视力残疾人康复需求和康复服务发展状况Logistic回归分析研究

doi:10.3969/j.issn.1006-9771.2020.05.004

Abstract

Abstract:

Objective To analyze the characteristics of needs and development of rehabilitation services for people with visual disability (PVD).Methods A total of 241 865 PVDs 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 There were 50 882 (21.0%) PVDs reported their needs of rehabilitation, from high to low were assistive devices (56.5%), medicine (29.0%), nursing care (24.6%), functional training (15.5%), and surgery (4.2%). There were 43 492 (18.0%) PVDs reported their received services of rehabilitation, from high to low were assistive devices (55.0%), medicine (21.6 %), nursing care (20.8%), functional training (20.7%) and surgery (2.3%). The logistic regression model showed that severities of disabilities related with the reported unmet needs and received services (P < 0.001). Conclusion PVDs reported unmet needs mainly in the fields of assistive devices, medicine, and nursing care. There is match structure of unmet needs and received services. It is important to provide accessible information environment. Information and communication technology (ICT) are proposed to assistive technology services for PVDs to enhance their capacity of information acquisition and to promote their participations.

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

CLC Number:

LU Xin-ling,LI Xin,QIU Zhuo-ying,CHEN Di,CHENG Zi-wei,CHEN Jia-ni,SHEN Zhao-hui,ZHANG Ai-min,ZHANG Hui-wei. Unmet Needs and Services of Rehabilitation for People with Visual Disability Using Logistic Regression Analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(5): 513-517.

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References 30

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变量	赋值
性别	男性 = 1,女性 = 2
年龄	0~6岁 = 1,7~18岁 = 2,19~< 60岁 = 3,≥ 60岁 = 4
残疾等级	一级 = 1,二级 = 2,三级 = 3,四级 = 4
户口性质	农业户口 = 1,非农业户口 = 2

变量		手术	药物	功能训练	辅助器具	护理
性别	男	1204(2.4)	7458(14.7)	4345(8.5)	15343(30.2)	6219(12.2)
性别	女	946(1.9)	7274(14.3)	3525(6.9)	13398(26.3)	6302(12.4)
年龄	0~6岁	34(0.1)	51(0.1)	71(0.1)	105(0.2)	49(0.1)
	7~18岁	167(0.3)	306(0.6)	319(0.6)	703(1.4)	276(0.5)
	19~< 60岁	982(1.9)	4920(9.7)	3202(6.3)	10786(21.2)	3980(7.8)
	≥ 60岁	967(1.9)	9455(18.6)	4278(8.4)	17147(33.7)	8216(16.1)
户口性质	农业	1892(3.7)	13557(26.6)	7140(14.0)	25981(51.1)	11703(23.0)
户口性质	非农业	258(0.5)	1175(2.3)	730(1.4)	2760(5.4)	818(1.6)
残疾等级	一级	629(1.2)	4837(9.5)	2428(4.8)	12284(24.1)	6000(11.8)
	二级	622(1.2)	4480(8.8)	2292(4.5)	8207(16.1)	3733(7.3)
	三级	351(0.7)	2245(4.4)	1203(2.4)	3164(6.2)	1237(2.4)
	四级	548(1.1)	3170(6.2)	1947(3.8)	5086(10.0)	1551(3.0)
合计		2150(4.2)	14732(29.0)	7879(15.5)	28741(56.5)	12521(24.6)

变量		手术	药物	功能训练	辅助器具	护理
性别	男	526(1.2)	4850(11.2)	4970(11.4)	13092(30.1)	4614(10.6)
性别	女	469(1.1)	4566(10.5)	4019(9.2)	10816(24.9)	4421(10.2)
年龄	0~6岁	5(0.0)	34(0.1)	51(0.1)	65(0.1)	37(0.1)
	7~18岁	38(0.1)	188(0.4)	261(0.6)	499(1.1)	183(0.4)
	19~< 60岁	384(0.9)	3250(7.5)	3680(8.5)	9579(22.0)	3195(7.3)
	≥ 60岁	568(1.3)	5944(13.7)	4997(11.5)	13765(31.6)	5620(12.9)
户口性质	农业	898(2.1)	8745(20.1)	8259(19.0)	21249(48.9)	8487(19.5)
户口性质	非农	97(0.2)	671(1.5)	730(1.7)	2659(6.1)	548(1.3)
残疾等级	一级	294(0.7)	3271(7.5)	3145(7.2)	11049(25.4)	4239(9.7)
	二级	324(0.7)	2843(6.5)	2575(5.9)	6834(15.7)	2902(6.7)
	三级	137(0.3)	1410(3.2)	1258(2.9)	2336(5.4)	831(1.9)
	四级	240(0.6)	1892(4.4)	2011(4.6)	3689(8.5)	1063(2.4)
合计		995(2.3)	9416(21.6)	8989(20.7)	23908(55.0)	9035(20.8)

变量(参考变量)	康复需求		康复服务
变量(参考变量)	B	OR	B	OR
性别(女)	0.000	1.000	0.065^a	1.068
年龄(≥ 60岁)
0~6岁	0.219^b	1.245	-0.024	0.977
7~18岁	0.076^c	1.079	-0.055	0.946
19~< 60岁	-0.178^a	0.837	-0.050^a	0.951
户口性质(非农业)	0.241^a	1.273	0.189^a	1.208
残疾等级(四级)
一级	0.615^a	1.850	0.807^a	2.240
二级	0.445^a	1.561	0.577^a	1.780
三级	0.173^a	1.189	0.209^a	1.233
常量			-2.179	0.113

Unmet Needs and Services of Rehabilitation for People with Visual Disability Using Logistic Regression Analysis

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