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Community reintegration of SCI persons: problems and perceptions.

C Harrison, J Kuric

    SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
    |January 1, 1989
    PubMed
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    Many individuals with spinal cord injuries (SCI) face significant community reintegration challenges, including medication noncompliance, accessibility issues, and transportation dependence. These barriers hinder their participation and ability to advocate for improved opportunities.

    Area of Science:

    • Rehabilitation Medicine
    • Community Health
    • Disability Studies

    Background:

    • Community reintegration is crucial for individuals with spinal cord injuries (SCI) following rehabilitation.
    • Barriers to community reintegration can significantly impact quality of life and independence.
    • Understanding these challenges is essential for developing targeted support systems.

    Purpose of the Study:

    • To investigate community reintegration problems experienced by SCI patients after rehabilitation.
    • To identify key obstacles hindering successful community adjustment for SCI survivors.

    Main Methods:

    • A survey was conducted among 222 SCI patients treated by the Southeastern Michigan Spinal Cord Injury System.
    • Data was collected from 62 respondents (28% response rate) an average of 18 months post-discharge.

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  • Respondents were compared to nonrespondents to ensure representativeness.

    • Main Results:

    • 30% of respondents were noncompliant with prescribed medication.
    • 25% had not received all prescribed rehabilitation equipment.
    • 45% reported inaccessible residences, and 73% relied on others for transportation.
    • Employment rates dropped from 39% pre-injury to 8% post-injury.
    • Transportation problems were cited as the primary obstacle by 47% of participants.

    Conclusions:

    • Significant barriers exist in community reintegration for SCI patients, including medication, equipment, accessibility, and transportation issues.
    • These challenges limit community presence and the ability of SCI individuals to advocate for necessary improvements.
    • Addressing these obstacles is vital for enhancing the independence and opportunities for SCI survivors.