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Objective:To explore the characteristics and the influential factors of unmet needs and services development of rehabilitation for people with extremely severe hearing disability (PSHDs). Methods:A total of 90 052 PSHDs were included. Multiple response was used to analyze the characteristics of unmet needs and services of rehabilitation. The structural equation model of the received service and unmet needs of PSHDs was developed. Results:The reporting rate of unmet needs of rehabilitation for PSHDs, from high to low, were assistive devices (61.5%), nursing care (24.1%), medicine (23.4%), functional training (17.6%) and surgery (2.5%). The reporting rate of received service for PSHDs, from high to low, were assistive devices (58.3%), nursing care (24.4%), medicine (22.4%), functional training (22.0%) and surgery (2.2%). Structural Equation Model showed that the more services received, the more needs for cochlear implantation surgery and speech therapy (P < 0.001); the better family income situation, the more needs for cochlear implantation surgery (P < 0.001); and age factor had significant effects on the unmet needs of cochlear implantation surgery and speech therapy (P < 0.001). Conclusion:PSHDs reported unmet needs and received services mainly included assistive devices, nursing care, medicine and functional rehabilitation training. Those PSHDs who had received services would report more demand of unmet needs, supposed that improving the accessibility and coverage of services should be emphasized in the development of rehabilitation services. According to ICF model, on the basis of the characteristics of the unmet needs of PSHDs, it proposed to take measures to implement precise rehabilitation services to improve the quality of services.
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@#Objective To investigate the needs and service of rehabilitation for people with psychatric disability and influential factors to support the development of rehabilitation services for them. Methods The Administration Data of 2016 Basic Service Status and Needs of People with Disabilities in Henan Province were analyzed. Results The people with psychatric disability reported rehabilitation needs in mainly the medical rehabilitation, functional training and assistive products. The highest rate of need was medical rehabilitation (58.99%) and the lowest need was functional training (10.08%). There were significant differences in the rehabilitation needs for the people with psychiatric disability in ages, genders, household registration, levels of disability, levels of education, employment, household income, poverty and registration of poverty. Rehabilitation services for the people with psychiatric disability included medical rehabilitation services, functional training services and assistive products services. The reported rate of access was medical rehabilitation services (25.82%, highest), and the assistive products services (3.06%, lowest ). There were significant differences in rate of access in their household registration, levels of disability, levels of education, employment, household income, poverty and registration of poverty. Furthermore, family in poverty, lack of knowledge, traffic inconvenience and other factors also influenced the access of rehabilitation services for the people with psychiatric disability. Conclusion The needs of rehabilitation is high for people with psychiatric disability, especially in the field of medical rehabilitation. There were factors influencing the access of rehabilitation, including genders, household registration, and levels of disability, etc. The access rate of rehabilitation is low, including the medical rehabilitation. There were other influential factors including family economic status and transportation. It is proposed to improve the reported rate of rehabilitation needs, and the coverage, quality and efficiency of rehabilitation services for people with psychiatric disability.
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@#Objective To investigate the needs and service of rehabilitation status of the people with intellectual disability, to support rehabilitation service for them. Methods A total of 167,872 cases with intellectual disability from the Administration Data of 2017 Basic Service Status and Needs of People with Disabilities in Henan Province were analyzed and rehabilitation needs included medical service and support, assistive productions, and rehabilitation training. Results 56.4% of the people with intellectual disability reported their rehabilitation needs. The rehabilitation needs were different with their ages, levels of disability and household registration (χ2 > 976.42, P < 0.001). Only 19.0% of the people with intellectual disability accessed rehabilitation services, and the influential factors included demographic variables, family economic status, transportation, knowledge and information, etc. Conclusion There are huge needs of rehabilitation services for the people with intellectual disability needed to be tailored. It is necessary to increase the supply of rehabilitation services using approach of precise rehabilitation, and improve the quality of rehabilitation services.
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@#Objective To investigate the rehabilitation needs and technical support for people with disabilities in rural areas. Methods From October, 2017 to February, 2018, 800 persons with disabilities, aged five to 80 years, from 23 villages in five township, Xi'an, Shaanxi, were surveyed with self-designed questionnaire and interview, including the basic situation, disability and training plan, rehabilitation support and skills maintained. Results The persons were mainly aged 50 to 80 years (58.37%), male (65.37%), accepting middle school education or less (46.63%), married (70.63%), living with their family (77.38%), income less than 2000 Yuan (66%), mainly from their family labor (62.62%). Their disabilities were mainly of grade 3 (40.63%), from hemiplegia (30.63%), dependence in living (45.38%), and no systematic rehabilitation program (55.25%). Most of them needed rehabilitation of self-care (40%), accessible guidance (30.63%) and reimbursement from medicare of Rural Cooperative Medical Scheme (50.63%), and hoped to participate social activities (41.87%). The rehabilitation supports were as that: the rehabilitation services were mobile or none (67.58%), the guiders of rehabilitation were few or none (48.88%), knew some or less rehabilitation knowledge (64.25%), the professionals accepted no continue education training (40%).Conclusion It is important to improve the rehabilitation technical support system for rural people with disabilities.
