Uddin Taslim, Ahmed Badrunnessa, Shoma Farzana Khan
Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Front Rehabil Sci. 2023 Jan 25;4:1001084. doi: 10.3389/fresc.2023.1001084. eCollection 2023.
and Introduction: Physical rehabilitation is vital for patients to regain maximum function. Approximately 80% of people with a disability live in developing countries, where they face multiple challenges in rehabilitation. The goal of the study was to conduct an analysis of indoor rehabilitation programs based on the demographics and medical conditions of the admitted patients and to relate to the available basic health and rehabilitation facilities.
This was a mixed method study conducted in an inpatient rehabilitation ward of a tertiary level academic university hospital in a developing country. All admitted patients who stayed for a period of minimum two weeks were included in the study. Demographic and clinical data were obtained by means of a retrospective medical record review utilizing a standardized data extraction form. The study was further strengthened by an online literature search for the available documents for analysis, relation, and discussion.
Among the 1,309 admitted patients was male- female ratio was 10:7, with the majority (31.4%) cases falling between the ages of 46 and 60yrs. Rehabilitation outpatient department was the principal mode of admission (78%), and musculoskeletal and neurological conditions represented the maximum number (79.8%). Majority of patients (60.8%) were discharged home on completion of the rehabilitation program with a large number of patients who were absconded. Poor health budget allocation and lack of prioritization of the rehabilitation sector face multiple challenges, including the rehabilitation team functioning resources, space crisis for expansion which was further impacted by the COVID-19 pandemic.
The country's current health-related rehabilitation process and socio-demographic variables have a negative relationship. There was a large number of missing data in the medical records and many patients were lost prematurely from the indoor rehabilitation program. Musculoskeletal disorders were common, and the majority of patients were discharged home once the program was completed.
身体康复对于患者恢复最大功能至关重要。约80%的残疾人士生活在发展中国家，他们在康复过程中面临多重挑战。本研究的目的是根据入院患者的人口统计学特征和医疗状况，对室内康复项目进行分析，并探讨其与现有的基本健康和康复设施的关系。
这是一项在发展中国家一所三级学术大学医院的住院康复病房进行的混合方法研究。所有住院至少两周的患者均纳入研究。通过使用标准化数据提取表进行回顾性病历审查来获取人口统计学和临床数据。通过在线文献搜索获取可用文件进行分析、关联和讨论，进一步加强了本研究。
在1309名入院患者中，男女比例为10:7，大多数（31.4%）患者年龄在46至60岁之间。康复门诊部是主要的入院途径（78%），肌肉骨骼和神经疾病患者数量最多（79.8%）。大多数患者（60.8%）在康复项目结束后出院回家，但有大量患者擅自离开。卫生预算分配不佳以及康复部门缺乏优先级面临多重挑战，包括康复团队运作资源、空间扩张危机，而这又因新冠疫情进一步受到影响。
该国目前与健康相关的康复过程与社会人口统计学变量呈负相关。病历中有大量缺失数据，许多患者过早地退出了室内康复项目。肌肉骨骼疾病很常见，大多数患者在项目完成后出院回家。
