成都肢体残疾人未满足辅助技术需求及其相关因素

doi:10.3969/j.issn.1006-9771.2024.05.015

Abstract

Abstract:

Objective To investigate the unmet needs for assistive technology for people with physical disabilities in Chengdu, and analyze the related factors.

Methods From November, 2023 to March, 2024, the persons with physical disabilities in Chengdu were selected from Sichuan Individuation service platform, and investigated using World Health Organization rapid Assistive Technology Assessment.

Results A total of 558 questionnaires were set up, and 527 effective questionnaires retured. 26.8% of them reported unmet needs for aids, with the highest need for mobility aids (66.0%). Lack of support (54.9%), high price (26.3%) and lack of knowledge about aids (20.3%) were the main reasons for not obtaining the aids they needed. Loss of spouse (OR = 3.615), serious mobility impairment (OR > 2.926) and serious self-care impairment (OR > 2.781) were the risks of unmet needs for aids.

Conclusion It is important to popularize policies and products of aids, pay attention to personal adaptation for people with different barriers, and strengthen the service system, to meet the needs of people with disabilities.

Key words: people with disabilities, assistive technology, health services needs and demand, related factors

CLC Number:

R496

CHEN Panpan, WANG Binglong, DONG Liquan, LIU Xidong, YANG Youping, LI Jiayue. Unmet needs for assistive technology and its related factors for persons with physical disabilities in Chengdu, China[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 598-605.

Figures/Tables 3

Table 1

Table 2

Univariate χ2 analysis of factors related to unmet needs of assistive technology"

变量	无未满足需求 (n = 386)	有未满足需求 (n = 141)	χ²值	P值	变量	无未满足需求 (n = 386)	有未满足需求 (n = 141)	χ²值	P值
性别			4.724	0.030	移动障碍等级			79.480	< 0.001
男	256	79			没有困难	127	12
女	130	62			有些困难	156	33
年龄/岁			7.616	0.179	非常困难	57	59
≤ 18	14	9			无法完成	46	37
19~44	46	12			自我护理障碍等级			69.622	< 0.001
45~59	134	36			没有困难	202	27
60~74	134	57			有些困难	106	36
75~89	52	24			非常困难	42	45
≥ 90	6	3			无法完成	36	33
残疾等级			22.023	< 0.001	最重要辅具获得距离/km			5.553	0.352
未评级	4	1			< 5	167	107
一级	26	15			5~< 25	9	3
二级	73	48			25~< 50	1	0
三级	107	40			50~< 100	3	0
四级	176	37			≥ 100	3	0
致残原因			9.516	0.049	不清楚	3	1
其他	57	27			最重要辅具支付者			3.843	0.698
意外	141	32			政府	67	48
遗传	25	9			非政府组织/慈善机构	1	0
疾病	157	71			保险	1	0
地震	6	2			自付	100	55
户口类型			0.338	0.561	家人/朋友	14	7
农业	238	83			其他	1	1
非农业	148	58			不清楚	2	0
婚姻状况			9.491	0.023	最重要辅具来源			7.120	0.310
未婚	56	19			公共部门	77	48
已婚有配偶	288	96			非营利性组织	1	2
丧偶	13	14			私营部门	58	33
离异	29	12			朋友/家人	22	6
受教育程度			9.294	0.054	自制	17	13
未上学	28	6			其他	9	9
小学	150	70			不清楚	2	0
初中	150	40			过去12个月辅具支付金额/元			8.703	0.003
高中(含中专)	42	15			0	364	122
大学及以上	16	10			> 0	22	19
重度残疾人护理补贴			11.091	0.001	是否使用辅具			39.783	< 0.001
否	290	85			没使用	200	30
是	96	56			使用	186	111
家庭医生签订情况			0.042	0.838	使用辅具种类			45.766	< 0.001
否	77	27			0	200	29
是	309	114			1	85	47
就业情况			1.766	0.184	2	72	39
未就业	276	109			3	25	22
就业	110	32			4	4	3
					5	0	1

Table 2

Table 3

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变量	B	Wald	P值	OR	95%CI	变量	B	Wald	P值	OR	95%CI
性别 (参照女)						移动障碍等级 (参照无困难)
男	-0.117	0.240	0.624	0.889	0.557~1.421	有些困难	0.581	1.953	0.162	1.788	0.792~4.038
残疾程度 (参照四级)						非常困难	1.741	13.969	< 0.001	5.701	2.288~14.202
三级	0.574	3.800	0.051	1.775	0.997~3.162	无法完成	1.074	4.107	0.043	2.926	1.036~8.263
二级	0.330	0.433	0.511	1.392	0.520~3.724	自我护理障碍等级(参照无困难)
一级	0.313	0.239	0.625	1.368	0.389~4.809	有些困难	0.431	1.692	0.193	1.539	0.804~2.946
未评级	0.643	0.200	0.655	1.903	0.113~31.933	非常困难	1.023	7.233	0.007	2.781	1.320~5.861
致残原因 (参照疾病)						无法完成	1.182	6.655	0.010	3.261	1.328~8.006
其他	0.312	0.043	0.837	1.366	0.070~26.569	是否使用辅具 (参照不使用)
意外	-0.213	0.601	0.438	0.808	0.471~1.385	使用辅具	-1.671	1.224	0.268	0.188	0.010~3.629
遗传	0.138	0.085	0.770	1.147	0.456~2.888	使用辅具种类 (参照0件)
地震	0.057	0.004	0.837	1.366	0.070~6.010	1件	2.032	1.837	0.175	7.628	0.404~144.007
婚姻状况 (参照未婚)						2件	1.794	1.380	0.240	6.012	0.301~119.942
已婚有配偶	0.348	0.940	0.332	1.417	0.700~2.866	3件	1.853	1.437	0.231	6.381	0.308~132.065
丧偶	1.285	5.251	0.022	3.615	1.204~10.850	4件	2.188	1.625	0.202	8.916	0.308~257.684
离异	0.676	1.658	0.198	1.966	0.703~5.501	5件	23.068	< 0.001	1.000	< 0.001	< 0.001
重度残疾人护理补贴情况 (参照无补贴)						过去12个月辅具支付金额 (参照0元)
有补贴	-0.141	0.091	0.763	0.869	0.348~2.168	> 0元	0.262	0.456	0.500	1.300	0.607~2.781

Unmet needs for assistive technology and its related factors for persons with physical disabilities in Chengdu, China

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