Kersten P, George S, McLellan L, Smith J A, Mullee M A
Health Research Unit, School of Health Professions and Rehabilitation Sciences, University of Southampton, UK.
Disabil Rehabil. 2000 Nov 10;22(16):737-44. doi: 10.1080/09638280050192016.
To examine the met and unmet needs for rehabilitation of disabled people living in the community in Southern England.
A cross sectional interview study of people with a primary physical disability, aged 1665. Disabled people were randomly selected from two existing disability registers, which comprised disabled people who had been identified by community rehabilitation services as being in need of regular surveillance by formal assessment of their care needs. A new semi-structured needs assessment questionnaire was developed and validated for the study (the Southampton Needs Assessment Questionnaire, SNAQ). Level of disability was examined with the OPCS Disability and Severity Scales.
Ninety three disabled people participated. Their median (IQR) OPCS score was 8 (6-10). Participants reported a median (IQR) of three unmet needs (2-7). The most prevalent unmet needs were for adaptations, equipment, physiotherapy and wheelchairs, rather than unmet needs for intellectual and social fulfilment.
Disabled people who were already in touch with community rehabilitation services continued to express unmet needs for further services. Meeting the more basic needs relating to people's housing, equipment, physiotherapy and wheelchairs may enable them to be more independent and fulfilled in other areas of their lives.
调查居住在英格兰南部社区的残疾人在康复方面已满足和未满足的需求。
对年龄在16至65岁、患有原发性身体残疾的人群进行横断面访谈研究。残疾人从两个现有的残疾登记册中随机选取，这些登记册包含经社区康复服务机构认定需要通过正式护理需求评估进行定期监测的残疾人。为该研究开发并验证了一份新的半结构化需求评估问卷（南安普敦需求评估问卷，SNAQ）。使用OPCS残疾与严重程度量表对残疾程度进行评估。
93名残疾人参与了研究。他们的OPCS得分中位数（四分位距）为8（6 - 10）。参与者报告的未满足需求中位数（四分位距）为三项（2 - 7）。最普遍的未满足需求是适应性改造、设备、物理治疗和轮椅，而非智力和社会满足方面的未满足需求。
已与社区康复服务机构有联系的残疾人仍表示对进一步服务有未满足的需求。满足与人们住房、设备、物理治疗和轮椅相关的更基本需求，可能使他们在生活的其他方面更加独立和满足。
