Estelle Buys, Thayananthee Nadasan, Ntsikelelo Pefile, Michael O Ogunlana, Deshini Naidoo
{"title":"KwaZulu-Natal省eThekwini市脊髓损伤患者重新融入社区的临床和社会人口统计学决定因素","authors":"Estelle Buys, Thayananthee Nadasan, Ntsikelelo Pefile, Michael O Ogunlana, Deshini Naidoo","doi":"10.4102/sajp.v78i1.1631","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Community reintegration is a major outcome of rehabilitation after the acute phase in people with spinal cord injury (PWSCI).</p><p><strong>Objective: </strong>To investigated clinical and socio-demographic factors determining community participation in PWSCI, living in the greater eThekwini Municipality, KwaZulu-Natal province.</p><p><strong>Method: </strong>Our quantitative, cross-sectional study had a convenient sample of 41 PWSCI. A trained interviewer obtained socio-demographic information using a structured questionnaire. Participants completed the Reintegration to Normal Living Index (RNLI). Descriptive statistics were used in summarising the data; inferential statistics, -a t-test and analysis of variance (ANOVA) assessed the association of clinical and socio-demographic factors with the extent of community reintegration. A multiple linear regression investigated the determinants of community reintegration with the alpha level set at <i>p</i> = 0.05.</p><p><strong>Results: </strong>Mean age of the participants was 41 years (s.d.: 10, range 25-66), with the majority (<i>n</i> = 32, 78%) being male. The mean RNLI score was 68% (s.d.: 22, range 24-100). Participants scored higher on the RNLI if they were male (mean difference [MD] 18%, 95% confidence interval [CI]: 2-34), were employed (MD 16%, 95% CI: 0-32), had a salary (MD 19%, 95% CI: 5-32) and had no muscle spasms (MD 14%, 95% CI: 1-27. Muscle spasms (<i>p</i> = 0.012, 95% CI: 3.85-29.05) and being female PWSCI (<i>p</i> = 0.010, 95% CI: -35.75 to -5.18) were significant negative predictors of community reintegration.</p><p><strong>Conclusion: </strong>Community reintegration may be influenced by socio-economic factors. Special interventions for muscle spasms and support for women living with spinal cord injuries may enhance community reintegration.</p><p><strong>Clinical implication: </strong>Therapists need to focus on community reintegration with female PWSCI and on returning to PWSCI to work as this was improved community reintegration.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210146/pdf/","citationCount":"1","resultStr":"{\"title\":\"Clinical and socio-demographic determinants of community reintegration in people with spinal cord injury in eThekwini Municipality, KwaZulu-Natal province.\",\"authors\":\"Estelle Buys, Thayananthee Nadasan, Ntsikelelo Pefile, Michael O Ogunlana, Deshini Naidoo\",\"doi\":\"10.4102/sajp.v78i1.1631\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Community reintegration is a major outcome of rehabilitation after the acute phase in people with spinal cord injury (PWSCI).</p><p><strong>Objective: </strong>To investigated clinical and socio-demographic factors determining community participation in PWSCI, living in the greater eThekwini Municipality, KwaZulu-Natal province.</p><p><strong>Method: </strong>Our quantitative, cross-sectional study had a convenient sample of 41 PWSCI. A trained interviewer obtained socio-demographic information using a structured questionnaire. Participants completed the Reintegration to Normal Living Index (RNLI). Descriptive statistics were used in summarising the data; inferential statistics, -a t-test and analysis of variance (ANOVA) assessed the association of clinical and socio-demographic factors with the extent of community reintegration. A multiple linear regression investigated the determinants of community reintegration with the alpha level set at <i>p</i> = 0.05.</p><p><strong>Results: </strong>Mean age of the participants was 41 years (s.d.: 10, range 25-66), with the majority (<i>n</i> = 32, 78%) being male. The mean RNLI score was 68% (s.d.: 22, range 24-100). Participants scored higher on the RNLI if they were male (mean difference [MD] 18%, 95% confidence interval [CI]: 2-34), were employed (MD 16%, 95% CI: 0-32), had a salary (MD 19%, 95% CI: 5-32) and had no muscle spasms (MD 14%, 95% CI: 1-27. Muscle spasms (<i>p</i> = 0.012, 95% CI: 3.85-29.05) and being female PWSCI (<i>p</i> = 0.010, 95% CI: -35.75 to -5.18) were significant negative predictors of community reintegration.</p><p><strong>Conclusion: </strong>Community reintegration may be influenced by socio-economic factors. Special interventions for muscle spasms and support for women living with spinal cord injuries may enhance community reintegration.</p><p><strong>Clinical implication: </strong>Therapists need to focus on community reintegration with female PWSCI and on returning to PWSCI to work as this was improved community reintegration.</p>\",\"PeriodicalId\":44180,\"journal\":{\"name\":\"South African Journal of Physiotherapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2022-05-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210146/pdf/\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"South African Journal of Physiotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/sajp.v78i1.1631\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"South African Journal of Physiotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/sajp.v78i1.1631","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"REHABILITATION","Score":null,"Total":0}
Clinical and socio-demographic determinants of community reintegration in people with spinal cord injury in eThekwini Municipality, KwaZulu-Natal province.
Background: Community reintegration is a major outcome of rehabilitation after the acute phase in people with spinal cord injury (PWSCI).
Objective: To investigated clinical and socio-demographic factors determining community participation in PWSCI, living in the greater eThekwini Municipality, KwaZulu-Natal province.
Method: Our quantitative, cross-sectional study had a convenient sample of 41 PWSCI. A trained interviewer obtained socio-demographic information using a structured questionnaire. Participants completed the Reintegration to Normal Living Index (RNLI). Descriptive statistics were used in summarising the data; inferential statistics, -a t-test and analysis of variance (ANOVA) assessed the association of clinical and socio-demographic factors with the extent of community reintegration. A multiple linear regression investigated the determinants of community reintegration with the alpha level set at p = 0.05.
Results: Mean age of the participants was 41 years (s.d.: 10, range 25-66), with the majority (n = 32, 78%) being male. The mean RNLI score was 68% (s.d.: 22, range 24-100). Participants scored higher on the RNLI if they were male (mean difference [MD] 18%, 95% confidence interval [CI]: 2-34), were employed (MD 16%, 95% CI: 0-32), had a salary (MD 19%, 95% CI: 5-32) and had no muscle spasms (MD 14%, 95% CI: 1-27. Muscle spasms (p = 0.012, 95% CI: 3.85-29.05) and being female PWSCI (p = 0.010, 95% CI: -35.75 to -5.18) were significant negative predictors of community reintegration.
Conclusion: Community reintegration may be influenced by socio-economic factors. Special interventions for muscle spasms and support for women living with spinal cord injuries may enhance community reintegration.
Clinical implication: Therapists need to focus on community reintegration with female PWSCI and on returning to PWSCI to work as this was improved community reintegration.