EFFECT OF INSTRUCTIONAL INTERVENTION ON THE KNOWLEDGE OF SPINAL CORD INJURY PATIENTS REGARDING DIETARY REGIMEN
DOI:
https://doi.org/10.37268/mjphm/vol.24/no.2/art.2626Keywords:
Instructional intervention, Spinal Cord injury, Knowledge, Dietary RegimenAbstract
and rehabilitation of SCI patients. However, many lack knowledge about appropriate dietary regimens, which can lead to suboptimal choices affecting recovery and overall quality of life. This study aimed to assess the effectiveness of an instructional intervention on patients' knowledge about dietary regimens in individuals with spinal cord injury and determine the relationship between patients' knowledge and demographic variables. The study was conducted at Ibn Al-Kuff Hospital for Spinal Cord Injuries in Baghdad Governorate. This study utilized a pre-experimental design for methodological and practical considerations. This approach facilitates the provision of initial insights and the formulation of hypotheses for subsequent research. Nonetheless, the absence of a control group poses difficulties in confirming a direct cause-and-effect relationship between the intervention and the changes observed. A purposive sample of thirty patients with complete and incomplete lower extremity paralysis was selected. A self-report questionnaire was utilized to evaluate patients' knowledge about dietary regimens. The results indicated that all participants had a low level of knowledge in the pre-test, but their knowledge significantly improved after the intervention, highlighting the effectiveness of the instructional intervention. Additionally, the study found a significant relationship between patients' knowledge about dietary regimens and demographic characteristics such as education and marital status. Based on these findings, it can be concluded that the instructional intervention was effective, and demographic variables have an impact on patients' knowledge regarding dietary regimens, particularly educational level and marital status. The study recommends the implementation of comprehensive instructional programs for patients with spinal cord injuries in hospitals and specialized centers. These programs should include educational lectures, one-on-one sessions, courses, guidelines, workshops, as well as the distribution of leaflets, booklets, and posters providing dietary advice to help patients learn about their diet and prevent complications
References
References
Fraser, K.C. “(Dietary regimen definition and meaning | Collins English Dictionary 3rd edition) “ Reference Reviews, 2018, Vol. 32 No. 7/8, pp. 54. https://doi.org/10.1108/RR-08-2018-0129. Retrieved on: (collinsdictionary.com)
Chhabra, H.S. ISCOS textbook on spinal cord injury management, J Wolters Kluwer India,2019 pp. (1110-1150)
Kofotolis N., and Kellis E. “Effects of two 4-week propriety- captive neuromuscular facilitation programs on muscle en-durance, flexibility, and functional performance in women with chronic low back pain,” J Physical therapy, 2018,vol. 86, no. 7, pp. 1001–1012
DeJong, G. “Primary care for persons with disabilities. An overview of the problem.” Am J Phys. Med Rehab vol. 76, 3 Suppl (2020): PP: 2-8. Doi: 10.1097/00002060-199705001-00002
Francisco GE, Chae JC, DeLisa JA. Psychiatry is a primary care specialty. Am J Phys Med Rehab 2018; 4:186-192.
Mozaffarian D, Rosenberg I, Uauy R. History of modern nutrition science Implications for current research, dietary guidelines, and food policy. BMJ. (2018) 361:k2392. doi: 10.1136/bmj.k2392.
National Spinal Cord Injury Statistical Center, Facts and Figures at a Glance [Internet]. University of Alabama at Birmingham; 2018. [Cited 2018 May 31]. Available from: https://www.nscisc.
Feren A, Torheim L, Lillegaard IL. Development of a nutrition knowledge questionnaire for obese adults. Food & Nutrition Research 2021; 55(1):P: 7271.
Akkartal ?, Gezer C. Is Nutrition Knowledge Related to Diet Quality and Obesity? Ecology of Food and Nutrition 2020; 59(2): PP:119-29.
