Vissers Maaike, van den Berg-Emons Rita, Sluis Tebbe, Bergen Michael, Stam Henk, Bussmann Hans
Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
J Rehabil Med. 2008 Jun;40(6):461-7. doi: 10.2340/16501977-0191.
To determine the most important barriers to and facilitators of the level of everyday physical activity in persons with a spinal cord injury after discharge from the rehabilitation centre.
Qualitative study with both cross-sectional and retrospective questions.
Thirty-two persons with a spinal cord injury.
Semi-structured interview with questions concerning the current situation (>9 months after discharge) and retrospective questions concerning the period shortly after discharge (=3 months). The interview consisted of 10 topic categories assumed to have an impact on the level of everyday physical activity and covering the main parts of the International Classification of Functioning, Disability and Health (ICF) model.
In the current situation, the most important barriers were problems with accessibility of stores and buildings, physical health problems and mental health problems. Shortly after discharge, the most important barriers were emotional distress, problems with self-care, and mental health problems. The most frequently mentioned facilitators were preparation in the rehabilitation centre with respect to daily activities and social activities and stimulation to be physically active.
Persons with a spinal cord injury experience important barriers to physical activity, particularly on the ICF component Body Functions and Structure.
确定康复中心出院后脊髓损伤患者日常身体活动水平的最重要障碍和促进因素。
采用横断面和回顾性问题的定性研究。
32名脊髓损伤患者。
进行半结构化访谈，询问有关当前状况（出院后9个月以上）的问题以及有关出院后不久（=3个月）期间的回顾性问题。访谈包括10个主题类别，假定这些类别会对日常身体活动水平产生影响，并涵盖了《国际功能、残疾和健康分类》（ICF）模型的主要部分。
在当前状况下，最重要的障碍是商店和建筑物的可达性问题、身体健康问题和心理健康问题。出院后不久，最重要的障碍是情绪困扰、自我护理问题和心理健康问题。最常提到的促进因素是康复中心在日常活动和社交活动方面的准备以及对身体活动的激励。
脊髓损伤患者在身体活动方面面临重要障碍，特别是在ICF的身体功能和结构部分。
