Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan
Objective: The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan. Methods: This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medica...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health - Lippincott Williams Wilkins
2021-01-01
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| Series: | The Journal of the International Society of Physical and Rehabilitation Medicine |
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| Online Access: | http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=2;spage=90;epage=99;aulast=Lee |
| _version_ | 1797284128554483712 |
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| author | Su Yi Lee Sahibzada Nasir Mansoor Bhasker Amatya Tahir M Sayed Mary P Galea Fary Khan |
| author_facet | Su Yi Lee Sahibzada Nasir Mansoor Bhasker Amatya Tahir M Sayed Mary P Galea Fary Khan |
| author_sort | Su Yi Lee |
| collection | DOAJ |
| description | Objective: The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan. Methods: This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medical records were screened for eligibility of adults with disaster-related disability. Participants were interviewed in ambulatory clinics using validated measures: Neurological-Trauma Impairment Scale (NIS-Trauma), International Classification of Functioning, Disability, and Health-Generic Set, Community Integration Measure (CIM), Community Integration Questionnaire (CIQ), and EuroQol 5-Dimension 5-Level. Results: Participants were (n = 117, mean age = 35 years) with postdisaster injury up to 17 years; the majority had spinal cord injury (n = 62; 53%) and amputations (n = 44; 38%). At assessment, 80% were independent with mobility (with aids) and 29% with everyday living activities. They reported ongoing fatigue (54.7%), altered sensations (51.28%), and pain (50.43%), but fewer problems with mood and emotions. The impairment severity negatively impacted community activities (NIS-Trauma vs. CIQ: P < 0.001). As impairments improved with time (NIS-Trauma vs. time since injury: P = 0.003), so did community reintegration (time since injury vs. CIQ; P < 0.001) and perceived health status (time since injury vs. EuroQol; P = 0.001). Conclusion: Many participants reported various ongoing disability-related issues; however, majority were dependent with everyday living activities and well adapted in the community. Further robust studies are needed for evaluation of longer-term impact of the disability in disaster victims for the comprehensive healthcare in the community. |
| first_indexed | 2024-03-07T17:44:30Z |
| format | Article |
| id | doaj.art-129889ff2d8d4e989d7e8a78c45f349d |
| institution | Directory Open Access Journal |
| issn | 2589-9457 |
| language | English |
| last_indexed | 2024-03-07T17:44:30Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Health - Lippincott Williams Wilkins |
| record_format | Article |
| series | The Journal of the International Society of Physical and Rehabilitation Medicine |
| spelling | doaj.art-129889ff2d8d4e989d7e8a78c45f349d2024-03-02T15:21:29ZengWolters Kluwer Health - Lippincott Williams WilkinsThe Journal of the International Society of Physical and Rehabilitation Medicine2589-94572021-01-0142909910.4103/JISPRM-000115Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistanSu Yi LeeSahibzada Nasir MansoorBhasker AmatyaTahir M SayedMary P GaleaFary KhanObjective: The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan. Methods: This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medical records were screened for eligibility of adults with disaster-related disability. Participants were interviewed in ambulatory clinics using validated measures: Neurological-Trauma Impairment Scale (NIS-Trauma), International Classification of Functioning, Disability, and Health-Generic Set, Community Integration Measure (CIM), Community Integration Questionnaire (CIQ), and EuroQol 5-Dimension 5-Level. Results: Participants were (n = 117, mean age = 35 years) with postdisaster injury up to 17 years; the majority had spinal cord injury (n = 62; 53%) and amputations (n = 44; 38%). At assessment, 80% were independent with mobility (with aids) and 29% with everyday living activities. They reported ongoing fatigue (54.7%), altered sensations (51.28%), and pain (50.43%), but fewer problems with mood and emotions. The impairment severity negatively impacted community activities (NIS-Trauma vs. CIQ: P < 0.001). As impairments improved with time (NIS-Trauma vs. time since injury: P = 0.003), so did community reintegration (time since injury vs. CIQ; P < 0.001) and perceived health status (time since injury vs. EuroQol; P = 0.001). Conclusion: Many participants reported various ongoing disability-related issues; however, majority were dependent with everyday living activities and well adapted in the community. Further robust studies are needed for evaluation of longer-term impact of the disability in disaster victims for the comprehensive healthcare in the community.http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=2;spage=90;epage=99;aulast=Leecommunity integrationdisabilitydisasterfunctional outcomequality of liferehabilitation |
| spellingShingle | Su Yi Lee Sahibzada Nasir Mansoor Bhasker Amatya Tahir M Sayed Mary P Galea Fary Khan Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan The Journal of the International Society of Physical and Rehabilitation Medicine community integration disability disaster functional outcome quality of life rehabilitation |
| title | Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan |
| title_full | Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan |
| title_fullStr | Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan |
| title_full_unstemmed | Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan |
| title_short | Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan |
| title_sort | functional outcome and community reintegration of survivors following disasters a community based survey in pakistan |
| topic | community integration disability disaster functional outcome quality of life rehabilitation |
| url | http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=2;spage=90;epage=99;aulast=Lee |
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