CJRTP

《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2020, Vol. 26 ›› Issue (5): 528-533.doi: 10.3969/j.issn.1006-9771.2020.05.007

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Unmet Needs and Services Development of Rehabilitation for People with Extremely Severe Hearing Disability Using Structural Equation Analysis

CHEN Di1,2,3,QIU Zhuo-ying1,2,3(),WANG Guo-xiang3,4,LI Xin5(),CHENG Zi-wei5,LI An-qiao5,SHEN Zhao-hui1,2,6,CHEN Jia-ni1,2,6,TIAN Bao6,ZHANG Ai-min1,2,XIAO Xiao-fei7   

  1. 1. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068 China
    2. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068 China
    3. WHO-FIC Collaborating Center in China, Beijing 100068, China
    4. School of Physical Education and Sport Sciences/Research Center of Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China
    5. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China/School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, Henan 450001, China
    6. School of Psychology, Capital Normal University, Beijing 100037 China
    7. School of Rehabilitation Medicine, Binzhou Medical University, Yantai, Shandong 264003, China
  • Received:2020-04-28 Published:2020-05-25 Online:2020-05-29
  • Contact: QIU Zhuo-ying,LI Xin E-mail:qiutiger@hotmail.com;xinlibox@zzu.edu.cn

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Abstract:

Objective To explore the characteristics and the influential factors of unmet needs and services development of rehabilitation for people with extremely severe hearing disability (PSHDs).Methods A total of 90 052 PSHDs were included. Multiple response was used to analyze the characteristics of unmet needs and services of rehabilitation. The structural equation model of the received service and unmet needs of PSHDs was developed.Results The reporting rate of unmet needs of rehabilitation for PSHDs, from high to low, were assistive devices (61.5%), nursing care (24.1%), medicine (23.4%), functional training (17.6%) and surgery (2.5%). The reporting rate of received service for PSHDs, from high to low, were assistive devices (58.3%), nursing care (24.4%), medicine (22.4%), functional training (22.0%) and surgery (2.2%). Structural Equation Model showed that the more services received, the more needs for cochlear implantation surgery and speech therapy (P < 0.001); the better family income situation, the more needs for cochlear implantation surgery ( P < 0.001); and age factor had significant effects on the unmet needs of cochlear implantation surgery and speech therapy ( P < 0.001). Conclusion PSHDs reported unmet needs and received services mainly included assistive devices, nursing care, medicine and functional rehabilitation training. Those PSHDs who had received services would report more demand of unmet needs, supposed that improving the accessibility and coverage of services should be emphasized in the development of rehabilitation services. According to ICF model, on the basis of the characteristics of the unmet needs of PSHDs, it proposed to take measures to implement precise rehabilitation services to improve the quality of services.

Key words: extremely severe hearing disability, rehabilitation needs, rehabilitation services, survey of disability

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