Publication: Change in quality of life of disabled patients after intensive inpatient rehabilitation at Siriraj Hospital
Issued Date
2011-10-01
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01252208
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2-s2.0-84855544660
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.94, No.10 (2011), 1245-1251
Suggested Citation
Teerada Ploypetch, Piyapat Dajpratham Change in quality of life of disabled patients after intensive inpatient rehabilitation at Siriraj Hospital. Journal of the Medical Association of Thailand. Vol.94, No.10 (2011), 1245-1251. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/12276
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Title
Change in quality of life of disabled patients after intensive inpatient rehabilitation at Siriraj Hospital
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Abstract
Objective: To compare the quality of life (QOL) before and after intensive rehabilitation of disabled patients and to examine the factors associated with the change in QOL. Material and Method: A retrospective chart review of 200 disabled patients who were admitted for intensive rehabilitation between 2006 and 2009. The Thai abbreviated version of World Health Organization quality of life (WHOQOL-BREF-THAI) was used to assess QOL. Demographic data, physical and psychosocial status, Modified Barthel ADL Index (BAI) were collected and analyzed for the association with WHOQOL-BREF-THAI score changes. Results: One hundred seventeen (58.5%) males and 83 (41.5%) females with mean age 55.6 (SD17.9) years old participated in this study. Various principal diagnoses were included; 112 (56%) stroke, 54 (27%) spinal cord injury and 34 (17%) other diagnoses. After the intensive rehabilitation, quality of life perception was improved in 164 (82%) disabled patients. There was significant difference in mean WHOQOL-BREF-THAI scores on admission and at discharge which were 81.3 (SD 11.2) and 85.5 (SD 11.0) respectively with the p-value < 0.001. The mean changed score was 4.2 (SD 8.0). However, four domains of QOL were improved except the social domain. The factors associated with the disabled patients who were non-improved in WHOQOL-BREF-THAI score after rehabilitation were having non-familial caregiver (OR 5.8, 95% CI 2.1 to 16.0) and joint stiffness (OR 4.1, 95% CI 1.7 to 9.9). Conclusion: Intensive inpatient rehabilitation can significantly improve quality of life in the disabled patients with various primary diagnoses. Having joint stiffness prior to rehabilitation and non-availability of familial members for taking care are the factors associated with the poor outcome in QOL perception.