Type and Frequency of Reported Wheelchair Repairs and Related Adverse Consequences Among People With Spinal Cord Injury
Type and Frequency of Reported Wheelchair Repairs and Related Adverse Consequences Among People With Spinal Cord Injury
复制标题
DOI：
10.1016/j.apmr.2016.03.032
复制
发表时间：
2016-10-01
影响因子：
4.3
通讯作者：
Pearlman, Jonathan
中科院分区：
文献类型：
--
作者：
Luisa Toro, Maria;Worobey, Lynn;Pearlman, Jonathan
目的：调查轮椅修复的频率、类型及相关不良后果。设计：便利横断面抽样调查。设置：9个脊髓损伤模型系统中心。参与者：使用轮椅的脊髓损伤患者40h/wk(N=591)。干预措施：不适用。主要观察指标：需要修复的次数和由此产生的不良后果、已完成修复的数量和类型、前6个月完成主要修复的地点。结果：591名参与者回答了调查，其中63.8%(377/591)的人需要修复；在这些患者中，27.6%(104/377)经历了1次不良后果，包括18.2%(69/377)的受困人员。在需要维修的人中，6.9%的人没有完成维修(26/377)。轮子和脚轮的维修是手动轮椅最频繁的维修，而电力、电力和控制系统的维修是电动轮椅最常见的维修类型。40%(79/201)的手动轮椅使用者报告自己在家完成维修，而电动轮椅使用者的这一比例为14%(21/150)。因轮椅故障而面临不良后果的几率的12%可以描述为职业、资金来源和轮椅类型的函数。结论：轮椅维修非常普遍。根据轮椅的类型，维修的类型和谁来完成维修是不同的。轮椅故障会给使用者带来不利后果，需要的维修与已完成的维修之间存在赤字，这突出表明需要采取干预措施来解决这些问题。(C)2016年度美国康复医学大会
Objective: To investigate the frequency and types of wheelchair repairs and associated adverse consequences.Design: Convenience cross-sectional sample survey.Setting: Nine Spinal Cord Injury Model Systems Centers.Participants: People with spinal cord injury who use a wheelchair >40h/wk (N=591).Interventions: Not applicable.Main Outcome Measures: Number of repairs needed and resulting adverse consequences, number and types of repairs completed, and location where main repair was completed in the previous 6 months.Results: There were 591 participants responded to the survey, 63.8% (377/591) of them needed >= 1 repair; of these, 27.6% (104/377) experienced >= 1 adverse consequence, including 18.2% (69/377) individuals who were stranded. Of those who needed repairs, 6.9% did not have them completed (26/377). Repairs completed on the wheels and casters were the most frequent repair to manual wheelchairs, whereas repairs to the electrical and power and control systems were the most frequent type of repair on power wheelchairs. Forty percent (79/201) of manual wheelchair users reported completing repairs at home themselves compared with 14% (21/150) of power wheelchair users. Twelve percent of the variance in the odds of facing an adverse consequence because of a wheelchair breakdown can be described as a function of occupation, funding source, and type of wheelchair.Conclusions: Wheelchair repairs are highly prevalent. There are differences in types of repairs and who completes the repairs based on the type of wheelchair. Wheelchair breakdowns result in adverse consequences for users, and there is a deficit between repairs needed and those completed, highlighting the need for interventions that address these problems. (C) 2016 by the American Congress of Rehabilitation Medicine