Impact of community-based rehabilitation on quality of life and self-esteem of persons with physical disabilities and their family members

Global health journal (Amsterdam, Netherlands) Pub Date : 2023-06-01 DOI:10.1016/j.glohj.2023.04.001

Joseph Umunnah , Babatunde Adegoke , Chigozie Uchenwoke , Chinonso Igwesi-Chidobe , Grace Alom

{"title":"Impact of community-based rehabilitation on quality of life and self-esteem of persons with physical disabilities and their family members","authors":"Joseph Umunnah , Babatunde Adegoke , Chigozie Uchenwoke , Chinonso Igwesi-Chidobe , Grace Alom","doi":"10.1016/j.glohj.2023.04.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Community-based rehabilitation (CBR) is a strategy by which persons living with disability (PWDs) access comprehensive rehabilitation services with limited evidence regarding its impact on the quality of life (QOL) and self-esteem (SE) of PWDs and their family members. This study compared the QOL and SE of Nigerian PWDs in communities with and without a CBR programme (CBR and non-CBR respectively), and the family quality of life (FQOL) of their family members.</p></div><div><h3>Methods</h3><p>Cross-sectional study involving 2 604 PWDs (1 302 in CBR and 1 302 in non-CBR); 5 208 family members of PWDs (2 604 in CBR and 2 604 non-CBR), recruited from four randomly selected geo-political zones in Nigeria, purposive/consecutive selection of eight CBR programmes, PWDs and their family members (CBR and non-CBR). Outcomes assessed using Rosenberg Self-Esteem Scale (RSES), World Health Organization Quality of Life Instrument- short form (WHOQOL-BREF) and Beach Centre Family Quality of Life Instrument (BCFQOL). Mann-Whitney <em>U</em> test and Spearman's rank order correlation were used to analyse data at <em>P</em> < 0.05.</p></div><div><h3>Results</h3><p>PWDs in CBR scored higher in all domains of WHOQOL-BREF (<em>P</em> < 0.0001 in all cases) and RSES than non-CBR group (<em>P</em> < 0.0001). The CBR families scored significantly higher than non-CBR families in all domains (<em>P</em> < 0.05) except Emotional Well-Being of the BCFQOL. The CBR group scores on Psychological and Social Health domains of the WHOQOL-BREF showed significant positive correlation with CBR families’ Family Interaction (<em>P</em> = 0.06) and Parenting (<em>P</em> = 0.07) domains and total FQOL (<em>P</em> = 0.07).</p></div><div><h3>Conclusion</h3><p>Community-based rehabilitation positively impacted on SE and QOL of PWDs and their family members.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"7 2","pages":"Pages 87-93"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global health journal (Amsterdam, Netherlands)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2414644723000490","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

Community-based rehabilitation (CBR) is a strategy by which persons living with disability (PWDs) access comprehensive rehabilitation services with limited evidence regarding its impact on the quality of life (QOL) and self-esteem (SE) of PWDs and their family members. This study compared the QOL and SE of Nigerian PWDs in communities with and without a CBR programme (CBR and non-CBR respectively), and the family quality of life (FQOL) of their family members.

Methods

Cross-sectional study involving 2 604 PWDs (1 302 in CBR and 1 302 in non-CBR); 5 208 family members of PWDs (2 604 in CBR and 2 604 non-CBR), recruited from four randomly selected geo-political zones in Nigeria, purposive/consecutive selection of eight CBR programmes, PWDs and their family members (CBR and non-CBR). Outcomes assessed using Rosenberg Self-Esteem Scale (RSES), World Health Organization Quality of Life Instrument- short form (WHOQOL-BREF) and Beach Centre Family Quality of Life Instrument (BCFQOL). Mann-Whitney U test and Spearman's rank order correlation were used to analyse data at P < 0.05.

Results

PWDs in CBR scored higher in all domains of WHOQOL-BREF (P < 0.0001 in all cases) and RSES than non-CBR group (P < 0.0001). The CBR families scored significantly higher than non-CBR families in all domains (P < 0.05) except Emotional Well-Being of the BCFQOL. The CBR group scores on Psychological and Social Health domains of the WHOQOL-BREF showed significant positive correlation with CBR families’ Family Interaction (P = 0.06) and Parenting (P = 0.07) domains and total FQOL (P = 0.07).

Conclusion

Community-based rehabilitation positively impacted on SE and QOL of PWDs and their family members.

查看原文本刊更多论文

社区康复对身体残疾者及其家庭成员的生活质量和自尊的影响

目的社区康复是一种帮助残疾人士获得全面康复服务的策略，目前有关社区康复对残疾人士及其家人的生活质量和自尊的影响的证据有限。本研究比较了尼日利亚社区中有和没有CBR项目(分别为CBR和非CBR)的残疾人的生活质量和生活质量，以及其家庭成员的家庭生活质量(FQOL)。方法横断面研究2 604例pwd (CBR 1 302例，非CBR 1 302例);5 208名残疾人士家庭成员(2 604名参与社区活动和2 604名非社区活动)，从尼日利亚四个随机选择的地缘政治区域招募，有目的/连续选择八个社区活动项目，残疾人士及其家庭成员(社区活动和非社区活动)。结果评估采用罗森博格自尊量表(RSES)、世界卫生组织生活质量简易量表(WHOQOL-BREF)和Beach中心家庭生活质量量表(BCFQOL)。使用Mann-Whitney U检验和Spearman秩序相关来分析P <0.05.结果CBR患者在WHOQOL-BREF各领域得分均较高(P <0.0001)和RSES均高于非cbr组(P <0.0001)。CBR家庭在各领域的得分均显著高于非CBR家庭(P <BCFQOL的情绪幸福感为0.05)。CBR组WHOQOL-BREF心理和社会健康域得分与CBR家庭的“家庭互动”(P = 0.06)、“父母教养”(P = 0.07)域和总FQOL得分呈显著正相关(P = 0.07)。结论社区康复对残疾人及其家属的生活质量和生活质量有积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Global health journal (Amsterdam, Netherlands) Public Health and Health Policy

CiteScore

5.00

自引率

0.00%

发文量