Document Detail


A multi-centre study of the community needs of people with spinal cord injuries: the first 18 months.
MedLine Citation:
PMID:  19528997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Multi-centre, single cohort.
OBJECTIVES: To assess the needs, perceived environmental barriers, level of participation and psychological function of spinal cord injured patients living in the community 3-18 months after discharge.
SETTING: The National Spinal Injuries Centre, Stoke Mandeville, UK.; Princess Royal Spinal Injuries Centre, Sheffield UK.; Midlands Centre for Spinal Injuries, Oswestry, UK.
METHOD: Participants sustaining injury aged 18 or above were recruited from one of three spinal cord injuries units 3-18 months after discharge. Postal packs containing questionnaires, consent forms and information were distributed and a 2-week reminder was sent.
RESULTS: Main findings showed community needs to be generally well addressed however psychosocial needs were rated significantly lower than physical. Responses suggested no environmental impact on participation levels, however, qualitative data highlighted delays in accommodation, adaptations and availability of equipment to interfere with transition to community living. A substantial amount of respondents reported significant impact on independence and activity from secondary conditions and pain. Nearly all the sample reported dissatisfaction with their sexual life and these needs were not well addressed.
CONCLUSIONS: Societal participation continues to be affected by secondary conditions and pain, whereas delays in equipment and structural adaptations impact on the transition to community living. Sexual needs and problems remain an issue for the spinal cord injured population and a need which is left unaddressed in the community.
Authors:
P Kennedy; O Sherlock; M McClelland; D Short; J Royle; C Wilson
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2009-06-16
Journal Detail:
Title:  Spinal cord     Volume:  48     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-07     Completed Date:  2010-03-11     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  15-20     Citation Subset:  IM    
Affiliation:
Isis Education Centre, Warneford Hospital, University of Oxford, Oxford, UK. paul.kennedy@hmc.ox.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adolescent
Adult
Aged
Aged, 80 and over
Anxiety / etiology
Codependency (Psychology)
Cohort Studies
Depression / etiology
Disability Evaluation
Environment
Female
Follow-Up Studies
Health Surveys
Humans
Male
Middle Aged
Needs Assessment / statistics & numerical data*
Outcome Assessment (Health Care)
Pain / etiology
Patient Satisfaction
Quality of Life / psychology
Questionnaires
Residence Characteristics
Spinal Cord Injuries / complications,  psychology*,  rehabilitation*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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