Wheelchair-Related Accidents: Relationship With Wheelchair-Using Behavior in Active Community Wheelchair Users
Wheelchair-Related Accidents: Relationship With Wheelchair-Using Behavior in Active Community Wheelchair Users
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DOI：
10.1016/j.apmr.2011.01.008
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发表时间：
2011-06-01
影响因子：
4.3
通讯作者：
Wang, Yen-Ho
中科院分区：
文献类型：
--
作者：
Chen, Wan-Yin;Jang, Yuh;Wang, Yen-Ho
陈伟勇，张勇，王继东，黄伟南，张春秋，毛宏发，王永华。轮椅相关意外：活跃社区轮椅使用者轮椅使用行为之关系。ARCH Phys Med Rehabil 2011；92：892-8.目的：报告轮椅相关事故的患病率、发生机制、自我感知原因、后果和轮椅使用行为。设计：病例对照研究。背景：社区。参与者：从医院辅助技术服务中心招募的有经验的、社区居住的、活跃的手动和电动轮椅使用者(N=95)。干预：不适用。主要观察指标：轮椅使用行为、3年轮椅相关事故以及事故的机制和后果。结果：在95名参与者中，52人(54.7%)在访问前3年内报告至少1次事故，16人(16.8%)报告2次或以上事故。共发生74起事故，其中跌倒事故占87.8%，意外接触事故占6.8%，危险作业事故占5.4%。Logistic回归分析发现，不经常维护轮椅(优势比[OR]=11.28；95%可信区间[CI]，2.62-48.61)和使用非专业人员开具的轮椅(OR=4.31；95%可信区间，1.10-16.82)的人发生事故的风险显著增加。除了轮椅缺乏定期保养这一危险因素外，泊松回归还证实了轮椅相关事故的另一危险因素，即未使用安全带(发生率比=2.14；95%可信区间为1.08~4.14)。结论：轮椅相关事故与轮椅使用行为密切相关。包括专业评估、维修、保养和正确使用轮椅的教育计划在内的服务可能会降低轮椅事故的风险。
Chen W-Y, Jang Y, Wang J-D, Huang W-N, Chang C-C, Mao H-F, Wang Y-H. Wheelchair-related accidents: relationship with wheelchair-using behavior in active community wheelchair users. Arch Phys Med Rehabil 2011;92:892-8.Objective: To report the prevalence, mechanisms, self-perceived causes, consequences, and wheelchair-using behaviors associated with wheelchair-related accidents.Design: A case-control study.Setting: Community.Participants: A sample of experienced, community-dwelling, active manual and powered wheelchair users (N=95) recruited from a hospital assistive technology service center.Interventions: Not applicable.Main Outcome Measures: Wheelchair-using behaviors, wheelchair-related accidents over a 3-year period, and the mechanisms and consequences of the accidents.Results: Among the 95 participants, 52 (54.7%) reported at least 1 accident and 16 (16.8%) reported 2 or more accidents during the 3 years prior to the interview. A total of 74 accidents, were categorized into tips and falls (87.8%), accidental contact (6.8%), and dangerous operations (5.4%). A logistic regression found individuals who failed to maintain their wheelchairs regularly (odds ratio [OR]=11.28; 95% confidence interval [CI], 2.62-48.61) and used a wheelchair not prescribed by professionals (OR=4.31; 95% CI, 1.10-16.82) had significantly greater risks of accidents. In addition to the risk factor, lack of regular wheelchair maintenance, the Poisson regression corroborated the other risk factor, seat belts not used (incident rate ratio = 2.14; 95% CI, 1.08-4.14), for wheelchair-related accidents.Conclusions: Wheelchair-related accidents are closely related to their wheelchair-using behaviors. Services including professional evaluation, repair, maintenance, and an educational program on proper wheelchair use may decrease the risks of wheelchair accidents.