Department of Occupational Therapy
http://hdl.handle.net/123456789/4
2024-03-29T06:24:35ZLevel of community re-integration after rehabilitation services for patients with guillain barre syndrome: a cross-sectional study
http://hdl.handle.net/123456789/976
Level of community re-integration after rehabilitation services for patients with guillain barre syndrome: a cross-sectional study
Chowdhury, Wali Ullah
Background: Guillain-Barre Syndrome (GBS) is a rare neurological condition that
impairs a person's ability to participate in their daily activities physically and socially.
The majority of patients made a full recovery after post rehabilitation, but some of them
persistent symptoms and psychosocial problems that made daily tasks challenging and
had a significant negative impact on a patient's individual’s life and community
participation.
Aim: The aim of the study is to identify about the level of Community re-integration
after Rehabilitation services for Patients with Guillain Barre Syndrome.
Methods: A cross-sectional study of the quantitative research design was carried out
by using telephone survey among the 121 participants who received rehabilitation
services from the CRP and currently living in the community for at least 12 months.
Outcome measures through Craig Handicap Assessment and Reporting Technique
Short Form (CHART-SF) scale to identify about the community reintegration level.
The Mann-Whitney test and the Kruskal-Walli’s test was used for data analysis.
Results: The mean and standard deviation scores for each CHART-SF, the following
domains, participants displayed higher community reintegration scores. physical
independence (96.21 ± 13.94) and cognitive independence (95.33 ± 15.20). Followed
by social integration (73.04 ± 30.06), economic self-sufficiency (72.58 ± 37.14),
occupation (64.06 ± 36.40) and mobility (53.81 ± 23.64) domains. Occupation,
mobility, social integration, and economic self-sufficiency are seeing major declines in
CHART-SF score. Gender and occupation, social integration domains, age and physical
independence, mobility, occupation, social integration domains, occupational status
and cognitive independence, mobility, occupation, economic self-sufficiency domains,
education and economic self-sufficiency domains, and duration of rehabilitation and
physical independence, economic self-sufficiency domains were all found to have
statistically significant differences.
Conclusion: A significant proportion of the individuals were able to go back to
occupation, mobility independence and reintegrated into the society. Therefore,
community-based rehabilitation should be emphasized on patient’s quality of life,
mobility and ability to return to their occupation.
Keywords: GBS, Rehabilitation, Community Re-integration.
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh
2022-02-15T00:00:00ZLevel of resilience of amputation patient: a cross sectional study
http://hdl.handle.net/123456789/975
Level of resilience of amputation patient: a cross sectional study
Mithila, Tasmim Jahan
Background: Amputation of the limbs has been reported to a significantly stressful event for an individual. Adjusting to life after an amputation can be challenging, but many people enjoy a good quality of life once they have managed to adapt. Whereas, resilience gives people the emotional strength to cope with trauma and adversity. Resilience is the ability to adjust to difficult situations. It indicates that when stress, adversity or trauma strikes, we still experience anger, grief and pain, but we're able to keep functioning both physically and psychologically. If we lack resilience, we might dwell on problems, become overwhelmed or turn to unhealthy coping mechanisms. This study focused on level of resilience of amputation patient to investigate that how their level of resilience.
Aim: The aim of the study is to explore how the level of resilience of amputation patient.
Methodology: The study design was cross sectional. Data was collected from the amputation patient who come to Centre for the Rehabilitation of the Paralyzed (CRP), Savar, Dhaka. A field test was accomplished before starting the data collection with 3 participants. 70 participants recruited through non-random sampling (convenience sampling) by a structure questionnaire Connor Davidson Resilience Scale 25 (CD- RISC-25) with face-to-face interview. Data was analyzed by using Statistical Package for Social Science (SPSS), version 26.
Result: Among 70 participants 88.6% was male and 11.4% was female and between them most of the participant’s was lower limb amputee about 91.4% and 4.3% upper limb amputee. Most of the participants about 47.1% age range were 18-29 years,
Abstract
among them 24.3% participants were unemployed and 18.6% participants were student. About 24.3% monthly income was 1-10 thousand. Concerning resilience scale score most of the participants seemed to lower level of resilience. Among the participants, 55.7% participants resilience score ranged from 0-73 this indicates that they are in lowest quartile. It apprise that most of the participants are less resilient as they are in lowest quartile.
