Mohd Ariff Sharifudin Wan Rumaizi Wan Husin Aminudin Che Ahmad Nazri Mohd Yusof Mohd Shukrimi Awang



For Muslim patients, illness does not alleviate the obligation to perform religious duties such as prayer. The need for a systematic evaluation of patients’ ability to perform such duties should be highlighted and anticipated. This study aims to develop an objective evaluation scoring system to recognize disability levels of Muslim patients in performing religious physical cleansing and prayer during their illness and improve the deliverance of assistance they need.


Based on observation and critical survey among patients and health care personnel in orthopaedic wards of a tertiary hospital, we identified problems contributing towards patients’ inability to perform religious practices during hospitalization. They can be grouped into five main disabilities, which formed the basis of the scoring system: pain, mobility, extremity involvement, bandage/ cast application, and toileting. The scale ranged from score of 1 (no disability) to 5 (worst ability to perform specific task). Panels of experts involved in face and content validations, as well as pilot testing of the scoring system.


100 patients participated in the study. We evaluated the inter- and intra-observer reliability using intraclass correlation coefficient and Spearman correlation coefficient, respectively. Our analysis provided good results for inter-observer agreement and reliability, and internal consistency for most disabilities. At the end of the study, two major outcomes produced; a disability score to categorize trauma patients according to their needs, and a coding system to assist health care personnel in scrutinizing the types of assistance required by patients.


The proposed system provides a new practical measure to evaluate disability among Muslim patients in performing their religious duties. It will provide a balance approach in trauma patients’ care and deliverance of assistance wherever required. It has potential of becoming a standard of practice in a holistic patient care in accordance to the much-anticipated ibadah-friendly hospital.


Supplementary Issue