Living with spinal cord injury during COVID-19: a qualitative study of impacts of the pandemic in Nepal

Bhattarai, Muna; Limbu, Sunita; Sherpa, Pasang D.

doi:10.1038/s41393-022-00812-y

Cited by 6 publications

(35 citation statements)

References 24 publications

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“…Study country and setting are listed in Table 1 . Nine studies were conducted in North American countries [ 2 , 9 , 29 – 35 ], five studies were conducted in European countries [ 17 , 36 – 40 ], three in Asian countries [ 41 – 44 ], one in Australia [ 45 ], and one in South America [ 46 ]. Four studies were conducted internationally spanning multiple countries and continents [ 47 – 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies were conducted internationally spanning multiple countries and continents [ 47 – 50 ]. Eighteen studies were conducted in outpatient settings in the community [ 2 , 9 , 17 , 29 – 35 , 39 – 41 , 43 , 45 , 46 , 48 , 49 ]. three were conducted in in-patient settings [ 36 , 38 , 44 ], two were conducted in both outpatient and in-patient settings [ 47 , 50 ], and one study’s setting was not described [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…three were conducted in in-patient settings [ 36 , 38 , 44 ], two were conducted in both outpatient and in-patient settings [ 47 , 50 ], and one study’s setting was not described [ 42 ]. Fourteen studies were published in 2022 [ 9 , 17 , 31 – 35 , 39 – 41 , 43 – 46 ], seven were published in 2021 [ 2 , 30 , 36 , 37 , 42 , 47 – 49 ] and three were published in 2020 [ 29 , 38 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

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The impact of the COVID-19 virus and pandemic on healthcare utilization, access, delivery, experiences, and outcomes in the spinal cord injuries/dysfunction population: A scoping review study

Senthinathan,

Cimino,

Jaglal

et al. 2024

PLoS ONE

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Background Individuals with spinal cord injuries or disease (SCI/D) require frequent healthcare services. The COVID-19 pandemic may have impacted healthcare. Furthermore, due to secondary health conditions and comorbidities persons with SCI/D are at increased risk of experiencing severe symptoms or outcomes if infected with the COVID-19 virus. It is unclear to what extent research has investigated the pandemic and virus impacts on the SCI/D population. Objective To identify and summarize what is reported in the literature on the impact the COVID-19 virus and pandemic had on healthcare, health outcomes, and experiences in the adult SCI/D population. Methods Electronic databases and grey literature were searched for articles that included an adult population with a SCI/D and investigated the impact the COVID-19 virus and pandemic had on healthcare-related outcomes and experiences. Articles were double screened, and data were extracted, and synthesized to provide a descriptive summary of the findings. Results Twenty-four studies were included in this review with eight qualitative, fifteen quantitative, and one mixed methods study. Sixteen studies investigated healthcare utilization/access; nine investigated care delivery, nine investigated patient outcomes, and eight investigated patient experiences, with multiple studies spanning different categories of investigation. The pandemic was detrimental to healthcare utilization, access, and outcomes, but no studies quantified these changes. Virtual care was well-received by the SCI/D population to maintain continuity of care. The SCI/D population had issues with maintaining caregiving support. It was unclear if the COVID-19 virus infection impacted individuals with SCI/D differently than the general population. Conclusions This scoping review found the pandemic negatively impacted multiple aspects of healthcare in individuals with SCI/D, however further investigation on health outcomes is required. More research, particularly large-scale quantitative studies, investigating healthcare access, utilization, and delivery, as well as patient outcomes and experiences is needed to improve care in the SCI/D population post-pandemic onset.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The impact of the COVID-19 virus and pandemic on healthcare utilization, access, delivery, experiences, and outcomes in the spinal cord injuries/dysfunction population: A scoping review study

Senthinathan,

Cimino,

Jaglal

et al. 2024

PLoS ONE

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“…The participants reported using four major coping strategies: use of social support, serving others, engagement in self-care activities, and positive thinking and creativity to cope with the pandemic-related challenges. PwSCI experienced stress and anxiety due to their risk of getting the infection, inadequate food and medical supplies, inaccessibility of public transportation and health care services, and need for caregivers (Bhattarai et al, 2022). Many participants in the present study attempted to interact with others virtually to share their feelings and concerns and seek support.…”

Section: Discussionmentioning

confidence: 99%

“…In the context of countries with low resources, the challenges to dealing with the pandemic among PwSCI are heightened. Our recent findings show that in addition to the pandemic's physical and mental health impacts, PwSCI in Nepal experienced social stigma, social isolation, financial burden, inadequate access to health care and other resources (Bhattarai et al, 2022). These physical, emotional, social, and economic challenges may place them at greater risk for long-term mental health impacts.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of coping strategies in persons with spinal cord injury during the COVID-19 pandemic.

Bhattarai¹,

Sherpa²,

Limbu³

2023

Rehabilitation Psychology

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Purpose/Objective: The objective of this study was to identify strategies that persons with spinal cord injury (PwSCI) used to cope with COVID-19 pandemic-related challenges. Research Method/Design: This qualitative phenomenological study utilized focus group discussions (FGDs) to collect participants' responses. Two virtual FGDs using Zoom were conducted in June and July, 2021. Each FGD consisted of seven participants with spinal cord injury (SCI) living in communities in Nepal. A thematic analysis approach was used to analyze and interpret the data. Results: Four major themes related to coping strategies PwSCI used during the pandemic were identified: (a) use of social support, (b) serving others, (c) engagement in self-care activities, and (d) positive thinking and creativity. Conclusions/Implications: Findings suggest that many participants used healthy coping strategies to cope with COVID-19 pandemic-related stress and challenges. Identification and reinforcement of healthy coping strategies in PwSCI are essential for health professionals to help these individuals navigate the psychosocial adaptation process during the pandemic. Impact and ImplicationsThe pandemic has tremendously affected the lives of PwSCI; however, limited research has been conducted to identify how these individuals are coping with the negative impacts of the COVID-19 pandemic. This qualitative research adds insights to the understanding of strategies that PwSCI living in low-resource countries used to cope with stressors resulting from the pandemic. The study found that PwSCI were utilizing social support, serving others, engaging in self-care activities, and enhancing positive thinking and creativity to cope with COVID-19-related challenges. The findings can inform health practitioners and researchers in helping PwSCI enhance healthy coping and thus well-being through appropriate service delivery and policy development. A tailored psychosocial intervention is crucial to mitigate the impacts of the pandemic through healthy and adaptive coping.

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Human Resource Considerations for Supporting Employees with Neurological Disorders: Multiple Sclerosis and Spinal Cord Injury

Mpofu

Bhattarai²,

Smith³

2022

Managing Human Resources

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Living with spinal cord injury during COVID-19: a qualitative study of impacts of the pandemic in Nepal

Cited by 6 publications

References 24 publications

The impact of the COVID-19 virus and pandemic on healthcare utilization, access, delivery, experiences, and outcomes in the spinal cord injuries/dysfunction population: A scoping review study

The impact of the COVID-19 virus and pandemic on healthcare utilization, access, delivery, experiences, and outcomes in the spinal cord injuries/dysfunction population: A scoping review study

A qualitative study of coping strategies in persons with spinal cord injury during the COVID-19 pandemic.

Human Resource Considerations for Supporting Employees with Neurological Disorders: Multiple Sclerosis and Spinal Cord Injury

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