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Objective To explore the rehabilitation needs of people with disabilities and the related factors,so as to provide a scien-tific basis for the rehabilitation policy-making for people with disabilities. Methods From June,2014 to July,2015,based on the national special survey of basic services and needs of people with disabilities in Jiangsu,China,this paper clarified the factors related with the rehabilitation needs of the disabled into the individual characteristics, economic characteristics, environmental characteristics and so on by the de-scriptive statistics method. The Logit model was established to explore the factors related with rehabilitation needs. Results In Jiangsu,43% people with disabilities aged 16 and above had rehabilitation needs.Contingency table analysis and Chi square test showed that individual characteristics,economic characteristics and environmental character-istics had significant impact on the rehabilitation needs of the disabled.Multiple regression analysis showed that all the 18 variables were the significant related factors. Conclusion In order to meet the rehabilitation needs of the disabled, the refined and precise rehabilitation program should be designed in line with the different characteristics of the disabled.Through the effective docking of sup-plies and needs,we can provide accurate rehabilitation services for the disabled.
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Objective To explore the unmet needs and service of rehabilitation for Chinese people with disabilities. Methods The unmet needs and services of rehabilitation data from the Second National Sample Survey of Disability and 2006-2016 Statistical Bulletin on the De-velopment of People with disabilities in China issued by China Disabled Persons Federation had been analyzed. Results The unmet needs of rehabilitation for people with disabilities in China were mainly included health care and support, assistive devices, rehabilitation therapy and services, poverty alleviation, accessible facilities, accessible information, and other rehabilitation needs. The highest rate of unmet needs of rehabilitation was in the fields of health care (34.84%) and poverty alleviation (33.25%). There were significant differences in unmet needs of rehabilitation among people with different types of disabilities (χ2=40322.1, P<0.01). For all the types of disabilities, 41.46%had not re-ceived any service and support, 30.45%received health care and support, and 0.55%received accessible information. The main approaches recommended by professionals for people with disabilities were institutional rehabilitation, and community and family based services. The main services recommended by professionals to people with psychiatric (68.18%) or visual disabilities (60.28%) were health care, to people with hearing disability (51.67%) were assistive device, and to people with intellectual (57.36%) and speech disability (47.06%) were rehabil-itation therapy and training. There were significant differences both in rehabilitation approaches and contents among people with different types of disabilities preferred by professionals (χ2=12489.9,χ2=52528.93, P<0.01). Conclusion The unmet needs of rehabilitation for people with different types of disabilities were mainly included health care and assistance, assistive devices, rehabilitation training and services, and poverty alleviation. There were significant differences among people with different types of disabilities. For service delivery, the highest rate was in health care and assistance. The gap between the service and unmet needs of poverty alleviation for people with disabilities in China was the highest. There were significant differences in rehabilitation approaches and contents recommended by professionals among people with different types of disabilities. It was recommended to construct the national and local system of policy support system and rehabilita-tion service governance, to provide precision rehabilitation services based on the unmet needs of rehabilitation, to develop the comprehen-sive rehabilitation service delivery to achieve the goal of rehabilitation for all, and to conduct scientific research on rehabilitation by using International Classification of Functioning, Disability and Health to provide evidence and support for the development of rehabilitation.
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Objective To research the unmet needs and services of rehabilitation for people with physical disabilities in rural areas in Henan, China. Methods The data of 2016 Basic Service Status and Unmet Needs for People with Disabilities in Henan, China were ana-lyzed. Results A total of 1,028,598 people with physical disabilities from all 19 cities had been surveyed, accounting for 61.7% male. In terms of rehabilitation needs, there were 19,348 (1.9%) responsed surgery, 202,855 (19.7%) responsed medical treatment, 197,592 (19.2%) responsed functional training, 360,754 (35.1%) responsed assistive products, and 158,012 (15.4%) responsed nursing, there were significant differences in the number of people who needed rehabilitation among different disability levels (χ2>18.080, P15.920, P19.182, P<0.001). Con-clusion The unmet needs and services of rehabilitation for people with physical disabilities in rural areas in Henan were explicated. It recom-mended to train rehabilitation professionals and improve the service delivery capacity, to raise awareness, increase investment in rehabilita-tion services and provide reasonable accommodation for people with disabilities.
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Background: In India, Families are primary care givers of individuals with chronic mental illness such as Schizophrenia, However these caregivers needs to be assessed along with their ill relative to understand the care giving process. Aim: To get acquainted with the rehabilitation needs of persons diagnosed to have Schizophrenia and their care givers while correlating with disability quantified. Specific Objectives: (i) To assess the level of disability in the area of self care, interpersonal activities communication and understanding, work in persons with schizophrenia. (ii) To assess the rehabilitation needs of the persons with schizophrenia and their care givers. (iii) To evaluate the rehabilitation needs based on the level of disability of persons with schizophrenia. Method: Thirty individuals diagnosed to have schizophrenia as per DSMIV\ICD-10 criteria who fulfil inclusion and exclusion criteria were taken up for the study. The data was collected by administering the standardized research instruments such as IDEAS and RNAS. Results: 100 percent of the sample had a need in some area or the other. Majority of the sample (76.66%) had less than 40% disability. Among the need assessment, we found help for the family in terms of family education, group meetings, family burden and distress reduction interventions, interventions to deal with expressed emotion of the family member, were given priority by the majority (96.66%). Conclusion: Psycho social interventions to deal with family burden and distress should go hand in hand while reducing the disability of the patient. Impact on the family should be taken care for better care giving process and all the care givers require family interventions despite of variation in level of disability in their ill relative.
