Maseko Lebogang J, Adams Fasloen, Myezwa Hellen
Department of Occupational Therapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Health and Rehabilitation Sciences, Division of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.
Afr J Disabil. 2024 Oct 21;13:1391. doi: 10.4102/ajod.v13i0.1391. eCollection 2024.
Increasing functional limitations and disabilities have raised the need for comprehensive rehabilitation services at the primary healthcare (PHC) level, particularly in low- and middle-income countries. To support the integration of these services into PHC in South Africa, assessing outcomes from the service users' perspectives is essential.
This study examined service users' views on their PHC rehabilitation outcomes in a Metropolitan District of Gauteng, South Africa. The aim was to understand perceived changes in activity limitations and participation restrictions following the rehabilitation intervention.
A quantitative survey design, including self-rating measurements and structured interviews, was employed. Thirty-eight rehabilitation service users from eight clinics and community health centres were purposively sampled. Participants rated their pre- and post-rehabilitation levels of difficulty in activity limitations and participation restrictions, with open-ended questions providing additional insights. Data analysis used descriptive statistics, quantitative content analysis, and non-parametric tests.
Significant improvements in mobility, self-perception, and quality of life were reported by both adult and child service users. Caregivers of child service users also noted positive experiences ( = 0.019) in community, social, and civic life.
This study highlights the perceived positive changes experienced by PHC rehabilitation service users in addressing functional limitations and disabilities. It underscores the effectiveness of integrated rehabilitation service delivery in improving user outcomes.
The findings offer valuable insights into how rehabilitation interventions enhance functional abilities, social participation, and overall well-being. By focusing on activity limitations and participation restrictions from service users' perspectives, this study supports the priority of providing person-centred rehabilitation services at the PHC level.
功能限制和残疾的增加使得在初级卫生保健（PHC）层面，尤其是在低收入和中等收入国家，对全面康复服务的需求不断上升。为支持这些服务在南非初级卫生保健中的整合，从服务使用者的角度评估结果至关重要。
本研究调查了南非豪登省一个大都会区的服务使用者对其初级卫生保健康复结果的看法。目的是了解康复干预后在活动限制和参与受限方面所感知到的变化。
采用了定量调查设计，包括自评测量和结构化访谈。从八个诊所和社区卫生中心有目的地抽取了38名康复服务使用者作为样本。参与者对其康复前后在活动限制和参与受限方面的困难程度进行评分，并通过开放式问题提供更多见解。数据分析采用描述性统计、定量内容分析和非参数检验。
成年和儿童服务使用者均报告在行动能力、自我认知和生活质量方面有显著改善。儿童服务使用者的照顾者也指出在社区、社会和公民生活方面有积极体验（P = 0.019）。
本研究突出了初级卫生保健康复服务使用者在解决功能限制和残疾方面所感知到的积极变化。它强调了综合康复服务提供在改善使用者结果方面的有效性。
研究结果为康复干预如何增强功能能力、社会参与和整体幸福感提供了有价值的见解。通过从服务使用者的角度关注活动限制和参与受限，本研究支持在初级卫生保健层面提供以患者为中心的康复服务的优先性。
