Level of participation of stroke survivors in their community after receiving occupational therapy service

Abstract

Background: Many stroke survivors do not perform their daily living activity in community after stroke. Because stroke affects the person‟s ability to perform those. It restricts their activity participation and also has a great impact on their quality of life. Objective: The study identified participation level in the community settings in the perspective of occupational area of stroke survivors, association between demographic factor and different occupational area and the participation barrier in the aspect of different functional area. Methodology: The study was conducted through cross-sectional design in quantitative study among 83 stroke survivors who were selected from Dhaka district. Participants were selected by using purposive sampling process. Data were collected by conducting face to face interview and used the “Impact on Participation and Autonomy Questionnaire” (IPAQ). Result: Participation level in the community settings in the perspective of occupational area of stroke survivors were fair according to (IPAQ) questionnaire. Perceived restrictions in participation were most prevalent in the domain of activity in and around the house (10.10±4.283), paid or voluntary work (9.03±4.294), social life and relationships (7.40±3.670), (7.00±3.071) and self-care 6.60±2.991). There was significant association between participation domain and stroke duration like as selfcare (p<.043) and looking after your own money (p< .018). On the other hand there is seen significant association between participation domain and rehabilitation month and it was looking after own money (p<039). Conclusion: The result of the study will be helpful to know about activity participation among all stroke survivors in different circumstances. It is very essential to address their participation restriction and activity experiences during rehabilitation period. It hampers their level of participation in community if the restrictions are not addressed properly. Key words: Stroke, Participation level in community, Occupational therapy