Conclusion: This study contributes to the current body of knowledge about resilience. The findings of the study suggest that the amputation patient resilience level is lowest which is indicate that they are least resilient.
Key words: Amputation, Resilience
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2022-02-15T00:00:00ZExperience of participating in accessible garden of persons with spinal cord injury: a qualitative study
http://hdl.handle.net/123456789/974
Experience of participating in accessible garden of persons with spinal cord injury: a qualitative study
Akter, Taslima
Background: Spinal Cord Injury (SCI) patients have suffered from not only physical issues but also, they suffered from mental and psychosocial issues. SCI also affects a person's familial and social life. Occupational Therapist has an important role to engage a person with SCI in productivity and leisure activities as well as improving their psychosocial well-being. Persons with SCI can become independent financially and their disability-related mental stress can be relieved by performing gardening activities.
Aim: This research aimed to explore the experience of participating in accessible gardens of persons with Spinal Cord Injuries in Bangladesh.
Methods: This study was conducted with the phenomenological approach of qualitative research design. Eight persons with SCI participated in this study who were admitted to CRP, Bangladesh, and engaged in CRP's garden activities. Both paraplegic and tetraplegic participants were in this study. A face-to-face semi-structured interview guide was used to collect data from the participants. Data were analysed by thematic analysis following Braun and Clarke's six steps.
Results: Eight main themes have emerged from the data analysis including Understanding about accessible garden, Components of the accessible garden, Motivation about gardening, Preference, Usefulness during rehabilitation, New experience after gardening, Difficulties during gardening, and participant's opinion about garden. Participants found the garden accessible to them which was the precondition to be experienced the garden as beneficial. Gardening as leisure was a common view amongst participants, while income
source was the most important thing for people with SCI. The major finding was that working in this garden was meaningful activity for the participants when they saw that they grew some vegetables with their own hands. The most important opinion of the participants regarding garden is that gardening is an effective leisure activity for people with SCI and that it should be done from ward level and should be done regularly.
Conclusion: The study found that gardening activities are beneficial for physical and mental health, and can be used as an additional setting for training people with SCI. It can support productive work, fulfilment, independence, and meaningful work. Health professionals need to plan an effective gardening program to ensure a better experience.
Keywords: Spinal Cord Injury, Participation, Accessible garden
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2022-02-15T00:00:00ZBullying experience of adolescents with disabilities from the parents’ perspective: a qualitative study
http://hdl.handle.net/123456789/973
Bullying experience of adolescents with disabilities from the parents’ perspective: a qualitative study
Akter, Tanzina
Background: Bullying is a significant and widespread problem all around the world. Adolescents with disabilities (AWD) experience bullying at statistically higher rates and are more likely to be targeted than their peers without disabilities. Despite the seriousness of the problem, there are not enough efficient interventions or population empowerment initiatives. However, barely any study has been done regarding this issue in Bangladesh.
Aims: The study aimed to explore bullying experience of adolescents with disabilities from their parents' perspective.
Methodology: This study was conducted by the phenomenological approach of qualitative research design. Nine parents of adolescents were included through purposive sampling. Parents of AWD with cerebral palsy, down syndrome and autism spectrum disorder aged 13 to 15 years were selected for the study. The data were collected from three special schools and one inclusive school in Dhaka, Bangladesh. In-depth semi-structured interviews were used to take participants' interviews through a self-developed interview guide. The data were analysed using Braun and Clarke's (2013) six-step thematic analysis process.
Results: Six themes were uncovered about the adolescents' bullying experiences regarding 1) Parental opinion regarding bullying, 2) Different form of bullying, 3) Ways of sharing incidence with parents, 4) Social aspects, 5) Psychosocial aspects, and finally, 6) Coping strategies taken by the parents. The study highlights parental ignorance, safety concern, and psychosocial well-being about bullying events. Parents also revealed how AWD were bullied by peer groups, close relatives, and neighbours based on physical appearances,
unique intelligence, superstition of community people, and the influential social status of parents.
Conclusions: Bullying has a significant effect on the well-being of AWD and their parents, which emphasises the need for parental education and experts to combat this adverse issue. To ensure equal opportunity for AWD, occupational therapists should facilitate preventive strategies and anti-bullying programs by maximising advocacy at several levels among AWD, parents, special educators, the community, and policymakers.
Keywords: Bullying, experience, victimization, adolescents with disabilities, autism, cerebral palsy, down syndrome, parents, perception.
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
2022-02-15T00:00:00Z