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Introduction: The mental and behavioral diseases affect in loneliness and discrimination of elderly people and mostly reduce the quality of life of elderly people compared to injury and accidence. Wulf Rossler, Switzerland mentioned that all kinds of mental diseases require long term care, especially rehabilitation. In our country, we lack of survey on determining psychosocial rehabilitation needs for the elderly, therefore it became the background of the research. Goal: Determine the psychosocial rehabilitation needs of Mongolian elderly people Method and materials: The research was carried out by cross sectional method. In the research was involved 1207 elderly, who are retired, of which 60 and over for male and 55 and over for female from one cluster of each economic and geographic regions of Mongolia. The research was conducted by using Geriatric depression test, Spielberg Hanin test to reveal anxiety, Mini mental examination test to assess the cognitive status and AUDIT test to evaluate the alcohol usage. The diagnoses were put according to ICD-10 based on geriatric examination. Results: Out of survey involved 1207 elderly, 32.5 percent (392) referred to men, 67.5 percent (815) to women, and their mean age was 68.1±8.1 (68.9±6.5 in male and 65.7±8.5 in female). While 473 elderly were from Ulaanbaatar city, 734 of them were from 4 regions of countryside. In terms of mental and behavioral diseases, anxiety and depression were prevailing among Mongolian elderly. Thirty eight point five percent of survey involved elderly investigated to have depression and 44 percent - anxiety. Moreover, dementia was found 36 and sleep disorder 28 per 1000 elders. Twenty three point six percent of elderly had slight cognitive impairment, 13.9 percent moderate cognitive impairment, while 2.1 percent had severe cognitive impairment. The cognitive impairment is differed in terms of region. The moderate cognitive impairment predominantly revealed in mountainous and eastern regions, while the severe cognitive impairment was prevailing in central and eastern regions. Due to classification of needs of elderly into medical, financial and other needs, found that, 37 percent of elderly required medical, 33 percent financial and 37 percent other needs. In terms of psychosocial needs, 30.4 percent wanted to have a place for spending free time, 23.9 percent to make new friends and 6.1 percent to hire a job. Also 4.4 percent of elderly had a need of having a caregiver. Conclusions: 1. Out of mental and behavioral diseases, anxiety (38.5 percent) and depression (44 percent) were prevailing among elderly. 2. Each Mongolian elderly had need of 1-2 psychosocial needs. 3. All kinds of psychosocial rehabilitation including the medical, adaptation enhancing and social rehabilitation are equally required for the elderly people.
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To study the rehabilitation needs of severely mentally ill person and to ascertain the efficacy of intervention strategies to meet out these needs, a group of 50 severely mentally ill persons, 25 each in experimental and control group as per proposed inclusion and exclusion criteria were selected from indoor and out patient clinic of IHBAS as sample of the study. Intervention package used in the study included psycho-education, activity scheduling and social skill training. To see the effect of intervention parameters used were symptom reduction, disability remediation, subjective wellbeing and dysfunction in social, family, personal, vocational and cognitive areas. Rehabilitation need assessment schedule, Mini Mental Status Examination, Positive and Negative symptom scale, Disability Assessment Schedule, Subjective well being Inventory and Dysfunctional Analysis Questionnaire were administered to collect desired data twice in the pre and post intervention phases. Pre assessment followed intervention sessions conducted for the experimental group for eight weeks duration. During this period control group subjects were waitlisted for this intervention. Results indicated that intervention is effective in symptom reduction, disability remediation, improving subjective well being and functioning in personal, social, family and cognitive areas.
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Adaptação Psicológica , Humanos , Índia , Pessoas Mentalmente Doentes/reabilitação , Pessoas Mentalmente Doentes/terapia , Escalas de Graduação Psiquiátrica , Teoria Psicológica , Apoio SocialRESUMO
@# ObjectiveTo investigate the needs and services of rehabilitation for persons with disabilities. MethodsThe questionnaires were issued through the journal Disability in China and collected the posted questionnaire to be analyze. ResultsPersons with disabilities have urgently needed rehabilitation, education, employment and barrier free environment reconstruction, yet short of services were supplied. ConclusionBased on the urgent comprehensive rehabilitation needs of persons with disabilities, the rehab-protective system and rehab-service system should be established and perfected in order to improve service quality constantly.
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@#Objective To investigate the rehabilitation needs of people with disabilities in Wuxi. MethodsRehabilitation demands of 74387 people with disabilities in Wuxi were surveyed.ResultsThere were significant differences in rehabilitation needs of the disabled from age and different types of disabilities.ConclusionDisability community-based rehabilitation system should be improved according to different demands of disability.