Need for Rehabilitation Services for Elderly living in Old Age Homes in Bangladesh : a cross-sectional study.

Abstract

Background: Aging is an unavoidable process associated with various physical, psychological, and social changes. The elderly population in Bangladesh is rapidly increasing. Ageing leads to functional limitations, mental health issues, and social isolation, underscoring the need for targeted interventions. Aim: The study aimed to identify the need of rehabilitation services among elderly people living in old age homes in Bangladesh Methodology: This study was conducted by the quantitative approach with a cross- sectional design and convenience sampling. Data was collected through a face-to-face survey among 67 participants aged 60 and above from five old age homes by using a standard questionnaire (FSQ). Data was processed by using SPSS software v25. The data were analyzed using descriptive statistics and inferential tests (Mann-Whitney U test and Kruskal-Wallis test) to identify significant comparison between sociodemographic factors and functional status. Result: Among the 67 elderly people, 98.5% of participants were in the "warning zone" for physical functioning, and 100% were in the "warning zone" for social activities. Psychological health was more balanced, with 56.7% reporting good mental health. Only 22.4% had accessed rehabilitation services previously, but 94% were willing to use them if available. A significant association was observed between rehabilitation awareness and better outcomes in intermediate ADLs, work performance, and social activities. Additionally, the use of assistive devices was linked to better physical performance. Conclusion: The findings indicate a critical need for rehabilitation services for elderly individuals in old age homes in Bangladesh. The majority of elderly residents experience significant physical, psychological, and social challenges that hinder their functional independence. The present study emphasizes the necessity of developing targeted rehabilitation programs aimed at enhancing quality of life and functional independence in these elderly residents. Increased awareness and access to rehabilitation services are essential for addressing these needs. Keywords: Functional status, Rehabilitation, Elderly, Old home, Bangladesh.