Die uitkomste wat fisies-gestremde kliënte bereik deur hul deelname aan rehabilitasie by 'n gemeenskapsrehabilitasiesentrum in die Wes-Kaap

[摘要] ENGLISH ABSTRACT: Despite the existence of many guidelines for rehabilitation services both internationally andin South Africa, there is a need for a uniform format for the measurement and reporting ofoutcomes reached by clients utilising these services. Traditionally, statistics on clientnumbers fail to report actual outcomes attained by clients.Aim: This aim of the study was to describe the outcomes achieved by clients afterparticipating in rehabilitation at the Bishop Lavis Rehabilitation Centre (BLRC) over a threemonth period. It was done by describing clients' function according to the World HealthOrganisation's International Classification of Function (ICF) model, and included both theenvironmental and personal factors impacting on an individual's function.Method: The study employed a descriptive design and used six measuring instruments whichexceeded acceptable test-retest requirements to gather data from within the framework of theICF Model. A field worker was trained to administer the majority of instruments which werepilot-tested for pre and post-test purposes. A sample of 78 clients who met the inclusioncriteria was selected from the five main diagnostic categories seen at the BLRC. All clientswere evaluated on referral, and again after receiving rehabilitation services for three months.An open-ended questionnaire was also administered as part of the post-test to obtain clients'personal perspective on outcomes reached, as well as their subjective opinion of therehabilitation experience. Data on the impact of various demographic and environmentalfactors on function was also gathered and statistically analysed in conjunction with thequalitative data obtained from the interviews in order to identify the rehabilitation outcomesachieved by the clients included in this study.Results: Clients reported a statistically significant decrease in the impact of disability ontheir function, with 'mobility' emerging as the aspect of function which improved the mostafter rehabilitation. The effect of most demographic and environmental factors investigatedwere perceived as facilitating rather than debilitating to rehabilitative outcomes, with 'faith'reported to be most facilitating and 'monthly income' the most debilitating of all factors.Subjectively, clients perceived their participation in rehabilitation to be a contributing factorto the improvement in their function, and generally expressed a positive attitude toward therehabilitation experience.Recommendations based on the results of this study are presented to inform governing bodiesinvolved in rehabilitation in South Africa.

[发布机构] Stellenbosch University