Increasing Muscle Strength, Self-Efficacy, and Quality of Life in People with Tetraplegic Spinal Cord Injuries: A Nurse-Coached Intervention

2.50
Hdl Handle:
http://hdl.handle.net/10755/303921
Category:
Full-text
Type:
Presentation
Title:
Increasing Muscle Strength, Self-Efficacy, and Quality of Life in People with Tetraplegic Spinal Cord Injuries: A Nurse-Coached Intervention
Author(s):
Sheehy, Susan B.
Lead Author STTI Affiliation:
Non-member
Author Details:
Susan B. Sheehy, PhD, RN, MSN, MS, FAEN, FAAN, sheehyboston@gmail.com
Abstract:

Session presented on:Tuesday, July 23, 2013

Purpose: The purpose of this study was to determine if a nurse-coached program of exercise for people with tertaplegtic spinal cord injuries would result in increased muscle strength, increased self-efficacy scores, and a higher quality of life

Methods: This was a single subject, multiple baseline, across subjects, A-B design. There were ten participants in the study (N=1, ten times) that took place over a two-year period of time. Exercises were designed specifically for people with tetraplegic injuries. Each participant was coached three times a week, in three-hour sessions, over six months. Baseline measurements were obtained for muscle strength (Manual Muscle Test), self-efficacy (Moorong Self-Efficacy Score), and quality of life (Catz-Itzkovich SCI Quality of Life Index) and repeated at three and six months. The Sheehy Spinal Cord Injury Functional Improvement Via Exercise (SCI-FIVE) Model was the guiding framework for the study. Visual graph slope analysis, using single subject methodology, was used to analyze data.'

Results: All participants experienced muscle strength increases. In the three quaiity of life sub-scales, nine experienced improvements in self-care, two experienced improvements in bowel/bladder management, and seven experienced improvements in mobility. All participants experienced increases in self-efficacy scores. All components of the Sheehy SCI-FIVE Model were validated. Anectdotally participants reported no medical illnesses (urinary and respiratory tract infections), no skin breakdown issues (pressure sores), better sleep, less spasticity, less pain (especially shoulder pain).''

Conclusion: Evidence now exists that a nurse-coaced program of exercise for people with tetraplegic spinal cord injuries may result in a higher quality of life as a result of increased muscle strength and improved self-efficacy. People with SCI can live healthy, active lives, regardless of the length of time that has elapsed since their original injuries.

Keywords:
Health promotion; Spinal cord injuries; Nurse-coached exercise
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleIncreasing Muscle Strength, Self-Efficacy, and Quality of Life in People with Tetraplegic Spinal Cord Injuries: A Nurse-Coached Interventionen
dc.contributor.authorSheehy, Susan B.en
dc.contributor.departmentNon-memberen
dc.author.detailsSusan B. Sheehy, PhD, RN, MSN, MS, FAEN, FAAN, sheehyboston@gmail.comen
dc.identifier.urihttp://hdl.handle.net/10755/303921-
dc.description.abstract<p>Session presented on:Tuesday, July 23, 2013</p><b>Purpose: </b> The purpose of this study was to determine if a nurse-coached program of exercise for people with tertaplegtic spinal cord injuries would result in increased muscle strength, increased self-efficacy scores, and a higher quality of life <p><b>Methods: </b> This was a single subject, multiple baseline, across subjects, A-B design. There were ten participants in the study (N=1, ten times) that took place over a two-year period of time. Exercises were designed specifically for people with tetraplegic injuries. Each participant was coached three times a week, in three-hour sessions, over six months. Baseline measurements were obtained for muscle strength (Manual Muscle Test), self-efficacy (Moorong Self-Efficacy Score), and quality of life (Catz-Itzkovich SCI Quality of Life Index) and repeated at three and six months. The Sheehy Spinal Cord Injury Functional Improvement Via Exercise (SCI-FIVE) Model was the guiding framework for the study. Visual graph slope analysis, using single subject methodology, was used to analyze data.' <p><b>Results: </b> All participants experienced muscle strength increases. In the three quaiity of life sub-scales, nine experienced improvements in self-care, two experienced improvements in bowel/bladder management, and seven experienced improvements in mobility. All participants experienced increases in self-efficacy scores. All components of the Sheehy SCI-FIVE Model were validated. Anectdotally participants reported no medical illnesses (urinary and respiratory tract infections), no skin breakdown issues (pressure sores), better sleep, less spasticity, less pain (especially shoulder pain).'' <p><b>Conclusion: </b> Evidence now exists that a nurse-coaced program of exercise for people with tetraplegic spinal cord injuries may result in a higher quality of life as a result of increased muscle strength and improved self-efficacy. People with SCI can live healthy, active lives, regardless of the length of time that has elapsed since their original injuries.en
dc.subjectHealth promotionen
dc.subjectSpinal cord injuriesen
dc.subjectNurse-coached exerciseen
dc.date.available2013-10-22T20:25:55Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:25:55Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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