Abstract
The purpose of this study was to determine the degree of care necessary for wheelchair-bound individuals with spinal cord injury（SCI）by extracting factors related to the depth of pressure ulcers from the concept of health-related behavior. We interviewed subjects with SCI and experience of pressure ulcers to clarify their health-related behavior, and also subjects with SCI who had not experienced pressure ulcers. The qualitative data were analyzed regarding factors related to SCI, pressure ulcers, and health-related countermeasures using a Health Action Process Approach（HAPA）model. Subjects with SCI who had experience of deep ulcers conceded that they had not taken sufficient preventive action against external forces and infection during the process of wound formation, or to promote wound healing, and therefore had a poor risk awareness of ulcer formation. Subjects with SCI who had not experienced pressure ulcers were worried that they might not recognize these risks, and so be unsure if/when to take appropriate action. However, there appeared to be some reluctance in recognizing that preventive action was necessary. In addition, as all the subjects were fully active socially, and participated in sports, it was considered that their state of mind and physical condition were good.
