Complete Paraplegia at Net care Rehabilitation Hospital. Stellenbosch University Stellenbosch; 2009. Available at http://www.client.com =4&xhr=t&q=Henn%2.1379211186042.pdf). Acessed 13th Nov 2013.
Górska M. Dynamics of the adaptation to self–disability in people with paraplegia. Jagiellonian University, Cracow, Poland. Med Rehabil 2005; 9 (2):8-13.
Rodriguez GP, Garber SL. Prospective study of pressure ulcer risk in spinal cord injury patients. Houston. Texas, USA. Int Med Soc Paraplegia 1994; 32:150-8.
Thietje R, Giese R, Pouw M, Kaphengst C, Hosman A, Kienast B, et al. How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients. Int Spinal Cord Soc 2011; 49:43-8.
Marcel WM, Dallmeijer AJ, Angenot EL, Asbeck FW, der Woude LH. Duration functional outcome of spinal cord injury rehabilitation in the Netherlands. Amsterdam, the Netherlands. J Rehabil Res Dev 2005; 42(3):75-86.
Curt A, Keck ME. Dietz V. Functional Outcome Following Spinal Cord Injury. Significance of Motor-Evoked Potentials and ASIA Scores. University Hospital Balgrist, Zurich, Switzerland. Arch Phys Med Rehabil 1998; 79:81-6.
Harvey LA, Smith MB, Davis GM, Engel S. Functional Outcomes Attained by T9-12 Paraplegic Patients With the Walkabout and the Isocentric Reciprocal Gait Orthoses. Sydney, Australia. Arch Phys Med Rehabil 1997; 78: 706-11.
Bloemen-Vrencken JH, de Witte LP, Post MW. Pons C, van Asbeck FW, van der Woude LH, et al. Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care. Clin Rehabil 2007; 21(11): 997-1006.
Garber SL, Rintala DH. Pressure ulcers in veterans with spinal cord injury. A retrospective Study. College of Medicine, Houston. J Rehabil Res Dev 2003; 40(5):433-42.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).