1. Community integration and life satisfaction among individuals with spinal cord injury living in the community after receiving institutional care in Bangladesh
- Author
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Nayeema Ahmed, Mohammad Morshedul Quadir, Mohammad Akhlasur Rahman, and Hasanat Alamgir
- Subjects
Adult ,Male ,Gerontology ,030506 rehabilitation ,medicine.medical_specialty ,Poison control ,Personal Satisfaction ,Community integration ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,Return to Work ,0302 clinical medicine ,Surveys and Questionnaires ,Outcome Assessment, Health Care ,Injury prevention ,medicine ,Humans ,Disabled Persons ,Registries ,Spinal cord injury ,Spinal Cord Injuries ,Bangladesh ,business.industry ,Rehabilitation ,Life satisfaction ,Human factors and ergonomics ,medicine.disease ,Self Care ,Cross-Sectional Studies ,Quality of Life ,Physical therapy ,Female ,0305 other medical science ,business ,Community Integration ,030217 neurology & neurosurgery - Abstract
This study reports level of community integration and life satisfaction among individuals who sustained traumatic spinal cord injuries, received institutional rehabilitation care services, and went back to live in the community in Bangladesh. It examines the impact of type of injury, demographic characteristics, socio-economic profile, and secondary health conditions on community integration and life satisfaction and explores the association between these two measures.Individuals with spinal cord injury were telephone interviewed by the Centre for the Rehabilitation of the Paralysed, Bangladesh from February to June of 2014. Data were collected from the subjects on type of injury, demographic and socio-economic profile, and secondary health conditions. The outcome measures were determined by using two validated tools - Community Integration Questionnaire and Life Satisfaction 9 Questionnaire.Total community integration and life satisfaction scores were 15.09 and 3.69, respectively. A significant positive relationship between community integration and life satisfaction was revealed. Type of injury, gender, and age were found to be significant predictors of both community integration and life satisfaction scores. Higher education was significantly related to community integration and life satisfaction scores.Participants scored low in total community integration and life satisfaction, suggesting there is a great need to develop interventions by governmental and non-governmental organizations to better integrate individuals with spinal cord injury in the community. Implications for Rehabilitation Government and non-government organizations should offer disability friendly public transportation facilities for individuals with spinal cord injury so that they can return to education, resume employment, and involve in social activities. Entrepreneurs and businesses should develop assistive devices featuring low technology, considering the rural structure and housing conditions in Bangladesh. Innovations being made in assistive technology should be supported by subsidies and grants. They should also plan to offer injury appropriate employment opportunities for individuals who suffer major injuries like spinal cord injury in Bangladesh. Housing facilities with accessible bathrooms, kitchens and stairs should be designed and offered for this population to improve their ability to self-care and decrease the dependence on caregivers for household tasks such as - cooking meals and taking care of children.
- Published
- 2017