Study design

Qualitative study, using in-depth, and semi-structured interviews.

Objective

To identify the psychosocial challenges of social reintegration for people with spinal cord injury (SCI) in Iran.

Setting

People with SCI living in the community in Iran.

Method

Eleven individuals with SCI with a median time since injury of 12 years (between 9 and 20 years), two family members, and three specialists (two social workers and one physiotherapist) were selected by purposive sampling with maximum variation. In-depth and semi-structured interviews were conducted and finally the data analyzed through qualitative content methodology.

Results

The psychosocial challenges were categorized into four main categories and twelve subcategories: early crises (denial and disbelief; feelings of isolation and depression; dependency crisis; and a sudden change in the normal course of life), disabling society (stigma; discrimination; employment challenges; and educational restriction), environmental barriers to access (lack of barrier-free environments and transportation challenges), and inappropriate services delivery (incomprehensive rules and lack of specialized training).

Conclusions

Providing various psychosocial services is essential for the social reintegration of people with SCI. This goal could be achieved by the provision of medical and physical rehabilitation services. The ultimate purpose of rehabilitation is to reintegrate individuals into society after injury or illness; thus, psychosocial issues must also be considered to ensure effective rehabilitation.

中文翻译：

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脊髓损伤患者重新融入社会的社会心理挑战：一项定性研究

学习规划

定性研究，使用深度和半结构化访谈。

客观的

确定伊朗脊髓损伤 (SCI) 患者重新融入社会的社会心理挑战。

环境

居住在伊朗社区的 SCI 患者。

方法

11 名 SCI 患者自受伤后中位时间为 12 年（9 至 20 年）、两名家庭成员和三名专家（两名社会工作者和一名物理治疗师）通过有目的的抽样以最大变异被选中。进行了深入和半结构化的访谈，最后通过定性内容方法分析了数据。

结果

社会心理挑战被分为四大类和十二个子类：早期危机（否认和怀疑；孤立和抑郁的感觉；依赖危机；以及正常生活过程的突然变化），残疾社会（耻辱；歧视；就业挑战; 和教育限制）、环境障碍（缺乏无障碍环境和交通挑战）和不适当的服务提供（不全面的规则和缺乏专业培训）。

结论

提供各种社会心理服务对于 SCI 患者重新融入社会至关重要。这一目标可以通过提供医疗和身体康复服务来实现。康复的最终目的是使个人在受伤或生病后重新融入社会；因此，还必须考虑社会心理问题以确保有效康复。