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J Clin Nurs. 2015 Jun;24(11-12):1666-75. doi: 10.1111/jocn.12768. Epub 2015 Feb 26.

Improving self-perception and self-efficacy in patients with spinal cord injury: the efficacy of DVD-based instructions.

Author information

1
Department of Nursing, National Taichung University of Science and Technology, Taichung, Taiwan.
2
Chung Shan Medical University Hospital, Taichung, Taiwan.
3
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.

Abstract

AIMS AND OBJECTIVES:

We assessed the effects of a spinal cord injury home rehabilitation DVD on patients with spinal cord injury.

BACKGROUND:

Multimedia have been used widely in health care in the digital age. The provision of rehabilitation instructions is a major responsibility of the rehabilitation staff.

DESIGN:

This study adopted a quasi-experimental pretest-posttest control group design.

METHODS:

We collected data from a rehabilitation nursing ward at a medical centre between October 2011-April 2012. The participants were recruited before being discharged from the hospital. The experimental group (n = 28) received multimedia DVD instructions for three months, in addition to teaching sessions conducted by the researcher, whereas the control group (n = 31) received instructions without a DVD. Both groups completed the self-perception and self-efficacy scales used in this study before and after the intervention.

RESULTS:

The results indicated that, after the multimedia DVD intervention, the experimental group exhibited a considerably greater improvement in self-perception than did the control group. Although we recorded increased scores for both self-perception and self-efficacy for both groups, no marked differences emerged between the control and the intervention groups by using a generalised estimating equation.

CONCLUSION:

These results suggest that the home rehabilitation DVD is an effective instrument for improving self-perception and self-efficacy in patients with spinal cord injury. However, monitoring these patients over the long term is necessary.

RELEVANCE TO CLINICAL PRACTICE:

Our study results confirmed that the spinal cord injury home rehabilitation DVD is a practical health education tool. We plan to use the proposed DVD intervention with a larger number of hospitalised patients, and to continuously monitor their improvement.

KEYWORDS:

DVD-based teaching; self-efficacy; self-perception; spinal cord injury

PMID:
25727684
DOI:
10.1111/jocn.12768
[Indexed for MEDLINE]

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