title: Community reintegration and related factors in a Nigerian stroke sample.
abstract: BACKGROUND
  The goal of stroke rehabilitation has shifted from mere survival of a victim to how well a survivor can be effectively reintegrated back into the community.
  
  
  OBJECTIVE
  The present study determined the level of satisfaction with community reintegration (CR) and related factors among Nigerian community-dwelling stroke survivors (CDSS).
  
  
  METHODS
  This was a cross-sectional survey of 71 volunteering CDSS (35 males, 36 females) from selected South-Eastern Nigerian communities. Reintegration to Normal Living Index was used to assess participants' CR. Data was analysed using Spearman rank-order correlation, Kruskal-Wallis and Mann-Whitney U tests at p≤0.05.
  
  
  RESULTS
  Participants generally had deficits in CR which was either mild/moderate (52.1%) or severe (47.9%). Scores in the CR domains of distance mobility, performance of daily activities, recreational activities and family roles were particularly low (median scores ≤ 4). CR was significantly correlated with and influenced by age (r=-0.35; p=0.00) and presence/absence of diabetes mellitus (u=3.56.50; p=0.01), pre- (k=6.13; p=0.05) and post-stroke employment (k=18.26; p=0.00) status, type of assistive mobility device being used (AMD) (k=25.39; p=0.00) and support from the community (k=7.15; p=0.03) respectively.
  
  
  CONCLUSIONS
  CR was generally poor for this CDSS sample. Survivors who are older, having diabetes as co-morbidity, using AMD (particularly wheel-chair) and without employment pre- and/or post-stroke may require keener attention. Rehabilitation focus may be targeted at enhancing mobility functions, vocational and social skills.
authors.affiliation: Nnamdi Azikiwe University, Medical Rehabilitation.
authors.forename: Christopher
authors.initials: C
authors.lastname: Akosile
authors.affiliation: Nnamdi Azikiwe University, Medical Rehabilitation.
authors.forename: Chioma
authors.initials: C
authors.lastname: Nworah
authors.affiliation: Nnamdi Azikiwe University, Medical Rehabilitation.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Okoye
authors.affiliation: University of Ibadan, Department of Physiotherapy.
authors.forename: Babatunde
authors.initials: B
authors.lastname: Adegoke
authors.affiliation: Nnamdi Azikiwe University, Medical Rehabilitation.
authors.forename: Joseph
authors.initials: J
authors.lastname: Umunnah
authors.affiliation: University of Ibadan, Department of Physiotherapy.
authors.forename: Ayodeji
authors.initials: A
authors.lastname: Fabunmi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services; D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires; D017741:Survivors
keywords: Community reintegration; associated factors; post-stroke