《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (05): 473-474.

• 临床研究 • 上一篇    下一篇

云南省“盲人定向行走”社区康复训练效果分析

李美华1; 林义坤2; 邓强2   

  1. 1.云南省残疾人康复服务指导中心,云南昆明市 650032;2.云南省残疾人联合会康复处,云南省昆明市 650224
  • 收稿日期:2006-11-17 出版日期:2007-05-01 发布日期:2007-05-01

Outcome of the Orientation and Mobility Skills Training Projects in Yunnan

LIMei-hua, LIN Yi-kun, DENG Qiang   

  1. Rehabilitation Service Guidance Centre, Yunnan Disabled Persons'Federation, Kunming 650032, Yunnan, China
  • Received:2006-11-17 Published:2007-05-01 Online:2007-05-01

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摘要： 目的分析云南省“盲人定向行走”社区康复训练示范项目的效果,为推广盲人社区康复提供依据。方法根据“盲人定向行走技能评估”标准,对云南省3个示范县(区)内已经进入随访阶段的310例康复对象的训练档案进行定向行走能力的评估。结果盲人定向行走社区康复训练的总有效率为98.7%;训练后能够进行短距离、长距离和不同路面独立行走者分别为44.5%、34.5%、19.7%;不同性别、文化程度、视力状况的康复对象之间康复效果没有显著性差异(P>0.05);不同年龄和不同致残原因康复对象之间训练效果有显著性差异(P<0.05),中青年的训练效果较高龄者为优,先天失明者的训练效果较后天失明者为优。结论盲人定向行走社区康复训练是补偿视力残疾者视觉缺陷,实现其走出家门,融入社会的有效方法,且投入成本低,效果显著,简便易行,具有良好的社会效益,非常适宜在城市和农村推广。

关键词: 视力残疾, 社区康复, 盲人定向行走, 云南省

Abstract: Objective To survey the outcome of the Orientation and Mobility (O&M) Skills Training projects, a communities based rehabilitation which was advancing in Yunnan. Methods 310 blind subjects in model areas were assessed with the Assessment Standard of O&M Training for the Blind. Results 98.7% of subjects improved their mobility skills after receiving O&M skills training, that was 44.5% could walk independently in short distance, 34.5% in long distance, and 19.7% in complex surroundings in detail. There was no difference (P>0.05) among the different gender, educated level, and visual loss level, however, there was significant difference (P<0.05) made by the age level and the causes of disability of vision. Young and middle-aged subjects have better training result than the aged, as well as the congenital blind ones than the postnatal ones. Conclusion O&M skills training in Community Based Rehabilitation Services is effective for visual rehabilitation.

Key words: visual disability, community based rehabilitation, Orientation and Mobility, Yunnan Province