Buhari M, Abdullahi A. Motivational Interviewing to Reinforce Coping and Improve Quality of Life in Patients with Spinal Cord Injury. Iranian Rehabilitation Journal 2019; 17 (2) :181-186
URL:
http://irj.uswr.ac.ir/article-1-925-en.html
1- Department of Physiotherapy, Sir Muhammad Sunusi Specialists Hospital, Kano, Nigeria.
2- Department of Physiotherapy, Faculty of Allied Health Sciences, Bayero University, Kano, Nigeria.
Abstract: (4236 Views)
Objectives: Spinal Cord Injury (SCI) can adversely affect ones’ life and coping with it is very important. The present study reported the effects of reinforcing coping strategies using Motivational Interviewing (MI).
Methods: This was a case report of 5 males with SCI, with the Mean±SD age and time passed since the SCI of 34±15.9 years and 20.6±16.6, respectively. The study participants were examined as part of routine clinical services at the Physiotherapy Department of Aminu Kano Teaching Hospital. Fifteen minutes of MI was individually provided to the study participants two times a week and for three weeks. Data were collected using the American Spinal Cord Injury Association (ASCIA) impairment scale, COPE inventory, and Spinal Cord Injury-Quality of Life (SCI-QoL) questionnaire. The obtained data were analyzed using descriptive statistics.
Results: The obtained results revealed that all participants gained scores ranging from 3-4 on the satisfaction domain of quality of life at the baseline, which increased to 5 at the post-intervention phase. For the importance domain of quality of life, all patients had a maximum score of 5 at the baseline, which remained unchanged at post-intervention.
Discussion: People living with SCI can benefit from MI in terms of improved coping strategies. However, these findings are limited due to the nature of the study design and the sample size. Therefore, more rigorous study designs are required to further investigate the findings of this study.
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Highlights
● Patients with spinal cord injuries may suffer from depression and anxiety.
● Motivational interviewing can help people living with disability secondary to spinal cord injury to cope better with their condition and experience a better quality of life.
Plain Language Summary
Spinal Cord Injury (SCI) can result in a disability that shatters the dreams of the affected patient. SCI can affect movements of body parts such as the hands and the legs. As a result, the affected patients cannot effectively carry out their daily activities such as eating and walking. So the patients become partially or completely dependent on others for everyday activities. Such disabilities and dependence can lead to depression and possibly anxiety. However, some strategies can be used to improve coping abilities and quality of life in these patients. In this study, one strategy known as motivational interviewing (a discussion with the patients to help them overcome their problems and find solutions) is used for these patients. At the end of the study, the participants showed improvement in their coping ability and quality of life. These findings suggest that motivational interviewing can be used to help patients with SCI cope with their conditions and experience a better quality of life.
Article type:
Case Reports |
Subject:
Counseling Received: 2018/08/28 | Accepted: 2019/01/10 | Published: 2019/06/1
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