Effect of Web-Based Training on Complication Control and Quality of Life of Spinal Cord Damaged İndividuals: Randomized Controlled Trial

Year 2021, Volume: 11 Issue: 2, 220 - 227, 30.06.2021

Elif Ateş , Naile Bilgili

https://doi.org/10.33808/clinexphealthsci.707654

Abstract

Objectives: This study was conducted to determine the effect of web-based training on complication control and quality of life of spinal cord-injured patients.

Methods: A pre-test-post-test, semi-experimental study including a control group. A total of 62 men participated from two different physical therapy and rehabilitation hospitals. The training, monitoring, and data collection steps were provided via a webpage (www.omurgahemsirelikegitim.com) and telephone.

Results: It was determined that there was a statistically significant difference between the experimental and control groups regarding the complications related to respiration, circulation, gastrointestinal, urinary, and musculoskeletal systems. Regarding the complications related to sexual life, comparing experimental and control groups the pre and post evaluations, detected an increase in difficulty in sexual life after the injury both experimental and control groups. There was no statistically significant difference between the two groups in terms of quality of life scale subscale scores.

Conclusion: These results show that telephone monitoring plus web-based training is effective in controlling disease complications in patients with spinal cord injury. However, to improve the quality of life, it is important to establish interventions involving individuals and families, and physical, social and mental health services.

Keywords

Education, spinal cord injuries, nursing, quality of life, home care services

References

• [1] Van Loo MA, Post MWM, Bloemen JHA, Van Asbeck FWA. Care needs of persons with long-term spinal cord injury living at home in the Netherlands. Spinal Cord 2010;48(5):423-428.
• [2] Ljungberg I, Kroll T, Libin A, Gordon S. Using peer mentoring for people with spinal cord injury to enhance self‐efficacy beliefs and prevent medical complications. Journal of Clinical Nursing 2011;20(3‐4):351-358.
• [3] Krause JS, Reed KS, McArdle JJ. A Structural analysis of health outcomes after spinal cord injury. The Journal of Spinal Cord Medicine 2010;33(1):22-32.
• [4] Skelton F, Hoffman JM, Reyes M, Burns SP. Examining health-care utilization in the first year following spinal cord injury. The Journal of Spinal Cord Medicine 2015;38(6):690-695.
• [5] DeJong G, Tian W, Hsieh CH, Junn C, Karam C, Ballard PH, et al. Rehospitalization in the first year of traumatic spinal cord injury after discharge from medical rehabilitation. Archives of Physical Medicine and Rehabilitation 2013;94(4):87-97.
• [6] Folan A, Barclay L, Cooper C, Robinson M. Exploring the experience of clients with tetraplegia utilizing assistive technology for computer access. Disability and Rehabilitation: Assistive Technology 2015;10(1):46-52.
• [7] Eser SY, Fidaner H, Fidaner C, Elbi H, Eser E. Evaluation of quality of life WHOQOL-100 ve WHOQOL-BREF. 3P Journal 1999;7(2):5-13.
• [8] Kavlu İ, Pinar R. Effects of Job Satisfaction and Burnout on Quality of Life in Nurses Who Work in Emergency Services. Turkiye Klinikleri Journal of Medical Sciences 2009;29(6):1543-1555.
• [9] Janssen TWJ, Prakken ES, Hendriks JMS, Lourens C, Van Der Vlist J, Smit CAJ. Electromechanical abdominal massage and colonic function in individuals with a spinal cord injury and chronic bowel problems. Spinal Cord 2014;52(9):693-696.
• [10] Hetz SP, Latimer AE, Arbour-Nicitopoulos KP, Ginis KAM. Secondary complications and subjective well-being in individuals with chronic spinal cord injury: associations with self-reported adiposity. Spinal Cord 2011;49(2):266-272.
• [11] Jaglal SB, Munce SEP, Guilcher SJ, Couris CM, Fung K, Craven BC, et al. Health system factors associated with rehospitalizations after traumatic spinal cord injury: a population-based study. Spinal Cord 2009;47(8):604-609.
• [12] Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Sørensen F. International spinal cord injury skin and thermoregulation function basic data set. Spinal Cord 2012;50(7):512-516.
• [13] Currie KD, Krassioukov AV. A walking disaster: a case of incomplete spinal cord injury with symptomatic orthostatic hypotension. Clinical Autonomic Research 2015;25(5):335-337.
• [14] Krassioukov A, Eng JJ, Claxton G, Sakakibara BM, Shum S. Neurogenic bowel management after spinal cord injury: a systematic review of the evidence. Spinal Cord 2010;48(10):718-733.
• [15] Coggrave M, Norton C, Wilson-Barnett J. Management of neurogenic bowel dysfunction in the community after spinal cord injury: a postal survey in the United Kingdom. Spinal Cord 2009;47(4):323-333.
• [16] Forchheimer M, Meade MA, Tate D, Cameron AP, Rodriguez G, DiPonio L. Self-Report of Behaviors to Manage Neurogenic Bowel and Bladder by Individuals with Chronic Spinal Cord Injury: Frequency and Associated Outcomes. Topics in Spinal Cord İnjury Rehabilitation 2016;22(2):85-98. [17] Phonthee S, Saengsuwan J, Siritaratiwat W, Amatachaya S. Incidence and factors associated with falls in independent ambulatory individuals with spinal cord injury: a 6-month prospective study. Physical Therapy 2013;93(8):1061-1072.
• [18] Fronek P, Kendall M, Booth S, Eugarde E, Geraghty T. A longitudinal study of sexuality training for the interdisciplinary rehabilitation team. Sexuality and Disability 2011;29(2):87-100.
• [19] Alexander M, Courtois F, Elliott S, Tepper M. Improving Sexual Satisfaction in Persons with Spinal Cord Injuries: Collective Wisdom. Topics in Spinal Cord Injury Rehabilitation 2017;23(1):57-70.
• [20] Arango-Lasprilla JC, Nicholls E, Olivera SL, Perdomo JL, Arango JA. Health-related quality of life in individuals with spinal cord injury in Colombia, South America. NeuroRehabilitation 2010;27(4):313-319.
• [21] Parimbelli E, Pistarini C, Fizzotti G, Rognoni C, Olivieri G, Quaglini S. Computer-assessed preference-based quality of life in patients with spinal cord injury. BioMed Research İnternational 2017;11.
• [22] Adriaansen JJE, Ruijs LEM, van Koppenhagen CF, van Asbeck FWA, Snoek GJ, van Kuppevelt D, et al. Secondary health conditions and quality of life in persons living with spinal cord injury for at least ten years. Journal of Rehabilitation Medicine 2016;48(10):853-860.
• [23] Van Leeuwen CMC, Post MWM. Psychosocial issues in spinal cord injury: a review. Spinal Cord 2012;50(5):382.
• [24] Erosa NA, Berry JW, Elliott TR, Underhill AT, Fine PR. Predicting quality of life 5 years after medical discharge for traumatic spinal cord injury. British Journal of Health Psychology 2014;19(4):688-700.
• [25] Khazaeipour Z, Norouzi-Javidan A, Kaveh M, Khanzadeh Mehrabani F, Kazazi E, Emami-Razavi SH. Psychosocial outcomes following spinal cord injury in Iran. The journal of Spinal Cord Medicine 2014;37(3):338-345.