長期照護個案行動輔具使用調查報告

Usage Survey of Locomotive Assistive Devices for Long-Term Care Clients

胡名霞(Ming-Hsia Hu)

《物理治療》 29卷6期 (2004/12) Pp. 405-420

摘要

目的：本研究旨在長期照護個案有關輪椅、柺杖、助行器、下肢裝具等類行動輔具之實際使用狀況。方法：透過焦點團體、分析、德菲法專家效度等方式，設計行動輔具使用者問卷。並於某醫學中心方便取樣12名（9男、3婦；平均48.2歲）初測受測者以兩名施測者訪以分析者間信度。再由台閩地區長期照護機，共111名訪員參與本調查，成功完成468位長期照護個案之訪問。結果：除了關於輪椅尺寸目測韙信度較差外，問卷之施測者間信度良好（平均weighted Kappa=0.88）。受訪者平均65歲，目前使用輪椅者67%、柺杖及助行器類47%、下肢裝具9%。經醫療人員建議選購或指導使用者約三至五成。曾有受傷或跌倒經驗者約15%（輪椅）、46.5%（柺杖及助行器類）及55%（下肢裝具）。能自行出門使用效能工具者約有7%（輪椅）、37%（柺杖及助行器類）及41%（下肢裝具）。結論：本問卷包括輔具使用時活動情形、照顧者使用方法等韙，研究結果可供輔具設計、輔具訓練等之參攷。

關鍵字

輔具科技 ； 問卷 ； 輪椅 ； 柺杖 ； 助行器 ； 下肢裝具

並列摘要

Purpose: To survey the current usage conditions of locomotive assistive devices (wheelchair, cane, lower extremity orthoses) for long term care clients. Method: A usage survey questionnaire was designed based on focus group discussion and video analysis. The Delphi method was used to verify the face and content validity. Inter-rater reliability was tested with two testers interviewing 12 subjects (9 males, 3 females, average 48.2 years). Then 29 long-term care facilities with 111 interviewers at counties composed of more than 10000 older residents assisted in the survey. A total of 468 long term care clients who were using locomotive assistive devices completed the interview. Results: The inter-rater reliability for the questionnaire was satisfactory (average weighted Kappa=0.88) except a few questions regarding visual assessment of the appropriateness of the size of the wheelchair. The participating long term care clients averaged 65 years old and 67% were using wheelchairs, 47% were using canes or walkers, and 9% were using lower limb orthoses. Less than 50% of subjects have received medical opinions on selecting assistive devices or usage of the devices. Use-related injuries or accidents were not uncommon (15% in wheel chair users, 55% in orthoses users). Seven percent of wheelchair users and 41% of lower limb orthoses users were able to take public transportation or taxi independently. Conclusion: The clinicians should be aware of the problems revealed by this study for better care of users of assistive devices.

並列關鍵字

Assistive technology ； Questionnaire ； Wheelchair ； Cane ； Lower limb orthosis