Crane Barbara A, Holm Margo B, Hobson Douglas, Cooper Rory A, Reed Matthew P, Stadelmeier Steve
School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
Int J Rehabil Res. 2004 Mar;27(1):85-90. doi: 10.1097/00004356-200403000-00014.
This study examined the concept of seating discomfort in a population of full-time wheelchair users with intact sensation. The goal was to construct a tool that would quantify seating discomfort experienced by wheelchair users. Ten participants were interviewed using ethnographic interview techniques. Data were analyzed using a cross-classifying matrix to examine commonalities among the 10 participants' responses. There were 16 discomfort and 13 comfort descriptors used by the participants. Of these, eight discomfort and five comfort descriptors were selected to include in the Wheelchair Seating Discomfort Assessment Tool (WcS-DAT). The discomfort descriptors selected were: aches and pains, need to move, pressure points, feeling poorly positioned, unable to concentrate, instability, not comfortable, and feeling too hot, cold or damp. The comfort descriptors selected were: absence of discomfort, feeling good, having no pain, able to concentrate, and feeling stable. The WcS-DAT also includes general information, such as the amount of time spent sitting and whether the individual was transferred into the chair properly--factors thought to affect discomfort--and ratings of discomfort intensity--in general and differentiated by body area. The WcS-DAT is a comprehensive tool for quantification of wheelchair seat discomfort for this population.
本研究调查了感觉功能正常的全职轮椅使用者群体中座位不适的概念。目标是构建一种工具，用以量化轮椅使用者所经历的座位不适。采用人种学访谈技巧对10名参与者进行了访谈。使用交叉分类矩阵对数据进行分析，以检验10名参与者回答中的共性。参与者使用了16个不适描述词和13个舒适描述词。其中，8个不适描述词和5个舒适描述词被选入轮椅座位不适评估工具（WcS-DAT）。所选的不适描述词为：疼痛、需要移动、压痛点、感觉姿势不佳、无法集中注意力、不稳定、不舒服、感觉太热、太冷或太潮湿。所选的舒适描述词为：无不适、感觉良好、无疼痛、能够集中注意力、感觉稳定。WcS-DAT还包括一些一般信息，如坐着的时间、个体是否被正确转移到椅子上（这些因素被认为会影响不适）以及不适强度评分（总体评分以及按身体部位区分的评分）。WcS-DAT是一种用于量化该群体轮椅座位不适的综合工具。
