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乌杜皮县身体残疾者的生活质量:一项横断面研究。

Quality of Life among Persons with Physical Disability in Udupi Taluk: A Cross Sectional Study.

作者信息

Kuvalekar Kunal, Kamath Ramachandra, Ashok Lena, Shetty Bhartesh, Mayya Shreemathi, Chandrasekaran Varalakshmi

机构信息

Department of Public Health, Manipal University, Manipal, Karnataka, India.

Department of Biostatistics, Manipal University, Manipal, Karnataka, India.

出版信息

J Family Med Prim Care. 2015 Jan-Mar;4(1):69-73. doi: 10.4103/2249-4863.152258.

Abstract

BACKGROUND

Disability is not just a health problem or attribute of individuals, but it reflects the problems individuals experience in their interaction with society and physical movements. Disabled persons remain neglected part of society and they also experience various barriers due to restriction of participation.

OBJECTIVES

The aim was to assess the quality of life (QOL) of physically disabled persons, the impact of physical disability on activities of daily living (ADL) and to study the awareness about laws and facilities available for disabled persons.

MATERIALS AND METHODS

A cross-sectional community based study was conducted among 130 physical disabled persons who were selected using convenience sampling technique. The WHO BREF scale was used to assess QOL, while assessment of ADL was done using Barthel Index. Socio-demographic assessment was done using Udai Pareek scale. SPSS version 15.0 was used to analyze data. Categorical variables were expressed as frequencies and percentages. As per guidelines physical, psychological, social, and environmental domain scores for WHO BREF scale were calculated.

RESULTS

Among the study participants, 36.2% had a disability from birth that is, congenital. The second common cause of disability was found to be postpolio residual paralysis as it was found among 26.2% respondents. Other causes found were stroke/paralysis and accidents, in 19.2% and 18.5% respondents, respectively. Activities such as transfer, mobility, and stair climbing showed greater impact of physical disability. It was found that 11.5% respondents required help in one of the ADL. QOL score was found to be low under the psychological domain reflecting on negative feelings, bodily image, appearance, spirituality, and self-esteem of respondents.

CONCLUSION

Physical disability had affected social participation as well as marriage of the respondents. However, it was found that very few of them are aware about facilities provided under persons with disability act.

摘要

背景

残疾不仅仅是一个健康问题或个人属性,它反映了个人在与社会互动及身体活动中所经历的问题。残疾人仍然是社会中被忽视的一部分,由于参与受限,他们还面临各种障碍。

目的

旨在评估肢体残疾人的生活质量(QOL)、肢体残疾对日常生活活动(ADL)的影响,并研究对残疾人可用法律和设施的认知情况。

材料与方法

采用便利抽样技术选取130名肢体残疾人进行基于社区的横断面研究。使用世界卫生组织简明量表评估生活质量,而使用巴氏指数评估日常生活活动。使用乌代·帕雷克量表进行社会人口学评估。使用SPSS 15.0版分析数据。分类变量以频率和百分比表示。按照指南计算世界卫生组织简明量表的身体、心理、社会和环境领域得分。

结果

在研究参与者中,36.2%的人出生时即有残疾,即先天性残疾。发现残疾的第二大常见原因是小儿麻痹后遗症,在26.2%的受访者中发现。其他发现的原因分别是中风/瘫痪和事故,在19.2%和18.5%的受访者中。诸如转移、移动和爬楼梯等活动显示出肢体残疾的更大影响。发现11.5%的受访者在一项日常生活活动中需要帮助。在心理领域发现生活质量得分较低,反映了受访者的负面情绪、身体形象、外貌、精神和自尊。

结论

肢体残疾影响了受访者的社会参与以及婚姻。然而,发现他们中很少有人了解《残疾人法案》规定的设施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/4367009/3b2e860c2a73/JFMPC-4-69-g002.jpg

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