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Introduction <p>Spinal cord injury (SCI) is a debilitating condition with significant morbidity, affecting 250,000-500,000 people globally each year, predominantly due to road traffic accidents in Nigeria. Family caregivers play a critical role in SCI management; however, their treatment experiences remain under-researched in Nigeria.</p> Aims <p>This study investigates caregivers’ treatment experiences and satisfaction with SCI care at a tertiary facility in Southwest Nigeria to inform quality improvements.</p> Methods <p>Using a cross-sectional design, this study was conducted with 108 family caregivers of SCI patients, selected via total sampling from hospital records. Data were collected between 2018 and 2019, using an interviewer-administered, semi-structured questionnaire adapted from the Picker In-Patient and Out-Patient Experience Surveys. The tool assessed socio-demographic characteristics, in-patient and out-patient experiences, and satisfaction. Data were analyzed using SPSS, with univariate, bivariate, and multivariate linear regression analyses at a 5% significance level.</p> Results <p>Most caregivers were female (74.1%), middle-aged (mean 46.1 years), and Yoruba (80.6%). Road traffic accidents caused 83.2% of SCIs. Overall satisfaction was 72% (58% satisfied, 14% very satisfied) for in-patient and 62% (50% satisfied, 12% very satisfied) for out-patient care. Dissatisfaction was due to prolonged stays (70.6%), disrespect (40.3%), inadequate information (31.2%), and unaddressed visit purposes (42.9%). The regression analysis showed that lack of decision-making involvement (<i>p</i> = 0.002; B= -0.294; β= -0.306), prolonged waits (<i>p</i> = 0.024; B= -0.270; β= -0.233), and poor care coordination (<i>p</i> = 0.018; B= -0.255; β= -0.250) predicted overall impression and reluctance to recommend the facility. Other factors, including delays in care, respect and dignity, were not significant determinants of willingness to recommend the hospital (<i>p</i> &gt; 0.05).</p> Conclusion <p>Systemic deficiencies in care coordination, communication, and involvement influenced caregiver dissatisfaction. Patient- and family-centered care models are recommended to enhance SCI management and outcome.</p>

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Caregivers’ treatment experience and satisfaction with spinal cord injury care at a tertiary facility in South-West Nigeria

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月17日

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  • Kafayat Aminu,
  • Adefolarin O. Malomo,
  • Ayodele S. Jegede

摘要

Introduction

Spinal cord injury (SCI) is a debilitating condition with significant morbidity, affecting 250,000-500,000 people globally each year, predominantly due to road traffic accidents in Nigeria. Family caregivers play a critical role in SCI management; however, their treatment experiences remain under-researched in Nigeria.

Aims

This study investigates caregivers’ treatment experiences and satisfaction with SCI care at a tertiary facility in Southwest Nigeria to inform quality improvements.

Methods

Using a cross-sectional design, this study was conducted with 108 family caregivers of SCI patients, selected via total sampling from hospital records. Data were collected between 2018 and 2019, using an interviewer-administered, semi-structured questionnaire adapted from the Picker In-Patient and Out-Patient Experience Surveys. The tool assessed socio-demographic characteristics, in-patient and out-patient experiences, and satisfaction. Data were analyzed using SPSS, with univariate, bivariate, and multivariate linear regression analyses at a 5% significance level.

Results

Most caregivers were female (74.1%), middle-aged (mean 46.1 years), and Yoruba (80.6%). Road traffic accidents caused 83.2% of SCIs. Overall satisfaction was 72% (58% satisfied, 14% very satisfied) for in-patient and 62% (50% satisfied, 12% very satisfied) for out-patient care. Dissatisfaction was due to prolonged stays (70.6%), disrespect (40.3%), inadequate information (31.2%), and unaddressed visit purposes (42.9%). The regression analysis showed that lack of decision-making involvement (p = 0.002; B= -0.294; β= -0.306), prolonged waits (p = 0.024; B= -0.270; β= -0.233), and poor care coordination (p = 0.018; B= -0.255; β= -0.250) predicted overall impression and reluctance to recommend the facility. Other factors, including delays in care, respect and dignity, were not significant determinants of willingness to recommend the hospital (p > 0.05).

Conclusion

Systemic deficiencies in care coordination, communication, and involvement influenced caregiver dissatisfaction. Patient- and family-centered care models are recommended to enhance SCI management and outcome.