Makiabadi E, Kaveh MH, Mahmoodi MR, Asadollahi A, Salehi M. Enhancing nutrition-related literacy, knowledge and behavior among university students: A randomized controlled trial. International Journal of Nutrition Sciences 2019; 4(3): 90-122.
Furber MJW, Roberts JD, Roberts MG. A valid and reliable nutrition knowledge questionnaire for track and field athletes. BMC Nutrition 2018; 3(1): 36.
Courtney, M. Weight Loss after Spinal Cord Injury: Understanding Changes in Body Composition. By J Flint Rehab. California, Rutledge. (2021).PP:593- 800. Retrieved May 9, 2023, from: https://www.flintrehab.com/weight-loss-after-sci/
Mangiafico, S.S. Summary and Analysis of Extension Program Evaluation in R, version 1.20.05, revised,(2023),(rcompanion.org/handbook/rcompanion.org/documents/RHandbookProgramEvaluation.pdf.)
Devane D, Begley CM, Clarke M. How many do I need? Basic principles of sample size estimation. J Adv Nurs; (2020) 47:297–302. https://doi.org/10.1111/j.1365 2648.2020.03093.x
Tomey KM, Chen DM, Wang X, Braunschweig CL. Dietary intake and nutritional status of urban community-dwelling men with paraplegia. J Arch Phys Med Rehabil. (2020) , PP. 71- 86 71. PMID:23423356
Dryden D. M., Saunders L. D., Jacobs, P. Direct health care costs after traumatic SCI. J Trauma; 2020 ,P.P: 19- 43.
Mohammed, T.R., Majeed, H.M., & Jasim, A.H. Evaluation of Quality of Nursing Documentation in Surgical Wards at Baghdad Teaching Hospitals, MLU, 2020, 20 (2), 292-297. DOI:https://doi.org/10.37506/mlu.v20i2.1118
Ahmed F. H ,Haider M. M , Aqeel H.J. Assessment of Undergraduate Critical Care Nursing Students’ Knowledge and Attitudes toward Caring of Dying Patients In Colleges of Nursing at Baghdad University, Indian Journal of Forensic Medicine & Toxicology , 2020, Vol. 14 No. 3 , PP: 1142-1146. DOI: https://doi.org/10.37506/ijfmt.v14i3.10530
Mousa AM, Hassan HB. Patients’ Health Related Quality of Life after Percutaneous Coronary Intervention i n Baghdad City. Kufa Jour. Nurs. Sci. [Internet]. 2014 Apr. 25 [cited 2024 Jan. 8];4(1):1-7. Available from: https://journal.uokufa.edu.iq/index.php/kjns/article/view/2458
Ayad Majid Mousa, Khalida Alwan Mansour. Assessment of patients’ knowledge concerning healthy lifestyle-based secondary prevention after Percutaneous Coronary Intervention in Baghdad city.Research Journal of Pharmacy and Technology. 2023; 16(11):5137-1. Doi: 10.52711/0974360X.2023.00832.
Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States,2000–2019. JAMA ; 2020, 295(13):1549 –1555. https://doi.org/10.1038/sj.ijo.0800541
Najm, M.A., Jassim, A.H., & Mohammed, T.R. Critical Care Nurses’ Knowledge about Pulmonary embolism in Respiratory Care Unit in Baghdad Teaching Hospitals. Indian Journal of Forensic Medicine & Toxicology., 2020, Vol. 14, No. 3, PP: 895-901.
Alaa Ebrahim Saeed, Tahseen R. Mohammed, Dergham Majeed Hameed and Haider Mohammed Majeed, Critical care Nurses’ Knowledge concerning Metabolic Syndrome: A Cross Sectional Design Study, Volume 22,Issue 2 (2023) ,Pages: 40-44
Shehab Ahmed Hamid, Tahseen R. Mohammed: Nurses' Knowledge Concerning End of Life Care in Critical Care Units, PJMHS, Vol. 16 No. 05 (2022): Pakistan Journal of Medical & Health Sciences. DOI: https://doi.org/10.53350/pjmhs22165640.
