Masters Degrees (Occupational Therapy)

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Browsing Masters Degrees (Occupational Therapy) by Author "Kloppers, Maatje"

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    Die uitkomste wat fisies-gestremde kliënte bereik deur hul deelname aan rehabilitasie by ‘n gemeenskapsrehabilitasiesentrum in die Wes-Kaap
    (Stellenbosch : Stellenbosch University, 2012-12) Kloppers, Maatje; Pretorius, Blanche; Vlok, Elizabeth Daphne; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Occupational Therapy.
    ENGLISH ABSTRACT: Despite the existence of many guidelines for rehabilitation services both internationally and in South Africa, there is a need for a uniform format for the measurement and reporting of outcomes reached by clients utilising these services. Traditionally, statistics on client numbers fail to report actual outcomes attained by clients. Aim: This aim of the study was to describe the outcomes achieved by clients after participating in rehabilitation at the Bishop Lavis Rehabilitation Centre (BLRC) over a three month period. It was done by describing clients’ function according to the World Health Organisation’s International Classification of Function (ICF) model, and included both the environmental and personal factors impacting on an individual’s function. Method: The study employed a descriptive design and used six measuring instruments which exceeded acceptable test-retest requirements to gather data from within the framework of the ICF Model. A field worker was trained to administer the majority of instruments which were pilot-tested for pre and post-test purposes. A sample of 78 clients who met the inclusion criteria was selected from the five main diagnostic categories seen at the BLRC. All clients were 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 the rehabilitation experience. Data on the impact of various demographic and environmental factors on function was also gathered and statistically analysed in conjunction with the qualitative data obtained from the interviews in order to identify the rehabilitation outcomes achieved by the clients included in this study. Results: Clients reported a statistically significant decrease in the impact of disability on their function, with ‘mobility’ emerging as the aspect of function which improved the most after rehabilitation. The effect of most demographic and environmental factors investigated were 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 factor to the improvement in their function, and generally expressed a positive attitude toward the rehabilitation experience. Recommendations based on the results of this study are presented to inform governing bodies involved in rehabilitation in South Africa.