The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1179/2045772314Y.0000000270 · Published: January 1, 2016
This study looked at how people with spinal cord injuries (SCI) cope and bounce back (resilience) during their hospital stay and three months after going home. Researchers wanted to know if factors like feeling confident in managing their health (self-efficacy) or feeling depressed affect how resilient they are. The study found that resilience seems pretty stable over those first few months. However, what helps people be resilient changes. In the hospital, feeling confident in managing their health was key, but at three months, not being depressed was more important. These findings suggest that when helping people with SCI, healthcare providers should focus on building their confidence while they're in the hospital. After they go home, it's important to watch out for and treat any signs of depression to help them stay resilient.
Assess self-efficacy during inpatient rehabilitation to identify individuals who may need additional support.
Implement depression screening at the 3-month follow-up to identify individuals at risk of poor outcomes.
Tailor interventions to address self-efficacy during inpatient care and depression in the months following discharge.