Level of depression of spinal cord injury patients before and after participating sports at crp: a comparison study

Abstract

Introduction: Spinal cord injury is one of the most debilitating and devastating injuries in the world. It is a catastrophic event that often affecting healthy and young individual. This debilitating condition not only creates enormous physical disability but also emotionally depress the patient. Depression found two or three times more often among people who are paralyze than the nondisabled. Depression is more common in the spinal cord injury (SCI) population-about 1 in 5 people. Estimated rates of depression among people with SCI range from 11% to 37% described by University of Washington. Aim of the study: To identify the depression level of SCI patients before and after participates in sports. Objectives: To evaluate the effectiveness of sports for reduce depression level in SCI patients. To compare the depression level for spinal cord injury patients before and after participates in ports. Methodology: This study was done by using quantitative method, which was a prepost- test design study in the inpatient setting of CRP Savar. The study population was all spinal cord injury patients who rehabilitated at CRP. 40 Sample were conveniently selected for the study. Data were collected by using a standard structured questionnaire, which was developed by Md. Zahir uddin- National Institute of Mental health, Dhaka and Mohammad Mahmudur Rahman-Department of clinical psychology, University of Dhaka. Researcher maintained the all-ethical issues. Data were numerically captured in SPSS 20 version. Pair sample t test has chosen to saw the difference between before and Participation in Sports. Furthermore, Microsoft excel was used for the analysis of data and for the presentation of the data as well. Result: Among the 40 participants Female was 7% (n=3) and male was 92% (n=37) among them 65% between 18-38 years of age. Married were 77% (n= 31), unmarried were 20 %( n=8) and widow were 2.5 %( n=1).Primary school 30% (n=12), literate 22.5% (n=9), No schooling 20% (n= 8), SSC 10 %( n= 4), Bachelor10 %( n=4). Average monthly income 3000-5000 have 45% (n=18), 5000-10000 have 22.5% (n=9) participants, 10000-15000 have 17.5% (n=7), 15000-20000 have 7.5% (n= 3), above 20000 have 7.5% (n=3). 95% (n=38) traumatic cause and 5% (n=2) nontraumatic cause.40%, (n=16) tetraplegia and 60% (n=24) paraplegia.50% L1, D12 and C5 skeletal level. NeurologicallevelC4 (n=7), D12 (n=5) and L4 (n= 3). vi 80% participants were using wheel chair and 20% using elbow crutch for their mobility.77% were from in rural area and 23% were in urban area.57% has Complete A and 43% incomplete. Before participating sports mean score was 94.90 + 16.908. After participating sports mean score was 63.50 +11.029. Pair sample t test, t value was 11.981 and df was 39 and significance level was < 0.001.That means result was statistically significant. Therefore, sports participation has an effective role to reduce depression level for spinal cord injury patients. Conclusion: In this study, researcher found a significant difference between pretreatment and post-treatment group. These are a good indicator sports for reducing depression level for spinal cord injury patients. Participating sports are effectiveness of social participation in leisure activities, improving quality of life and reducing depression in people with SCI.