《中国康复理论与实践》

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (5): 502-507.doi: 10.3969/j.issn.1006-9771.2020.05.002

• 专题 基于大数据残疾人康复需求与服务及其影响因素研究 • 上一篇    下一篇

残疾儿童康复需求与康复服务发展研究

盛威威1,李欣1,2,邱卓英2,3,4(),王国祥2,5(),李伦2,6,孙宏伟2,7,申兆慧2,3,4,8,陈佳妮2,3,4,8,马洪卓2,7,李安巧1,2,田红梅1,杨剑2,9,吴铭9   

  1. 1.中国智力和发展性残疾分级、评估与康复(运动)重点实验室/郑州大学体育学院(校本部),河南郑州市 450001
    2.世界卫生组织国际分类家族中国合作中心,北京市 100068
    3.中国康复研究中心康复信息研究所,北京市 100068
    4.中国康复科学所康复信息研究所,北京市 100068
    5.苏州大学体育学院/运动康复研究中心,江苏苏州市 215021
    6.深圳市残疾人联合会,广东深圳市 518008
    7.中国ICF 研究院/潍坊医学院,山东潍坊市 261053
    8.首都师范大学心理学院,北京市 100037
    9.华东师范大学体育与健康学院/青少年健康评价与运动干预教育部重点实验室,上海市 200241
  • 收稿日期:2020-04-27 出版日期:2020-05-25 发布日期:2020-05-29
  • 通讯作者: 邱卓英,王国祥 E-mail:qiutiger@hotmail.com;kwang63@163.com
  • 作者简介:盛威威(1995-),女,汉族,河南鹿邑市人,硕士研究生,主要研究方向：体育与健康、ICF、康复心理学、残疾研究、康复科学、体育心理学、康复大数据与统计|李欣(1982-),男,汉族,河南商丘市人,博士,硕士研究生导师,主要研究方向：康复心理学、运动心理与行为学。
  • 基金资助:
    中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(2017CZ-7);中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(2018CZ-4)

Unmet Needs and Service of Rehabilitation for Children with Disabilities

SHENG Wei-wei1,LI Xin1,2,QIU Zhuo-ying2,3,4(),WANG Guo-xiang2,5(),LI Lun2,6,SUN Hong-wei2,7,SHEN Zhao-hui2,3,4,8,CHEN Jia-ni2,3,4,8,MA Hong-zhuo2,7,LI An-qiao1,2,TIAN Hong-mei1,YANG Jian2,9,WU Ming9   

  1. 1. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Developmental Disability/School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, Henan 450001, China
    2. WHO-FIC Collaborating Center in China, Beijing 100068, China
    3. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    4. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China
    5. School of Physical Education and Sport Sciences/Research Center of Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China
    6. Shenzhen Disabled Persons' Federation, Shenzhen, Guangdong 518008, China
    7. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
    8. School of Psychology, Capital Normal University, Beijing 100037, China
    9. College of Physical Education and Health/Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China
  • Received:2020-04-27 Published:2020-05-25 Online:2020-05-29
  • Contact: QIU Zhuo-ying,WANG Guo-xiang E-mail:qiutiger@hotmail.com;kwang63@163.com
  • Supported by:
    National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research)(2017CZ-7);National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research)(2018CZ-4)

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摘要：

目的 研究残疾儿童的残疾状况、康复需求特点和康复服务发展状况。方法 以130 290名残疾儿童康复需求与康复服务实名制数据为样本,对残疾儿童的残疾现状、康复需求特征和康复服务发展状况及其影响因素进行统计分析。结果 残疾儿童占总残疾人口的5.33%。其中,男性60.4%,女性39.6%;0~6 岁16.3%,7~18岁83.7%;农业户口 88.4%,非农业户口 11.6%。残疾程度由重度到轻度占比依次为 28.3%、39.5%、17.7%、14.6%。在报告的康复需求中,从高至低依次为辅助器具40.3%、功能训练37.4%、护理32.2%、药物24.9%、手术5.7%。在报告获得的康复服务中,从高至低分别为辅助器具37.9%、功能训练33.7%、护理服务31.0%、药物19.7%、手术2.9%。根据Logistic回归结果显示,残疾等级对于报告康复需求和获得康复服务均存在非常显著的影响(P < 0.001)。 结论 残疾儿童的功能特点直接影响到其服务需求,应该根据残疾儿童的康复需求特点布局康复服务发展规划,要根据不同类型残疾儿童的功能特点,开发个别化和结构化的康复服务项目,提升残疾儿童康复服务的可及性和质量。

关键词: 残疾儿童, 康复需求, 康复服务

Abstract:

Objective To explore the status of disability, and characteristics of unmet needs and services of rehabilitation for children with disabilities (CWDs).Methods A total of 130 290 CWDs administration data of unmet needs and services of rehabilitation at provincial level had been sampled and analyzed.Results CWDs accounted for 5.33% of the total population with disabilities, in which, 60.4% were boys and 39.6% were girls; 16.3% aged 0 to nine years and 83.7% were seven to 18 years old; 88.4% with agricultural household and 11.6% with non-agricultural household. The distribution of disability severity from severe to mild were 28.3%, 39.5%, 17.7% and 14.6%. The reported unmet needs included assistive devices (40.3%), functional training (37.4%), nursing care (32.2%), medicine (24.9%) and surgery (5.7%). The received services involved in assistive devices (37.9%), functional training (33.7%), nursing care (31.0%), medicine (19.7%) and surgery (2.9%). Logistic Regression model showed that severities of disabilities had significant effects on reported unmet needs and received services (P < 0.001). Conclusion Implement rehabilitation programs would be tailored to the unmet needs of rehabilitation as CWDs had functioning oriented unmet needs. It proposed to develop individualized and structured rehabilitation services to improve the accessibility and quality of rehabilitation for CWDs.

Key words: children with disabilities, unmet needs of rehabilitation, services of rehabilitation

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