MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN QUÁ TRÌNH PHỤC HỒI CHỨC NĂNG VÀ KHẢ NĂNG TIẾP CẬN DỊCH VỤ ẢNH HƯỞNG ĐẾN KẾT QUẢ PHỤC HỒI Ở NGƯỜI KHUYẾT TẬT VẬN ĐỘNG TẠI THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objectives: To determine the associations between process-related factors, access to healthcare services, and rehabilitation outcomes among people with mobility disabilities in Ho Chi Minh City. Materials and methods: A cross-sectional descriptive study was conducted on 372 people with mobility disabilities participating in a rehabilitation training program under the disability support project in Ho Chi Minh City. Results: Improvements in independent living function measured by the Functional Independence Measure (FIM) differed significantly among clinical diagnosis groups (p = 0.001). Improvement in spasticity assessed by the Ashworth scale was significantly associated with awareness of the need for rehabilitation (p = 0.007) and the distance from home to the nearest rehabilitation healthcare facility (p = 0.003). Improvement in muscle strength assessed by the Medical Research Council (MRC) scale was significantly associated with patients’ self-training according to professional guidance (p = 0.003). Family support and caregiver-related factors were not significantly associated with rehabilitation outcomes. Conclusions: Process-related factors and access to healthcare services significantly influence rehabilitation outcomes among people with mobility disabilities, highlighting the need for comprehensive community-based medical management.