The relationship between occupational performance and well-being of stroke survival in selected Rehabilitation Centre of BANGLADESH

Abstract

Background: Stroke is a remarkable event that frequently imposes severe physical, cognitive and social limitations. Many stroke survivors experience lasting difficulties in managing the challenges of everyday life. Occupational Therapy is a patient centered health care profession which focuses on occupational performance and the well-being of an individual. In order to further the development of more efficient rehabilitation programs promoting performance on their occupational life after stroke, more knowledge on factors indicating the likelihood of occupational performance after stroke and on the relationships between occupational performance and personal well-being is needed. Purpose: The purpose of the study is to identify the level of occupational performance and well being of stroke survivor and investigate the relationship between occupational performance and well-being. Investigator also gather the socio demographic information of stroke survival and find out their association with occupational performance and well being. Methodology: The prospective cross sectional study was used to carry out the research aim and objectives. The investigator has been used purposive sampling procedure and select the sample n=120 patients to evaluate occupational performance and wellbeing. Occupational performance and well-being were investigated with Occupational SelfAssessment Version 2.2 and the Personal Well-being Index-Adult. Chi-squared test was used to determine the association of demographic factors with both occupational performance and well being. Spearman correlation analysis was used to identify the relationship between occupational performance and well-being. Result: The result section had shown the general socio demographic characteristics of the study participants. 50-69 years adult group of people was mostly suffered from stroke. In this study mean age was 53.30 years and standard deviation 12.426. There were no marked differences to occurrence for stroke in rural and urban area, but study showed marked differences result in the family system between nuclear and extended. Participants experienced more ischemic rather than hemorrhagic stroke. There are no significant association between demographic and clinical factors with occupational XIII performance and well being. Overall occupational performance of the participants were just well. In case of Well being, the overall satisfaction of participants were average. In Occupational performance “Getting along with others” and “Relaxing and enjoying myself” was scored highest among the 21 myself items. Among the “My Environment” items, “People who support and encourage me” and “People who spend time and share interest with me” showed highest scores. Among the 8 items of the Personal Wellbeing Index-Adult, “Spirituality/ Religion” and “Personal relationships” showed highest satisfaction. A significant positive relationship was found in between Well-being and Occupational performance. Conclusion: In this study, Occupational Performance and Well-being were measured in stroke patients through client-centered self-report questionnaires. A significant positive relationship between Occupational Performance and Well-being was indicated based on analysis of the questionnaires. After stroke communicating with others, time passing and relaxing doesn’t bother too much. They reported that taking care of self, others, family is very important to them to lead a successful life. After experiencing stroke most people seem to be happy with their religion and their personal relationship. But they seem to be very unsatisfied with their health condition. Keywords: Occupational performance, Occupational self-assessment, Well-being