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首页> 外文期刊>Filaria journal >Physical disability and psychosocial impact due to chronic filarial lymphoedema in Sri Lanka
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Physical disability and psychosocial impact due to chronic filarial lymphoedema in Sri Lanka

机译：斯里兰卡因慢性丝状淋巴水肿而造成的身体残疾和社会心理影响

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Background Information on the physical and psychosocial disability of lymphatic filariasis in Sri Lanka is scarce. Therefore this study was carried out to describe the physical disability and psychosocial impact associated with chronic lymphoedema in patients attending filariasis clinics in the Colombo district, Sri Lanka. Methods Four hundred and thirteen patients with lymphoedema of limbs attending filariasis clinics in Werahera and Dehiwala in the Colombo district were enrolled in the study after obtaining informed written consent. Data were collected using a pre-tested, interviewer-administered questionnaire and analyzed using SPSS. Results Majority (95%) of patients had lower limbs affected and there was a significant association with difficulty in walking (p = 0.023). The swollen limb affected the work of 87 (52 %) of employed patients and 26 persons reported loss of job. Approximately 25 % and 6 % reported having problems interacting with the community and family, respectively and 8.7 % felt that they were rejected by society. The swollen limb was perceived as a major problem by 36.8 % of patients. Of the married persons, 5.7 % and 6.2 % reported sexual and marital problems respectively, due to their swollen limb/s. Of those who had marital problems, 77.3% reported sexual problems as well (p < 0.001). Conclusion Lymphoedema significantly affects physical, psychological and social functioning in affected individuals. Morbidity control, in addition to control of physical disability, should target the psychosocial consequences.
机译：斯里兰卡关于淋巴丝虫病的生理和心理残疾的背景信息很少。因此，本研究旨在描述在斯里兰卡科伦坡区的丝虫病诊所就诊的慢性淋巴水肿患者的身体残疾和心理社会影响。方法在获得知情同意书后，在科伦坡地区Werahera和Dehiwala的丝虫病诊所就诊的413名四肢淋巴水肿患者入选本研究。使用预先测试的，由访调员管理的问卷收集数据，并使用SPSS进行分析。结果绝大多数（95％）患者的下肢受到影响，并且与行走困难之间存在显着相关性（p = 0.023）。肢体肿胀影响了87名（52％）受雇患者的工作，有26人报告失业。分别有大约25％和6％的人表示与社区和家庭的互动存在问题，而8.7％的人认为他们被社会排斥。 36.8％的患者认为肢体肿胀是主要问题。在已婚者中，有5.7％和6.2％的人因肢体肿胀而出现了性和婚姻问题。在那些有婚姻问题的人中，也有77.3％的人报告了性问题（p <0.001）。结论淋巴水肿显着影响受影响个体的身体，心理和社交功能。除控制身体残疾外，发病率控制还应针对心理社会后果。

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