Physical Therapists' Recognition about Home-Based Rehabilitation Therapy Services

BACKGROUND: We were interested in getting feedback from physical therapists practicing in individualized home health programs about the present situation and the problems of home-based rehabilitation therapy services. METHODS: We recruited 110 physical therapists practicing in individualized home-visiting health programs offered at health centers. They each completed a 15-item self-administered questionnaire including personal information, therapy environments, characteristics of patients, treatment outcomes and suggestions. RESULTS: Of the 110 respondents, 66 (60%) were engaged in home-based rehabilitation therapy services with other duties. Sixty (54.5%) indicated that >25% of patients improved with home-based therapy and 90% of patients were satisfied with the services they received. Eighty-three (75.5%) respondents indicated that the amount of therapy provided was insufficient, 82 (74.5%) thought that there were no measurement tools to use except for the rehabilitation therapy services records and 27 (24.6%) had evaluation meetings with other medical service members for >50% of their patients. CONCLUSION: The majority of the physical therapists in our study indicated that the home-based rehabilitation therapy services satisfied the needs of patients and improved their functional abilities. However, amount of therapy, use of measurement tools for outcome evaluations and comprehensive team approach were indicated as insufficient. We conclude that increasing the number of physical therapists and systematizing the home-based rehabilitation therapy services would improve the present situation.

Alcohol Use in Community-dwelling Persons with Spinal Cord Injury

OBJECTIVE: To investigate the patterns of alcohol use among community-dwelling persons with spinal cord injury (SCI) and compare the results with those from general populations. METHOD: The persons with SCI living in community were recruited. They answered the self-administered questionnaire which was made based on the questionnaire of the third Korea National Health and Nutrition Examination Survey for data comparisons. The questionnaire consisted of the questions about personal information, drinking duration, drinking frequency, drinking amount, and impaired control over drinking. RESULTS: Questionnaires of 340 persons with SCI from twenties to fifties were analysed. The annual and monthly drinking rates of SCI subjects were lower than those of general populations. In male, drinking frequency of SCI subjects was lower than that of general populations. In both male and female, risky drinking rates were lower than those of general populations. The degree of impaired control over drinking of SCI subjects was higher than that of general populations. CONCLUSION: Fewer persons with SCI used alcohol than general populations. But, the degree of alcohol dependence of SCI persons was higher than that of general populations.

The Change in Family Structure and Income for Community-dwelling Patients with Brain Disorders

OBJECTIVE: To find out the changes of the family structure and familial total income of Korean patients with the brain disorders and associated factors. METHOD: A total of 1,903 patients with brain disorders in Korea were enrolled and drew up the questionnaires about their socioeconomic state and family supports, including pre- and post-disorder family structure, compositions of their family income, and employment of caregivers. RESULTS: A 38.2% of subjects experienced the change in numbers of cohabiting family, decrement in 30.3% and increment in 7.9%. Prior to brain disorders, 48.6% of patients earned their living by themselves, but only 2.8% did after brain disorders. Separation and divorce increased, especially three times more in male patients than in females. A 16.6% of patients employed caregivers, and used them 6.2 days per week, 18 hours a day on average. CONCLUSION: This study reemphasized the worsening socioeconomic state of patients with brain disorders and their families. Increasing tendency of social isolation was also noted.