《中国康复理论与实践》

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (5): 508-512.doi: 10.3969/j.issn.1006-9771.2020.05.003

• 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

肢体残疾人康复需求与康复服务发展状况Logistic回归分析研究

田红梅1,邱卓英2,3,4(),李欣1,4(),马洪卓4,5,盛威威1,杜若飞1,陈迪2,3,4,吴铭6,张爱民2,3,鲁心灵1,李安巧1,4   

  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.中国康复研究中心康复信息研究所,北京市 100068
    3.中国康复科学所康复信息研究所,北京市 100068
    4.世界卫生组织国际分类家族中国合作中心,北京市 100068
    5.中国ICF研究院/潍坊医学院,山东潍坊市 261053
    6.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,李欣 E-mail:qiutiger@hotmail.com;xinlibox@zzu.edu.cn
  • 作者简介:田红梅(1993-),女,汉族,河南安阳市人,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。
  • 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 Services of Rehabilitation for People with Physical Disabilities Using Logistic Regression Analysis

TIAN Hong-mei1,QIU Zhuo-ying2,3,4(),LI Xin1,4(),MA Hong-zhuo4,5,SHENG Wei-wei1,DU Ruo-fei1,CHEN Di2,3,4,WU Ming6,ZHANG Ai-min2,3,LU Xin-ling1,LI An-qiao1,4   

  1. 1. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Development Disability/School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, Henan 450001, China
    2. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    3. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China
    4. WHO-FIC Collaborating Center in China, Beijing 100068, China
    5. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
    6. 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,LI Xin E-mail:qiutiger@hotmail.com;xinlibox@zzu.edu.cn
  • 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 研究肢体残疾人的康复需求特点和康复服务发展状况。方法 以1 512 438名肢体残疾人康复需求和康复服务实名制数据为样本,对肢体残疾人康复需求特点、康复服务发展及其影响因素进行分析。结果 在肢体残疾人报告的康复需求中,从高至低依次为辅助器具55.9%、护理27.0%、药物 26.3%、功能训练 23.9% 和手术 2.3%。在肢体残疾人报告获得的康复服务中,从高至低依次为辅助器具 48.2%、护理26.4%、功能训练24.3%、药物19.5% 和手术1.4%。Logistic回归结果发现年龄和残疾等级对肢体残疾人的康复需求与康复服务报告率有显著影响(P < 0.001)。 结论 肢体残疾人的康复需求主要集中于辅助器具、护理、药物和康复训练领域。所获得的康复服务主要在辅助器具、护理和功能训练领域。提高肢体残疾的康复服务的可及性仍是未来发展的重点。根据ICF功能理论,推广个别化的精准康复服务是提升康复服务质量的重要措施。

关键词: 肢体残疾, 康复需求, 康复服务

Abstract:

Objective To explore the characteristics of unmet needs and services of rehabilitation for people with physical disabilities (PWPs).Methods A total of 1 512 438 PWPs administration data of unmet needs and services of rehabilitation at provincial level were sampled and analyzed the characteristics of needs and services of rehabilitation, and the related factors of needs and services.Results The reported unmet needs of PWPs from high to low were assistive devices assistive devices (55.9%), nursing care (27.0%), medicine (26.3%), functional training (23.9%) and surgery (2.3%). Received service of rehabilitation. The services of rehabilitation for PWPs arranged as assistive devices (48.2%), nursing caring (26.4%), functional training (24.3%), medicine (19.5%) and surgery (1.4%). The logistic regression model showed that age and severity of disabilities had significant effect on the reported unmet needs of rehabilitation and received services for PWPs (P < 0.001). Conclusion PWPs reported unmet needs mainly in the fields of assistive devices, nursing care, medicine and rehabilitation training. They received primary services included assistive devices, nursing care and rehabilitation training and therapies. The services development will emphasize the accessibility and coverage. According to ICF model, it proposed to take measures to implement individualized and precise rehabilitation services to improve the quality of services.

Key words: physical disability, unmet needs of rehabilitation, services of rehabilitation

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