Factors affecting for delay admission in rehabilitation center after spinal cord injury in Bangladesh.

Abstract

Background: Spinal cord injury may be defined as damage of the spinal cord resulting from trauma, disease or degeneration (WHO). This study was conducted to find out which problems are responsible for delay in come to rehabilitation center the context of Bangladesh. Objectives: The aim of this study was to identify the factor affecting in delay admission in rehabilitation center after spinal cord injury in Bangladesh. Methodology: The study design was cross sectional. The sample size was 60 and purposive sampling technique was used for sample selection who was admitted in Centre for the Rehabilitation of the Paralysed (CRP) in Bangladesh which is the largest spinal cord injury rehabilitation center in South Asia. Data was collected by a standard questionnaire and it was analyzed by SPSS software version 16.0. Results: Among 60 spinal cord injury patients, most of the patients were young. The age range are 12-55 years, mean age 31.56(±11.016) years and male 85% (n=51) are predominantly higher than female 15% (n=09). Majority of the participants were came from rural area 72% (n=43) and they were farmer 22% (n=13). Paraplegia was (60%), Tetraplegia was (40%). The result of the study indicated that the patients were come at CRP after long time from their injury onset and most common of delay was lake of awareness low socio economic condition and low educational level. In this study shows that most of the common risk factor for delay admission in this rehabilitation center were do not get information from doctors almost 42% (n=25), 60% (n=36) have various type of transport problem, all of participants 83% (n=50) had financial problem, 65% (n=39) could not come at rehabilitation center for long distance. Conclusion: The study may help to provide awareness among the people of Bangladesh. Most of the spinal cord injury patients come from rural area for this reason transport and distance are big risk factor for coming late or delay admission as a results they become more prone to develop complications are the major factor of mortality and morbidity. And also express the vulnerable cause, occupation which is responsible for the spinal cord injury. After injury a proper rehabilitation is so much important to continue their good quality of life. So SCI rehabilitation can be reduced through taking preventative measure.