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[康复后的社区参与:阿根廷的多中心研究]

[Participation in the community after the rehabilitation: multi-center study in Argentina].

作者信息

Heider Gustavo, Gonzalez Atchabahian Laura, Gambero Yanina, Herrera Cristian, Suárez Sabrina, Sciuto Silvina, Sampayo María de la Paz, Buffetti Eliana, Bonetto Mariana, Relancio María Soledad, Elorriaga Miriam Beatriz, Impagliazzo Lorena, Solohaga Juan, Estelita Andrés, García Gabriela, Leizica Nadia, Del Valle Mirabal Daiana, Cancino Jorge, Pavón Hernán, Toledo Darío, Di Yorio Rodrigo

机构信息

Santa Catalina Neurorehabilitacion Clinica.

.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2022 Mar 7;79(1):19-25. doi: 10.31053/1853.0605.v79.n1.32198.

DOI:10.31053/1853.0605.v79.n1.32198
PMID:35312255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9004299/
Abstract

INTRODUCTION

Introduction: Participation is the dynamic and complex interaction between the individual's health condition, bodily functions, activities that can be carried out and environmental factors. Measuring it helps to understand the impact of disability.

OBJECTIVES

Describe the activities and participation in subjects with neurological pathologies, discharged from hospitalization for rehabilitation. Secondly, to compare the clinical-demographic characteristics and the participation among wheelchair users with respect to non-users.

MATERIAL AND METHOD

Observational, prospective, cross-sectional, multicenter study. Based on a survey of people over 18 years of age with pathologies of neurological origin discharged from rehabilitation from 6 centers in Argentina.

RESULTS

282 people responded, 69% men with an average age of 50 years and discharged 22 months ago. The most common diagnosis was cerebrovascular accident. The self-perception of participation was 49 out of 90, and those who do not use a wheelchair report a higher level of participation. The greatest satisfaction was in areas of interpersonal relationships. 50% require assistance to use transportation in the community. 61% neither work nor study, nor do they engage in sports activities (65%). 61% of wheelchair users cannot go to places in the community because they are inaccessible.

CONCLUSION

Less participation in community activities was observed, mainly due to architectural barriers and difficulties in using transport in wheelchair users. The family occupies a central place so that they can integrate into the community.

摘要

引言

参与是个体健康状况、身体功能、可开展的活动与环境因素之间动态且复杂的相互作用。对其进行测量有助于了解残疾的影响。

目的

描述因康复出院的神经病理学患者的活动与参与情况。其次,比较轮椅使用者与非使用者之间的临床人口统计学特征及参与情况。

材料与方法

观察性、前瞻性、横断面、多中心研究。基于对阿根廷6个康复中心18岁以上神经源性疾病出院患者的调查。

结果

282人做出回应,69%为男性,平均年龄50岁,出院时间为22个月前。最常见的诊断是脑血管意外。参与的自我认知在90分中占49分,不使用轮椅者报告的参与水平更高。最大满意度体现在人际关系领域。50%的人在社区使用交通工具时需要协助。61%的人既不工作也不学习,也不参加体育活动(65%)。61%的轮椅使用者因社区场所无法进入而无法前往。

结论

观察到社区活动参与度较低,主要原因是建筑障碍以及轮椅使用者在使用交通工具方面存在困难。家庭在使其融入社区方面占据核心地位。

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本文引用的文献

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Influence of adapted sports on quality of life and life satisfaction in sport participants and non-sport participants with physical disabilities.适应体育对肢体残疾运动员和非运动员生活质量和生活满意度的影响。
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Community participation after spinal cord injury.脊髓损伤后的社区参与
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How does stroke restrict participation in long-term post-stroke survivors?中风如何限制中风长期幸存者的参与度?
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Community reintegration after stroke.中风后的社区重新融入
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Activity, participation, and quality of life 6 months poststroke.中风后6个月的活动、参与及生活质量
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