a School of Public Health, University of Texas , Houston , USA.
b Centre for the Rehabilitation of the Paralysed , Dhaka , Bangladesh.
Disabil Rehabil. 2018 May;40(9):1033-1040. doi: 10.1080/09638288.2017.1283713. Epub 2017 Feb 7.
This study reports level of community integration and life satisfaction among individuals who sustained traumatic spinal cord injuries, received institutional rehabilitation care services, and went back to live in the community in Bangladesh. It examines the impact of type of injury, demographic characteristics, socio-economic profile, and secondary health conditions on community integration and life satisfaction and explores the association between these two measures.
Individuals with spinal cord injury were telephone interviewed by the Centre for the Rehabilitation of the Paralysed, Bangladesh from February to June of 2014. Data were collected from the subjects on type of injury, demographic and socio-economic profile, and secondary health conditions. The outcome measures were determined by using two validated tools - Community Integration Questionnaire and Life Satisfaction 9 Questionnaire.
Total community integration and life satisfaction scores were 15.09 and 3.69, respectively. A significant positive relationship between community integration and life satisfaction was revealed. Type of injury, gender, and age were found to be significant predictors of both community integration and life satisfaction scores. Higher education was significantly related to community integration and life satisfaction scores.
Participants scored low in total community integration and life satisfaction, suggesting there is a great need to develop interventions by governmental and non-governmental organizations to better integrate individuals with spinal cord injury in the community. Implications for Rehabilitation Government and non-government organizations should offer disability friendly public transportation facilities for individuals with spinal cord injury so that they can return to education, resume employment, and involve in social activities. Entrepreneurs and businesses should develop assistive devices featuring low technology, considering the rural structure and housing conditions in Bangladesh. Innovations being made in assistive technology should be supported by subsidies and grants. They should also plan to offer injury appropriate employment opportunities for individuals who suffer major injuries like spinal cord injury in Bangladesh. Housing facilities with accessible bathrooms, kitchens and stairs should be designed and offered for this population to improve their ability to self-care and decrease the dependence on caregivers for household tasks such as - cooking meals and taking care of children.
本研究报告了在孟加拉国，接受机构康复护理服务并返回社区生活的创伤性脊髓损伤患者的社区融入水平和生活满意度。研究考察了损伤类型、人口统计学特征、社会经济状况和继发性健康状况对社区融入和生活满意度的影响，并探讨了这两个指标之间的关联。
2014 年 2 月至 6 月，孟加拉国瘫痪康复中心通过电话对脊髓损伤患者进行了访谈。从研究对象那里收集了损伤类型、人口统计学和社会经济状况以及继发性健康状况的数据。使用两个经过验证的工具——社区融入问卷和生活满意度 9 问卷来确定结果测量指标。
总体社区融入和生活满意度得分分别为 15.09 和 3.69。研究结果显示社区融入和生活满意度之间存在显著正相关。损伤类型、性别和年龄被发现是社区融入和生活满意度得分的显著预测因素。高等教育与社区融入和生活满意度得分显著相关。
参与者在总体社区融入和生活满意度方面得分较低，这表明政府和非政府组织非常有必要制定干预措施，以更好地将脊髓损伤患者融入社区。
政府和非政府组织应为脊髓损伤患者提供残疾友好型公共交通设施，使他们能够重返教育、恢复就业并参与社会活动。企业家和企业应根据孟加拉国的农村结构和住房条件，开发具有低技术含量的辅助设备。应通过补贴和赠款支持辅助技术的创新。他们还应为在孟加拉国遭受脊髓损伤等重大伤害的个人规划提供适当的就业机会。应为这一人群设计和提供带无障碍浴室、厨房和楼梯的住房设施，以提高他们的自理能力，并减少对照顾者的依赖，以完成家务，如做饭和照顾孩子。
