拉贾斯坦邦西南部残疾儿童对机构康复服务的利用情况。

Utilization of institutional rehabilitation service in pediatric patients with disability in Southwest Rajasthan.

作者信息

Mishra Kriti, Siddharth V

机构信息

Department of Physical Medicine and Rehabilitation, All India Institute Of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

J Family Med Prim Care. 2018 Jul-Aug;7(4):703-708. doi: 10.4103/jfmpc.jfmpc_260_17.

DOI:10.4103/jfmpc.jfmpc_260_17

PMID:30234041

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6132008/

Abstract

BACKGROUND

Rehabilitating disabled child maximizes functional independence, thereby, enhancing the quality of life and better community participation. Utilization of rehabilitation services is a significant issue in developing countries like India. This study aims to observe the pattern of utilization of institutional rehabilitation services by pediatric patients with disability.

METHODS

This was an observational study (descriptive cross-sectional study) conducted at Department of Physical Medicine and Rehabilitation in a tertiary care set-up. Descriptive data from an ongoing study involving children with and without developmental delay (DD) over 1 year were collected in terms of age, gender, distance from the institute, diagnosis, and frequency of visit. Utilization pattern for rehabilitation services among pediatric patients was analyzed with respect to diagnosis and frequency of visit under each diagnosed category. The demographic variable of age, gender, and distance from the institute was further correlated to frequency of visit. IBM SPSS statistics 22 was used for descriptive statistical analysis and correlation of variables.

RESULTS

Of 464 disabled children using rehabilitation service, data for 399 (M: 255, F: 144) children were complete with age ranging from 3 months to 18 years and distance from 1 km to 600 km from institute. There were 330 children with DD and 69 in non-DD category. Two hundred and sixty-eight cases used one-time consultancy, 86 preferred intermittent services, and 45 patients were regular. Negligible correlation with a trend toward negative values was observed between frequency of service utilization and distance (Rho = -0.139 Sig. = 0.006, at 0.01 level) and between age and utilization frequency (Rho = -0.074, Sig = 0.140).

CONCLUSIONS

The study showed that children with DD were main utilizers of rehabilitation services. Nearly 67% of disabled children utilized services only once with a trend toward younger age group and those nearer to institute were noted.

摘要

背景

使残疾儿童康复可最大限度地提高功能独立性，从而提升生活质量并更好地参与社区活动。在印度等发展中国家，康复服务的利用是一个重要问题。本研究旨在观察残疾儿科患者机构康复服务的利用模式。

方法

这是一项在三级医疗中心的物理医学与康复科进行的观察性研究（描述性横断面研究）。收集了一项为期1年的正在进行的研究中涉及有和没有发育迟缓（DD）儿童的描述性数据，包括年龄、性别、距机构的距离、诊断以及就诊频率。分析了儿科患者康复服务利用模式与各诊断类别下的诊断和就诊频率的关系。年龄、性别和距机构距离的人口统计学变量进一步与就诊频率相关。使用IBM SPSS statistics 22进行描述性统计分析和变量相关性分析。

结果

在464名使用康复服务的残疾儿童中，399名儿童（男：255名，女：144名）的数据完整，年龄范围为3个月至18岁，距机构的距离为1公里至600公里。有330名患有DD的儿童和69名非DD类儿童。268例使用一次性咨询，86例选择间歇性服务，45例患者为定期就诊。在服务利用频率与距离之间（Rho = -0.139，Sig. = 0.006，在0.01水平）以及年龄与利用频率之间（Rho = -0.074，Sig = 0.140）观察到负相关趋势且相关性可忽略不计。