Measurement of selected domains in people with physical disabilities

Jan Neugebauer, Valérie Tóthová, Jitka Doležalová
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic

Korespondenční autor: Jan Neugebauer (Neugebauer@zsf.jcu.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:12. 5. 2021
Accepted: 3. 11. 2021
Published online: 31. 12. 2021

Summary

Introduction: Physical disabilities include a lot of impairments. In clinical practice, nurses use measurement tools only if they must. In people with physical disabilities, there are many other needs that must be monitored. The risk of pressure ulcers, the risk of falls, level of independence or selfcare, and many other domains can improve the health condition and avoid the development of complications.

Methods: This study is designed as a quantitative cross-sectional study. A non-standardized questionnaire was used to collect data from healthcare facilities. All data were collected in 2019 and statistically evaluated in the SASD and SPSS programs. We collected 1,200 question­naires from all over the Czech Republic.

Results: Nurses very often measure the risk of falls and the risk of pressure ulcers. They also measure the level of self-care, mobility, activity, motivation, and education. Nurses who assess this domain do not continue to work with the results. Nurses who do not provide the evaluation in these domains think it is unnecessary.

Discussion and conclusions: People with physical disabilities have a different hierarchy of their specific needs. Nurses should assess the actual problems and create a specific preventive plan to avoid the development of complications. Our results, show that there are two types of nurses. The first group uses the assessment scales and provide the measurement for many reasons. The second group does not use any assessment scales or provide any measurement because they think it is unnecessary.

Keywords: Healthcare facilities; Measurement; Nursing; Physical disabilities

Literatura

1. Alcantara MA, De Souza RA, De Oliveira FA, Pinhal KC (2020). Using the ICF framework to evaluate the effects of environmental factors on physical disability among people with diabetes mellitus. Physiother Theory Pract 36(3): 424–431. DOI: 10.1080/095939­85.2018.1488191.

2. Altman BM (2014). Definitions, concepts, and measures of disability. Ann Epidemiol 24(1): 2–7. DOI: 10.1016/j.anne­pidem.2013.05­.018.

3. Cheng WLS (2018). The effects of mutual goal-setting practice in older adults with chronic illness. Geriatr Nurs 39(2): 143–150. DOI: 10.1016/j.geri­nurse.2017.07­.007.

4. Damrosch S (1991). General strategies for motivating people to change their behavior. Nurs Clin North Am 26(4): 833–843.

5. Dietz V, Ward NS (Eds) (2020). The International Classification of Functioning, Disability, and Health. Oxford Textbook of Neurorehabili­tation. Oxford: Oxford University Press, pp. 3–8.

6. Dobber J, Latour C, Snaterse M, van Meijel B, Ter Riet G, Scholte Op Reimer W, Peters R (2019). Developing nurses’ skills in motivational interviewing to promote a healthy lifestyle in patients with coronary artery disease. Eur J Cardiovasc Nurs 18(1): 28–37. DOI: 10.1177/147451­5118784102.

7. Dörscheln I, Lachetta R, Schulz M, Tacke D (2013). Nursing patients with learning and physical disabilities in hospital – a systematic literature review. Pflege 26(1): 42–54. DOI: 10.1024/1012– 5302/a000262.

8. Duan W, Mu W, Xiong H (2020). Cross-Cultural Adaptation and Validation of the Physical Disability Resiliency Scale in a Sample of Chinese With Physical Disability. Front Psychol 11: 602736. DOI: 10.3389/fpsyg­.2020.602736.

9. Fasczewski KS, Gill DL, Rothberger SM (2018) Physical activity motivation and benefits in people with multiple sclerosis. Disabil Rehabil 40(13): 1517–1523. DOI: 10.1080/096382­88.2017.1300946.

10. Faught B, Glass CA (2019). Sexuality and Physical Disabilities. Adult-Gerontology Practice Guidelines. New York, NY: Springer Publishing Company.

