Document Type : Original Articles
Authors
- Mohammad Amin Vafaei 1, 2
- Hamidreza Farpour 3, 4
- Payam Pourbasirat 5
- Sima Farpour 6, 7
- Pardis Hemmat 8
1 Health policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2 physiatrist, Orthopedics Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Bone and Joint Diseases Research Center, department of physical medicine and rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran.
4 Shiraz Geriatric Research Center, school of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
5 Student Research Committee, Department of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
6 Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
7 Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
8 student Research Committee, Department of physical medicine and rehabilitation, school of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
Background: Spinal cord injury (SCI) is a debilitating condition that imposes a significant socio-economic burden on patients and society. Secondary complications are one of the most crucial issues that may arise in these patients and contribute to the overall disease burden. This study aims to assess the knowledge, attitudes, and practices of patients with SCI concerning secondary complications.
Method: In this cross-sectional study, the authors evaluated the knowledge, attitudes, and practices (KAP) of patients with spinal cord injury regarding secondary complications. Patients with SCI were identified through the hospital information system. Data were collected using a demographic and clinical information questionnaire and a three-part questionnaire covering knowledge, attitudes, and practices.
Results: A total of 180 patients participated in this study. The findings revealed a moderate level of knowledge, attitude, and practice, with respective mean scores of 84.12, 13.62, and 21.5 in patients with SCI.
Conclusion: The patients' knowledge, attitude, and practice regarding potential complications of spinal cord injury was moderate. Significant relationships were found between education and knowledge, attitude, and practice. Additionally, a significant relationship was observed between knowledge and gender. While there was no significant relationship between age and knowledge or practice, a reverse relationship was identified between age and attitude.
Keywords
- Widenfalk J, Lundströmer K, Jubran M, Brené S, Olson L. Neurotrophic factors and receptors in the immature and adult spinal cord after mechanical injury or kainic acid. Journal of Neuroscience. 2001;21(10):3457-75.
- De Winter F, Oudega M, Lankhorst A, Hamers F, Blits B, Ruitenberg MJ, et al. Injury-induced class 3 semaphorin expression in the rat spinal cord. Experimental neurology. 2002;175(1):61-75.
- Kennedy P, Lude P, Taylor N. Quality of life, social participation, appraisals and coping post spinal cord injury: a review of four community samples. Spinal cord. 2006;44(2):95-105.
- Rahimi-Movaghar V, Saadat S, Rasouli MR, Ganji S, Ghahramani M, Zarei M-R, et al. Prevalence of spinal cord injury in Tehran, Iran. The journal of spinal cord medicine. 2009;32(4):428-31.
- Eslami MZ, Zarghami A, Sapkota B, Van Sinderen M. Personalized service creation by non-technical users in the homecare domain. Procedia computer science. 2011;5:409-17.
- Dryden D, Saunders L, Rowe B, May L, Yiannakoulias N, Svenson L, et al. Utilization of health services following spinal cord injury: a 6-year follow-up study. Spinal cord. 2004;42(9):513-25.
- Barati A, Janati A, Tourani S, Khalesi N, Gholizadeh M. Iranian professional’s perception about advantages of developing home health care system in iran. 2010.
- Hsi CN, Musau SN, Chanfreau-Coffinier C. HIV/AIDS home-based care costing guidelines: Partners for Health Reformplus; 2005.
- Matter B, Feinberg M, Schomer K, Harniss M, Brown P, Johnson K. Information needs of people with spinal cord injuries. The Journal of Spinal Cord Medicine. 2009;32(5):545-54.
- Chen D, Apple Jr DF, Hudson LM, Bode R. Medical complications during acute rehabilitation following spinal cord injury—current experience of the Model Systems. Archives of physical medicine and rehabilitation. 1999;80(11):1397-401.
- Farpour S, Farpour HR, Smithard D, Kardeh B, Ghazaei F, Zafarghasempour M. Dysphagia management in Iran: Knowledge, attitude and practice of healthcare providers. Dysphagia. 2019;34(1):105-11.
- Farpour HR, Kazemi M, Seyed Dehghanian K, Moradi M, Farpour S. Knowledge, Attitude, and Practice of General Practitioners Toward the Rehabilitation Field and Team Experts in Shiraz, Iran, in 2018. Shiraz E-Medical Journal. 2021(In Press).
