Effect of rehabilitation program on ability to perform activities of daily living and quality of life of physically disabled persons
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Abstract
Background: The encouragement of a continuous rehabilitation program consisted of a manual, training and knowledge distribution about disabilities plus skills with appropriate techniques based on rehabilitation principles, follow-up and visiting the patients, and providing appropriate assistive devices can help the physically disabled persons return to activities of daily living and improve their quality of life.
Objectives: To investigate the results of rehabilitation program aimed at helping the physically disabled persons to be able to return to their activities of daily living and improve quality of life.
Materials and methods: This quasi-experimental research employed one group pretest – posttest design. Thirty physically disabled persons (19 males, 11 females) from Chiang Dao district, Chiang Mai were recruited by the inclusion and exclusion criteria. A Rehabilitation Program for Physically Disabled Persons with 10 weeks implementation program were developed from the patterns of care given to patients with cerebrovascular disease, from a literature review focusing on rehabilitation, knowledge and skill training for rehabilitation of physically disabled including follow-up and visiting the patients, and the appropriate assistive devices. It was intended to enhance the patient ability to perform their routine activities and to prevent complications. The data collection instruments consisted of activities of daily living assessment, physical complications questionnaire, anxiety and depression assessment, and quality of life questionnaire. Data were analyzed using descriptive statistics and McNemar test.
Results: After implementing the program, the physically disabled person had a significant increase in the level of ability in performing activities of daily living including mobility and overall activities of daily living (p<0.001 and p=0.003, respectively). The level of quality of life included social relationships, environment and overall quality of life were also increased significantly with p=0.048, p<0.001 and p<0.001, respectively. They also expressed some physical complications, and it was found that they had a significant increase in ankylosis and pain (p=0.031 and p<0.01, respectively). Additionally, the psychological complications including an anxiety and a depression from anxiety and depression assessment had significantly decreased after participated this rehabilitation program with p<0.001.
Conclusion: The rehabilitation program could be used as a guide to help rehabilitate the physically disabled persons in the community to continuously and efficiently improve their quality of life.
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Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
References
[2] Department of Empowerment of Persons with Disabilities. Report on Disability Situation in Thailand September 2016 [Internet].2016. [cited 2016 Nov 19]. Available from: https://dep.go.th/th/news (in Thai).
[3] Sungrugsa N, Chaiyalap K, Chaiyalap S. Disabilities preventive and surveillance system [Research Report]. Bangkok: Ministry of Social Development and Human Security; 2007 (in Thai).
[4] Stuart M, Benventi F, Macko R, Taviani A, Segenni L, Mayer F, et al. Community-based adaptive physical activity program for chronic stroke: feasibility, safety, and efficacy of the Empoli model. Neurorehabil Neural Repair 2009; 23(7): 726-34. doi: 10.1177/1545968309332734.
[5] Bahm A, Forchuk C. Interlocking oppression: the effect of a comorbid physical disability on perceived stigma and discrimination among mental health consumers in Canada. Health Soc Care Community 2008; 17(1): 63-70. doi: 10.1111/j.1365-2524.2008.00799.x.
[6] Prasat Neurological Institute. Stroke guideline for the public. Bangkok: Prasat Neurological Institute, Department of Medical Services, Ministry of Public Health; 2014 (in Thai).
[7] Physical Therapy Association of Thailand. Handbook of care and mobility in stroke patients. Bangkok: National Health Security Office; 2014 (in Thai).
[8] Garseewong W. The factors for medical rehabilitation services of the movement disabled persons Tha-U-Then District Nakhon Phanom Province [Independent Study]. Master of Public Health, Graduate School: Chiang Mai University; 1998 (in Thai).
[9] Phothong C, Deenan A, Sunsern R. Effectiveness of integrated rehabilitation model for persons with physical disability in community. JRTAN 2014; 15(2): 232-41 (in Thai).
[10] Moonthee W, Monkong S, Sirapo-ngam Y, Leelacharas S. Impact of transitional care programme and family caregivers on stroke patients’ routine activity performance, complications, and satisfaction. TJNC 2016; 31(1): 95-100 (in Thai).
[11] Burns N, Grove SK. The practice of nursing research: conduct, critique, and utilization. 5th ed. St.Louis: Elsevier Saunders; 2005.
[12] Prasat Neurological Institute. Clinical practice guideline for stroke rehabilitation. Bangkok: Prasat Neurological Institute, Department of Medical Services, Ministry of Public Health; 2011 (in Thai).
[13] Mahatnirunkul S. World Health Organization Quality of Life Brief – Thai, WHOQOL-BREF-THAI: Suan Prung Psychiatric Hospital, Chiang Mai Province; 2002 (in Thai).
[14] Lortrakul M. A guide for mental health and psychiatric care for physicians (revised 2001): Department of Mental Health; 2001 (in Thai).
[15] Petchroung N, Priyatruk P, Thongkeang V. The study of continuing care for patients with cerebrovascular disease in primary care unit. JRTAN 2013; 14(1): 25-34 (in Thai).
[16] Pongsai N. Effect of transitional care on activities of daily living among stroke patients [Thesis]. Chiang Mai: Chiang Mai University; 2009 (in Thai).
[17] Jamtvedt G, Dahm KT, Christie A, Moe RH, Haavardsholm E, Holm I, et al. Physical therapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Phys Ther 2008; 88(1): 123-36.
[18] Canning CG, Ada L, Adams R, O’Dwyer NJ. Loss of strength contributes more to physical disability after stroke than loss of dexterity. Clin Rehabil 2004; 18(3): 300-8.
[19] Pramodhyakul N. Physical therapy management in stroke patients shoulder pain. J Med Tech Phy Ther 2010; 22(3): 218-29 (in Thai).
[20] Khunamornpong S. Inflammation and Repair [Internet]. 2017. [cited 2017 Sep 10]. Available from: https://www.med.cmu.ac.th/dept/patho/Lecture/07-09-inflammation&repair-text.pdf (in Thai).
[21] Thanabhumi S. Psychosocial aspect of illness [Internet]. 2015. [cited 2018 Jan 30]. Available from: https://med.mahidol.ac.th/ramamental/generaldoctor/05302015-1735.
[22] Raksaken K, Sittipakorn S, Wongpiriyayothar A. Quality of life of stroke survivor after the first six month, Mahasarakham Hospital. J Sci Tech MSU 2013; Special edition of the 9th Mahasarakham University Conference: 164-71 (in Thai).
[23] Clarke PJ, Lawrence JM, SE B. Changes in quality of life over the first year after stroke: findings from the Sunnybrook Stroke Study. Cerebrovasc Dis 2000; 9(3): 121-7.
[24] Muus I, Petzoldn M, KC R. Health-related quality of life among Danish patients 3 and 12 months after TIA or mild stroke. Scand J Caring Sci 2010; 29: 211-8.
[25] National Stroke Association. What is stroke [Internet]. 2015. [cited 2018 Jan 30]. Available from: https://www.stroke.org/understand-stroke/what-stroke.
[26] Phudhichareonrat S. Neuroanatomy and function of intracranial and extracranial vessels [Internet]. 2011. In: Jukkutip P. editor. [cited 2018 Jan 30]. Available from: https://wellolder.com/wp-content/uploads/2016/02/stroke.pdf.
[27] Wanaratwichict C. The development of health care system for people with disability in primary care level [Dissertation]. Phitsanulok: Naresuan University; 2008 (in Thai).