11. Gonzáles-Seguel F, Corner EJ, Merino-Osorio C (2019). International Classification of Functioning, Disability, and Health Domains of 60 Physical Functioning Measurement Instruments Used During the Adult Intensive Care Unit Stay: A Scoping Review. Phys Ther 99(5): 627–640. DOI: 10.1093/ptj/ pzy158.

12. Koga T (2020). The classification of physical disabilities in the design of products and spaces. Hard Facts About Soft Machines. Boca Raton, FL: CRC Press, pp. 299–316.

13. Kritsotakis G, Galanis P, Papastefanakis E, Meidani F, Philalithis AE, Kalokairinou A, Sourtzi P (2017). Attitudes towards people with physical or intellectual disabilities among nursing, social work and medical students. J Clin Nurs 26(23–24): 4951–4963. DOI: 10.1111/jocn.13988.

14. Madaan H, Gupta S (2021). AI Improving the Lives of Physically Disabled. Proceedings of the 12th International Conference on Soft Computing and Pattern Recognition (SoCPaR 2020). Cham: Springer International Publishing, pp. 103–112.

15. Mankowski RT, Anton SD, Axtell R, Chen SH, Fielding RA, Glynn NW, et al. (2017). Device- Measured Physical Activity as a Predictor of Disability in Mobility-Limited Older Adults. J Am Geriatr Soc 65(10): 2251–2256. DOI: 10.1111/jgs.15037.

16. McCord KA (2017). Physical Disabilities. Teaching the Postsecondary Music Student with Disabilities. Oxford: Oxford University Press, pp. 145–152.

17. Neugebauer J, Tóthová V (2019). Physical disabilities in nursing – the use of selected tools to monitor physically disabled patients’ needs. Kontakt 21(4): 344–351. DOI: 10.32725/kont­.2019.032.

18. Neugebauer J, Tóthová V, Doležalová J (2021). Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice. Int J Environ Res Public Health 18(6): 3226. DOI: 10.3390/ijerph18063226.

19. Nusantara SB, Barida M, Hestiningrum E, Nugraha A (2020). Career planning for physical disability students. KONSELI – Jurnal Bimbingan dan Konseling 7(2): 91–100. DOI: 10.24042/kons. v7i2.6516.

20. Rai SN, Birla H, Singh SS, Zahra W, Rathore AS, Dilnashin H, Singh SP (2019). Pathophysiology of the Disease Causing Physical Disability. Biomedical Engineering and its Applications in Healthcare. Singapore: Springer Singapore, pp. 573–595.

21. Read S, Heslop P, Turner S, Mason-Angelow V, Tilbury N, Miles C, Hatton C (2018). Disabled people’s expe­riences of accessing reasonable adjustments in hospitals: a qualitative study. BMC Health Serv Res 18(1): 931. DOI: 10.1186/s12913–018–3757–7.

22. Riera-Sampol A, Tauler P, Bennasar-Veny M, Leiva A, Artigues-Vives G, De Pedro-Gómez J, et al. (2017). Physical activity prescription by primary care nurses using health assets: Study design of a randomized controlled trial in patients with cardiovascular risk factors. J Adv Nurs 73(9): 2191– 2200. DOI: 10.1111/jan.13318.

23. Salinas-Rodríguez A, Rivera-Almaraz A, Scott A, Manrique-Espinoza B (2020). Severity Levels of Disability Among Older Adults in Low- and Middle-Income Countries: Results From the Study on Global Ageing and Adult Health (SAGE). Front Med (Lausanne) 7: 562963. DOI: 10.3389/ fmed.2020.562963.

24. Shpigelman CN, HaGani N (2019). The impact of disability type and visibility on self-concept and body image: Implication for mental health nursing. J Psychiatr Ment Health Nurs 26(3–4): 77–86. DOI: 10.1111/jpm.12513.

25. Tough H, Siegrist J, Fekete C (2017). Social relationships, mental health and wellbeing in physical disability: a systematic review. BMC Public Health 17(1): 414. DOI: 10.1186/s12889–017–4308–6.

26. Trewin S (2019). Physical Disabilities. In: Yesilada Y, Harper S (Eds). Web Accessibility. London: Springer London, pp. 19–33.