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Background: Resilience is regarded as a crucial coping capacity for persons dealing
with trauma and loss, such as spinal cord injury. It has been reported that resilience has
moderate to strong relationships with a variety of psychosocial traits, including coping
mechanisms, spiritual belief, and life satisfaction, in addition to mental health. Spinal
Cord Injury (SCI) can have psychological effects that worsen the quality of life. It is
becoming increasingly clear that developing resilience may be linked to better health
outcomes. A spinal cord injury is frequently an abrupt and life-altering occurrence that
requires significant and prolonged rehabilitation. The ability to bounce back from a
spinal cord injury and adjust to their impairment after returning to the community
depends on their ability to build resilience.
Aim: The study aims to explore the understanding of how resiliency helps persons with
paraplegia to adjust to their disability.
Methods: A phenomenological qualitative study design was used. Nine paraplegic SCI
patients—seven men and two women—participated; they had all completed
rehabilitation and were returning to their community. Individuals took part in a face-toface,
semi-structured interview conducted by the study's investigators adopting a selfdeveloped
interview guide. Thematic analysis is chosen for data analysis. Thematic
analysis is utilized to focus on how survivors of spinal cord injury experience and build
resilience.
Results: Eight themes in the responses of participants describing what they felt
contributed to their resilience in adjusting to SCI emerged through a thematic analysis
of the data. The eight themes were: From denial to determination, health issues and
their influence on life, barrier, support system, adaptation, participation, spirituality or
faith, and inspired by others.
Conclusion: Individuals with SCI recognized a positive attitude, perseverance and
determination to move forward, and social support from friends and family as major
contributors to their ability to adapt in the face of traumatic circumstances that resulted
in SCI, which was consistent with previous research findings. Resilience is a crucial
component in the long-term treatment of SCI that can be improved by focusing
rehabilitative therapies on mood management as well as self-efficacy beliefs. Largerscale
research can help in a better understanding of these findings.
Keywords: resilience, spinal cord injury, tetraplegia, paraplegia, rehabilitation. |
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