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Factors Affecting Self-Care in Patients with Spinal Cord Injuries SCI: a Meta-Synthesis Model

Author: Maryam Saeedi, Raziyeh Ghafouri

Category: Meta-synthesis


Background: Self-care is of particular importance in patients with spinal cord injuries (SCIs). SCIs can result in lasting complications for patients and improvement of self-care ability in these patients has a significant impact on their health and quality of life. In addition, it is necessary to identify and consider the factors affecting self-care when developing an efficient and effective self-care plan for these patients. The present was conducted to investigate the factors affecting self-care in patients with SCIs.

Method: This systematic review via meta-synthesis method was carried out through searching for the self-care, spinal cord injuries (SCIs), nursing and health keywords in ProQuest, Science Direct, Ovid and Pub Med databases. Four hundred and fifty seven articles were found and reviewed, and finally 27 articles were selected for the analysis. Inclusion criteria were articles in English and Persian, relevance to self-care for patients with SCI, and publication 1990- 2019. The quality of articles was then reviewed simultaneously by the researcher of this study and by another researcher using the STROBE and CONSORT Guidelines. Articles considered suitable by both researchers were included in the study. Data were analyzed using thematic analysis.

Results: Individual factors and factors associated with SCI, caregivers, and the healthcare system affect self-care of patients with SCI. In addition to providing respectful care for patients, caregivers and medical staff should provide self-care program and training tailored to each patient’s conditions.

Conclusions: Individual programs should be considered by the government, the healthcare system and community support associations that are suitable for the patients’ conditions.

Keywords: Health Promotion, Nursing Care, Self-care, Spinal Cord Injuries (SCIs)

DOI: 10.46327/msrjg.1.000000000000177



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