脊髓損傷個案外出活動之現況探討-以居住台中市個案為例

Case study for the outdoor activities of Spinal Cord Injury Patients - Survey for the residents in Taichung city.

紀淑凰(Shu-Huang Chi)

指導教授 ： 謝嫣娉

亞洲大學/健康學院/長期照護研究所/碩士(2007年)

摘要

在台灣約有三-四萬名脊髓損傷個案，每年約有1200名新的脊髓損傷患者，受傷原因以交通事故為最多，其次為高處跌落佔。男女比率約5：1，男性損傷者多於女性，平均受傷年齡27-32 歲。脊髓損傷個案喜歡外出活動，外出活動內容以基本生活需求的活動為主，到郊外旅遊活動較常，以人少、無障礙環境佳的地方為主。到目前為止，並沒有相似的研究探討影響脊髓損傷個案外出活動的影響因素和所面臨的困難與問題。本研究旨在探討目前台灣地區居住台中市的脊髓損傷個案從事外出活動時，所面臨的困難與問題。故本研究的研究方法採取深度訪談為主，以特定對象（脊髓損傷個案）作為訪談之對象，獲得平日從事外出活動之內容及所遭遇之困難，訪談內容有：（1）影響外出活動的個人相關因素，包括生理因素、經濟因素等；（2）訪談行動輔具使用探討；（3）交通工具探討；（4）公共環境現況探討。主要結果整理出脊髓損傷個案從事外出活動的需求為：
一、行動輔具的開發應參考使用者的意見。
二、政府應鼓勵業者提供低底盤公車。
三、脊髓損傷個案使用公共環境遭遇多種困難。
四、教育大眾認識了解無障礙環境。

關鍵字

脊髓損傷,外出活動,

並列摘要

There are about 30- 40 thousand spinal cord injury (SCI) patients in Taiwan and increase 1200 new patients annually. The main reason to cause the injury is traffic accident then falling from high ground. Male to female patient ratio is about 5:1. It occurred more often in male population. The average age of injury is 27-32 years old. Most SCI patients like to conduct outdoor activities, and most of them are daily routine activities. They also take field trip very often; however, they usually travel to remote destination with better barrier-free facility.
So far, no similar study has been done about what factors and difficulties they encounter when they engage in outdoor activities starting from their homes to the place they want to go in Taiwan. The purpose of this study is to investigate their causes and problems of the spinal cord injury patients in Taiwan. The method of study is adopted in-depth interview and using the specific object (the spinal cord injury patients) as an objective of interview. We can obtain the detail and the difficulty they encounter when they engage in outdoor activities in ordinary life from this processing form. The content of interview includes：(1) the personal factors, physical and economic reasons. (2) the use of wheeled mobile device, (3) the access and convenience of transportation, and (4) the convenience of open environment for them. From this interview, we can summarize the immediate need for them to participate regular outdoor activities are as follows:
1.To provide wheeled mobile device designers suggestion on making more user oriented and friendly devices.
2.To suggest the government should encourage proprietor to provide the low flower buses for spinal cord injury patients, so they can transport freely by their own.
3.To provide the information of the difficulties of spinal cord injury patients encounter when they engage in outdoor activities in public environment.
4.To educate general public the barrier-free environment.

並列關鍵字

spinal cord injury (SCI) patients, outdoor activities

參考文獻

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