原名「台灣學術線上」
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題名:長期照護個案行動輔具使用調查報告     (32點)
Usage Survey of Locomotive Assistive Devices for Long-Term Care Clients
著者:胡名霞(Ming-Hsia Hu)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:輔具科技 ; 問卷 ; 輪椅 ; 柺杖 ; 助行器 ; 下肢裝具 ; Assistive technology ; Questionnaire ; Wheelchair ; Cane ; Lower limb orthosis
刊名:物理治療
卷期:29卷6期(2004.12)
頁碼:405-420
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:本研究旨在長期照護個案有關輪椅、柺杖、助行器、下肢裝具等類行動輔具之實際使用狀況。方法:透過焦點團體、分析、德菲法專家效度等方式,設計行動輔具使用者問卷。並於某醫學中心方便取樣12名(9男、3婦;平均48.2歲)初測受測者以兩名施測者訪以分析者間信度。再由台閩地區長期照護機,共111名訪員參與本調查,成功完成468位長期照護個案之訪問。結果:除了關於輪椅尺寸目測韙信度較差外,問卷之施測者間信度良好(平均weighted Kappa=0.88)。受訪者平均65歲,目前使用輪椅者67%、柺杖及助行器類47%、下肢裝具9%。經醫療人員建議選購或指導使用者約三至五成。曾有受傷或跌倒經驗者約15%(輪椅)、46.5%(柺杖及助行器類)及55%(下肢裝具)。能自行出門使用效能工具者約有7%(輪椅)、37%(柺杖及助行器類)及41%(下肢裝具)。結論:本問卷包括輔具使用時活動情形、照顧者使用方法等韙,研究結果可供輔具設計、輔具訓練等之參攷。
Purpose: To survey the current usage conditions of locomotive assistive devices (wheelchair, cane, lower extremity orthoses) for long term care clients. Method: A usage survey questionnaire was designed based on focus group discussion and video analysis. The Delphi method was used to verify the face and content validity. Inter-rater reliability was tested with two testers interviewing 12 subjects (9 males, 3 females, average 48.2 years). Then 29 long-term care facilities with 111 interviewers at counties composed of more than 10000 older residents assisted in the survey. A total of 468 long term care clients who were using locomotive assistive devices completed the interview. Results: The inter-rater reliability for the questionnaire was satisfactory (average weighted Kappa=0.88) except a few questions regarding visual assessment of the appropriateness of the size of the wheelchair. The participating long term care clients averaged 65 years old and 67% were using wheelchairs, 47% were using canes or walkers, and 9% were using lower limb orthoses. Less than 50% of subjects have received medical opinions on selecting assistive devices or usage of the devices. Use-related injuries or accidents were not uncommon (15% in wheel chair users, 55% in orthoses users). Seven percent of wheelchair users and 41% of lower limb orthoses users were able to take public transportation or taxi independently. Conclusion: The clinicians should be aware of the problems revealed by this study for better care of users of assistive devices.


    

本卷期目次
物理治療 29卷6期 (2004.12)
Training Effect of Pedaling Exercise in Stroke Patients: A Single Subject Study Design/ Miao-Ju YenSang-I Lin
門診運動訓練對冠狀動脈繞道手術病患品質調整存活時間之影響/ 洪素鶯吳英黛曹昭懿週正亮楊銘欽王水深
肌肉萎縮性側索硬化症之居家物理治療服務模式之建立與其療效:初步結果/ 林光華胡名霞簡文仁楊智超蔡清標鄭悅承蔡美文
失能者輔具使用現況之初測報告/ 胡名霞柯志昌柴惠敏吳英黛
長期照護個案行動輔具使用調查報告/ 胡名霞
The Role of Specific Stabilization Training in the Management of Lumbar Clinical Instability/ Rick ChiangYu-Shiow Horng
跑步機合併縣吊系統於社經系統損傷患者步行訓練之效果/ 劉娟妃成戎珠
 
   
 
   

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