- Van Loo M, Post M, Bloemen J, Van Asbeck F. Care needs of persons with long-term spinal cord injury living at home in the Netherlands. Spinal Cord. 2010;48(5):423-8.
- Munce SE, Webster F, Fehlings MG, Straus SE, Jang E, Jaglal SB. Perceived facilitators and barriers to self-management in individuals with traumatic spinal cord injury: a qualitative descriptive study. BMC neurology. 2014;14(1):1-12.
- Cardenas DD, Hoffman JM, Kirshblum S, McKinley W. Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis. Archives of physical medicine and rehabilitation. 2004;85(11):1757-63.
- Dorsett P, Geraghty T. Health-related outcomes of people with spinal cord injury—a 10 year longitudinal study. Spinal Cord. 2008;46(5):386-91.
- Frankel H, Coll J, Charlifue S, Whiteneck G, Gardner B, Jamous M, et al. Long-term survival in spinal cord injury: a fifty year investigation. Spinal cord. 1998;36(4).
- Tederko P, Limanowska H, Kiwerski J, Krasuski T, Krasuski M. Factors determining health awareness in persons after spinal injury with neurological complications. Pilot study. Ortopedia, traumatologia, rehabilitacja. 2010;12(6):542-53.
- Tharu NS. Knowledge, attitude and practice (KAP) among caregivers towards pressure ulcer in spinal cord injury patients at rehabilitation center in Bangladesh: (Bangladesh Health Professions Institute, Faculty of Medicine, the …; 2018.
- 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. Spinal Cord. 2011;49(1):43-8.
- Schottler J, Vogel L, Chafetz RS, Mulcahey M. Patient and caregiver knowledge of severity of injury among youth with spinal cord injury. Spinal cord. 2010;48(1):34-8.
- Mahmoudi R, Mousavi J. Review of literature was conducted in Berlin about the effects of bed rest on the musculoskeletal system of the lower extreme ties and trunk. J Modern Rehabil Fac Physiotherapy Tehran Univ Med Sci. 2011;5(3):37-44.
- Kärki A, Simonen R, Mälkiä E, Selfe J. Postoperative education concerning the use of the upper limb, and exercise and treatment of the upper limb: cross-sectional survey of 105 breast cancer patients. Supportive Care in Cancer. 2004;12(5):347-54.
- Bhambhani Y, Mactavish J, Warren S, Thompson WR, Webborn A, Bressan E, et al. Boosting in athletes with high-level spinal cord injury: knowledge, incidence and attitudes of athletes in paralympic sport. Disability and rehabilitation. 2010;32(26):2172-90.
- Khosro S. Harison's principle of internal medicine. Tehran: Nasle farad. 2005:185-6.
- Wong S, Van Middendorp J, Belci M, Van Nes I, Roels E, Smith E, et al. Knowledge, attitudes and practices of medical staff towards obesity management in patients with spinal cord injuries: an international survey of four Western European countries. Spinal Cord. 2015;53(1):24-31.
- EBRAHIMI A, BOU ALHARI J, ZOLFAGHARI F. STRESS COPING STRATEGIES AND SOCIAL SUPPORT IN DEPRESSIVE ,VETERANS WITH SPINAL CORD INJURY. IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY. 2002;8(2 (30)):-.
- Nguyen TA, Oosterhoff P, Ngoc YP, Wright P, Hardon A. Self-help groups can improve utilization of postnatal care by HIV-infected mothers. Journal of the Association of Nurses in AIDS Care. 2009;20(2):141-52.
- Tederko P, Krasuski T, Krasuski M, Długołęcka A, Tarnacka B. Determinants of health knowledge and health perceptions from the perspective of health-related education of patients with spinal cord injury: a systematic review. International Journal of Rehabilitation Research. 2017;40(2):97-106.
- Milani MJ, Amiri P, Vejdani M, Salehiniya H, Malek-Khahi A. The effect of peer support group on self-transcendence in patients undergoing haemodialysis. Biomedical Research and Therapy. 2017;4(03):1198-209.
- Zakerimoghadam M, Ebrahimi S, Haghani H. The effect of self-management program after discharging on therapeutic adherence in patient with ischemic heart disease. Iranian Journal of Nursing Research. 2016;11(1):17-24.
)