Assessment of Daily Living of Patients with Spinal Cord Injury: A Cross-Sectional Study in Kermanshah

Abstract

Background: Spinal cord injuries (SCI) are a variety of chronic diseases that various causes such as trauma may contribute to its onset. One of the problems in these patients is the problem of physical activity and, consequently, daily activities. Objectives: This study aimed to assess daily living of patients with SCI. Methods: In this descriptive cross-sectional study in 2019, 120 patients with SCI in Kermanshah were included in the study using purposive sampling. The instruments used in this study fell into two parts. One part included the demographic characteristics of the SCI patients, and the other part was a questionnaire of the rate of the Impact on Participation and Autonomy questionnaire (IPA-P). Data were analyzed by SPSS software version 16 using descriptive tests such as mean and standard deviation. Results: The result showed there was a significant relationship between demographic characteristics such as education (P < 0.007), time of spinal cord injury (P < 0.01), and income (P = 0.000). Also, the results showed there was a relationship between Autonomy and Participation, and the age of patients and their autonomy and participation decreased with age (P = 0.000, R = 0.72). Most of the patients had severe problems with daily activities. Also, most patients had very poor scores in relation to daily living activities. Conclusions: Considering the low rate of participation and autonomy in patients with SCI, it is suggested to conduct studies aimed at improving their self-care and social participation.

Obstacles and Facilitators in Daily Living Activities Among Persons with Spinal Cord Injury: A Systemic Review

“…All of the ten studies (30,31,32,33,34,35,36,37,38,39) reported that the maximum level of participation in daily life activities among persons with SCI in the community like employment, return to work, engagement in primary life domain, leisure activities, outdoor work, household duties, community mobility, driving task, and self-care activities are affected. Meanwhile, white-collar paid or unpaid work, hobbies, and sporting activities are the facilitator factors that contribute to participation in the community.…”

“…Personal Factors: Seven studies (30,31,34,35,37,38,39), reported that participation of persons with SCI in daily activities after being discharged from the hospital to home face many obstacles due to personal factors such as dependency on caregivers, older age status, gender, aloneness, less qualified. Meanwhile, social background, financial support, lifestyle, coping, and life satisfaction are the primary facilitator factors that enhance their participation in work and independent life in society.…”

Abuse in Patients with Spinal Cord Injury During the COVID-19 Pandemic

“…The SCI is defined as damage to the spinal cord that results in the loss of sensory, motor, or autonomic function (6). These complications might lead to problems, such as pain, pressure ulcers, psychological problems, care stress, and reduced physical activity (7)(8)(9). The SCI is one of the chronic diseases that cause caregiver burden in healthcare providers (10).…”