Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan
| Autor: | Fary Khan, Tahir M Sayed, Su Yi Lee, Sahibzada Nasir Mansoor, Bhasker Amatya, Mary P. Galea |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
medicine.medical_treatment Community integration community integration functional outcome rehabilitation Quality of life (healthcare) International Classification of Functioning Disability and Health Acquired immunodeficiency syndrome (AIDS) Medicine Orthopedic surgery Rehabilitation business.industry Health Policy Medical record medicine.disease Psychiatry and Mental health Neuropsychology and Physiological Psychology Mood disability quality of life disaster Ambulatory business RD701-811 |
| Zdroj: | The Journal of the International Society of Physical and Rehabilitation Medicine, Vol 4, Iss 2, Pp 90-99 (2021) |
| ISSN: | 2589-9457 |
| Popis: | Objective: The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan. Methods: This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medical records were screened for eligibility of adults with disaster-related disability. Participants were interviewed in ambulatory clinics using validated measures: Neurological-Trauma Impairment Scale (NIS-Trauma), International Classification of Functioning, Disability, and Health-Generic Set, Community Integration Measure (CIM), Community Integration Questionnaire (CIQ), and EuroQol 5-Dimension 5-Level. Results: Participants were (n = 117, mean age = 35 years) with postdisaster injury up to 17 years; the majority had spinal cord injury (n = 62; 53%) and amputations (n = 44; 38%). At assessment, 80% were independent with mobility (with aids) and 29% with everyday living activities. They reported ongoing fatigue (54.7%), altered sensations (51.28%), and pain (50.43%), but fewer problems with mood and emotions. The impairment severity negatively impacted community activities (NIS-Trauma vs. CIQ: P < 0.001). As impairments improved with time (NIS-Trauma vs. time since injury: P = 0.003), so did community reintegration (time since injury vs. CIQ; P < 0.001) and perceived health status (time since injury vs. EuroQol; P = 0.001). Conclusion: Many participants reported various ongoing disability-related issues; however, majority were dependent with everyday living activities and well adapted in the community. Further robust studies are needed for evaluation of longer-term impact of the disability in disaster victims for the comprehensive healthcare in the community. |
| Databáze: | OpenAIRE |
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