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焦特布尔地区农村地区运动功能障碍的流行模式及其对行动能力、自我护理和人际交往能力的影响。

The Prevalence Pattern of Locomotor Disability and its Impact on Mobility, Self-Care, and Interpersonal Skills in Rural Areas of Jodhpur District.

作者信息

Mishra Kriti, Siddharth V, Bhardwaj Pankaj, Elhence Abhay, Jalan Divesh, Raghav Pankaja, Mahmood Syed Esam

机构信息

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

Community and Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Niger Med J. 2019 May-Jun;60(3):156-160. doi: 10.4103/nmj.NMJ_144_17.

Abstract

CONTEXT

Impact of disability is deleterious, affecting an individual's every aspect. Majority of disabled reside in rural areas of developing countries. Moreover, different types of disability add to its wide spectrum. All these make it a major health issue.

AIMS

The aim of this study was to note the prevalence rate and pattern of locomotor disability in a rural population of Jodhpur District and to observe its impact on mobility, self-care, and interpersonal skills of disabled.

SETTINGS

This study was carried out in rural field practice area of the Community and Family Medicine Department of tertiary care setup.

DESIGN

This was a cross-sectional study.

MATERIALS AND METHODS

House-to-house survey for a sample size of 1656 was conducted by a team of trained doctors, therapists, and anganwadi workers for identification of locomotor disability applying a pretested survey questionnaire.

STATISTICAL ANALYSIS

SPSS version 22 was used for descriptive analysis of variables (frequency distribution), and the Chi-squared test was used for the association of sociodemographic factors with performance qualifier score.

RESULTS

The prevalence rate of 2.08% for locomotor disability (male = 57% and female = 43%) was noted, with 31% from 40 to 60 years, 49% were illiterate, and 60% were from lower class. The main etiologies were cerebrovascular accident (25%) and cerebral palsy (23%). About 80% faced some difficulties in mobility domain, 57% in self-care, and 63% in interpersonal skills. Statistically significant association was seen for self-care domain with education level ( = 0.04) and for interpersonal skill domain with age groups and diagnosis ( = 0.022 and = 0.035, respectively).

CONCLUSION

The overall prevalence of locomotor disability in rural Jodhpur was 2.08%, higher for males and higher from 40 to 60 years. Most disabled were illiterate and were from low socioeconomic status. Self-care, mobility, and interpersonal skills were primarily affected and require proper intervention.

摘要

背景

残疾的影响是有害的,会影响个人的各个方面。大多数残疾人居住在发展中国家的农村地区。此外,不同类型的残疾增加了其范围的广泛性。所有这些使其成为一个重大的健康问题。

目的

本研究的目的是记录焦特布尔地区农村人口中运动残疾的患病率和模式,并观察其对残疾人的行动能力、自我护理能力和人际交往能力的影响。

地点

本研究在三级医疗保健机构社区与家庭医学系的农村实地实践区域进行。

设计

这是一项横断面研究。

材料与方法

由一组经过培训的医生、治疗师和anganwadi工作人员逐户调查1656个样本,使用预先测试的调查问卷来识别运动残疾。

统计分析

使用SPSS 22版对变量进行描述性分析(频率分布),并使用卡方检验分析社会人口学因素与表现限定分数之间的关联。

结果

运动残疾的患病率为2.08%(男性 = 57%,女性 = 43%),其中40至60岁的占31%,49%为文盲,60%来自下层阶级。主要病因是脑血管意外(25%)和脑瘫(23%)。约80%的人在行动能力方面面临一些困难,57%的人在自我护理方面有困难,63%的人在人际交往能力方面有困难。自我护理领域与教育水平之间存在统计学显著关联(P = 0.04),人际交往能力领域与年龄组和诊断之间存在统计学显著关联(分别为P = 0.022和P = 0.035)。

结论

焦特布尔农村地区运动残疾的总体患病率为2.08%,男性患病率较高,40至60岁人群患病率较高。大多数残疾人是文盲,社会经济地位较低。自我护理、行动能力和人际交往能力受到主要影响,需要适当干预。

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