Neurological patients and their lower limb orthotics: An observational pilot study about acceptance and satisfaction
Neurological patients and their lower limb orthotics: An observational pilot study about acceptance and satisfaction
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DOI：
10.1177/0309364615592696
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发表时间：
2017-02-01
影响因子：
1.5
通讯作者：
Kerckhofs, Eric
中科院分区：
文献类型：
--
作者：
Swinnen, Eva;Lafosse, Christophe;Kerckhofs, Eric
背景：虽然下肢矫形装置可以改善神经系统患者的功能，但临床经验表明依从性相当有限。目的：目的是确定下肢矫形装置的满意度和接受度。研究设计：采用混合方法设计的定性观察性试点研究。方法：纳入了使用处方下肢矫形装置的成年神经系统患者。使用一份已发表并临床使用的满意度调查问卷（D-Quest）和一份临时构建的关于矫形装置接受度的调查问卷（MIRAD-ACCORT 问卷）进行数据收集。结果：总共有 33 名患者参与（28 名踝足矫形器，3 名膝踝足矫形器和 2 种其他类型）。总的来说，他们对矫形器和服务感到满意。不到四分之一的患者对其矫形装置的视觉效果和隐藏能力有一些负面评论。然而，与功能性相比，这些功能的优先级较低，据报告功能性是主要优势，也是继续使用矫形装置的原因。结论：患者对其下肢矫形装置感到满意。关于接受度，可以得出结论，与矫形装置的功能性和舒适性相关的因素比美观和心理方面更重要。临床相关性患者对他们的下肢矫形装置感到满意。一些患者对美观方面和隐藏矫形装置的能力有一些负面评论。然而，功能的改进大多被认为是主要优势和继续使用其矫形装置的原因。
Background: Although an orthotic device of the lower limb improves the functionality of neurological patients, anecdotally clinical experience suggests that the compliance is rather limited.Objectives: The aim was to determine the satisfaction and acceptance of a lower limb orthotic device.Study design: A qualitative observational pilot study with a mix-method design.Methods: Adult neurological patients who had a prescribed lower limb orthotic device were included. One published and clinically used questionnaire about satisfaction (D-Quest) and one ad hoc constructed questionnaire about acceptance of the orthotic device (MIRAD-ACCORT questionnaire) were used for data collection.Results: In total, 33 patients participated (28 ankle-foot orthotic device, 3 knee-ankle-foot orthotic device and 2 other types). In general, they were satisfied about their orthotic device and the services. Less than one-fourth of the patients had some negative comments about the visual aspects' and the ability to hide' of their orthotic device. These, however, had a lower priority when compared with functionality, which was reported as a main advantage and is a reason for continuing the use of their orthotic device.Conclusion: Patients were satisfied in relation to their lower limb orthotic device. With regard to acceptance, it can be concluded that factors associated with functionality and comfort are more important than the aesthetic and psychological aspects of the orthotic device.Clinical relevance Patients were satisfied with their lower limb orthotic device. Some patients had some negative comments about the aesthetics aspects' and the ability to hide' their orthotic device. However, improvements in functionality were mostly reported as a main advantage and a reason for continuing the use of their orthotic device.