《中国康复理论与实践》

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (5): 518-523.doi: 10.3969/j.issn.1006-9771.2020.05.005

• 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

听力残疾人康复需求与康复服务发展状况Logistic回归分析研究

程子玮1,陈佳妮2,3,4,5,邱卓英2,3,4(),孙宏伟4,6(),李欣1,4,王国祥4,7,李伦4,8,陈迪2,3,4,肖晓飞9,马洪卓4,6,申兆慧2,3,4,5,张爱民2,3,鲁心灵1,田红梅1   

  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.首都师范大学心理学院,北京市 100037
    6.中国ICF研究院/潍坊医学院,山东潍坊市 261053
    7.苏州大学体育学院/运动康复研究中心,江苏苏州市 215021
    8.深圳市残疾人联合会,广东深圳市 518008
    9.滨州医学院康复医学院,山东烟台市 264003
  • 收稿日期:2020-04-26 出版日期:2020-05-25 发布日期:2020-05-29
  • 通讯作者: 邱卓英,孙宏伟 E-mail:qiutiger@hotmail.com;sunhw@wfmc.edu.cn
  • 作者简介:程子玮(1995-),女,汉族,河南郑州市人,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|陈佳妮(1992-),女,汉族,北京市人,硕士研究生,主要研究方向：康复科学、ICF、残疾研究和应用心理学。
  • 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 Services Development of Rehabilitation for People with Hearing Disability Using Logistic Regression Analysis

CHENG Zi-wei1,CHEN Jia-ni2,3,4,5,QIU Zhuo-ying2,3,4(),SUN Hong-wei4,6(),LI Xin1,4,WANG Guo-xiang4,7,LI Lun4,8,CHEN Di2,3,4,XIAO Xiao-fei9,MA Hong-zhuo4,6,SHEN Zhao-hui2,3,4,5,ZHANG Ai-min2,3,LU Xin-ling1,TIAN Hong-mei1   

  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. School of Psychology, Capital Normal University, Beijing 100037, China
    6. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
    7. School of Physical Education and Sport Sciences/Institute of Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China
    8. Shenzhen Disabled Persons Federation, Shenzhen, Guangdong 518008, China
    9. School of Rehabilitation Medicine, Binzhou Medical University, Yantai, Shandong 264003
  • Received:2020-04-26 Published:2020-05-25 Online:2020-05-29
  • Contact: QIU Zhuo-ying,SUN Hong-wei E-mail:qiutiger@hotmail.com;sunhw@wfmc.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 研究听力残疾人的康复需求特点和康复服务发展状况。方法 使用2019年219 473名省级听力残疾人实名制数据作为研究总样本,多重响应分析康复需求特点和康复服务发展状况,Logistic回归分析相关影响因素。结果 共47 657名听力残疾人报告康复需求(21.7%),从高至低分别为辅助器具65.5%、药物22.7%,护理19.1%,功能训练16.2%和手术2.2%。共34 684名听力残疾人报告接受康复服务(15.8%),从高至低分别为辅助器具59.8%、药物22.5%、功能训练19.7%,护理19.4%和手术1.8%。Logistic回归模型显示,年龄、户口性质和残疾等级对听力残疾人报告康复需求和获得康复服务有显著影响(P < 0.001)。 结论 听力残疾人康复需求主要集中于听力辅助器具、药物和康复训练。获得的相关服务与康复需求结构上匹配度高。运用现代科技,发展听力残疾相关的康复服务,以进一步提高听力残疾人的康复服务的可及性和服务质量。

关键词: 听力残疾, 康复需求, 康复服务

Abstract:

Objective To explore the characteristics of unmet needs and services of rehabilitation for people with hearing disability (PHD).Methods A total of 219 473 PHDs administration data of unmet needs and services of rehabilitation at provincial level were sampled (2019) and analyzed the characteristics of needs and services of rehabilitation with multiple response analysis, and the related factors of needs and services with Logistic regression.Results There were 47 657 (21.7%) PHDs reported their unmet needs of rehabilitation, from high to low were assistive devices (65.5%), medicine (22.7%), nursing care (19.1%), functional training (16.2%) and surgery (2.2%). There were 34 684 (18.8%) PHDs reported their received services, from high to low were assistive devices (59.8%), medicine (22.5%), functional training (19.7%), nursing care (19.4%) and surgery (1.8%). The logistic regression model showed that age, types of household registration and severities of disabilities related with the reported unmet needs and received services (P < 0.001). Conclusion PHDs mainly reported unmet needs in the fields of assistive devices, medicine, and rehabilitation training. The reported unmet needs for PHDs had matched the received services structurally. It proposed to use modern science and technology to develop services delivery and to improve accessibility and quality of rehabilitation services.

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

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