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患者及医疗服务提供者对轮椅运输问题的了解。

Patients' and health care providers' knowledge of wheelchair transportation issues.

作者信息

Brinkey Lori, Savoie Christopher, Hurvitz Edward A, Flannagan Carol

机构信息

Department of Physical Medicine and Rehabilitation, University of Michigan Health System/C.S. Mott Children's Hospital, Ann Arbor, Michigan, USA.

出版信息

Assist Technol. 2009 Spring;21(1):35-46. doi: 10.1080/10400430902945488.

DOI:10.1080/10400430902945488
PMID:19719062
Abstract

The objective of this study was to determine the level of knowledge about wheelchair transportation safety practices among wheelchair users (WCUs) and caregivers, therapists, physicians, and other professionals (CTPs). Two 10-question surveys were designed. One was administered to a convenience sample of 107 WCUs, average age 31 years (range: 4 to 86). Diagnoses included cerebral palsy (39%), spinal cord injury (19%), and others. The second was given to a convenience sample of 87 caregivers (33%), therapists (27%), physicians (18%), and others. Results indicated that most WCUs (67%) and about half of the CTPs had not received education about best transportation practices. Less than 20% in either group had heard of the transit option or a transit wheelchair, and less than 7% were aware of SAE J2249 and ANSI-RESNA WC/19 standards for wheelchairs and transportation. Sixty-seven percent of WCUs and 46% of CTPs felt lack of knowledge restricted their use of best transportation practices, followed by cost and vehicle space. Education about best practices was related to increased knowledge as well as increased use of occupant and wheelchair restraints. We concluded that there is a poor level of knowledge about wheelchair transportation safety practices among WCUs, caregivers, and professionals who prescribe wheelchairs. This knowledge deficit leads to a lack of standardized transport and a potential compromise of safety. Education can be beneficial, and should be pursued.

摘要

本研究的目的是确定轮椅使用者(WCUs)以及护理人员、治疗师、医生和其他专业人员(CTPs)对轮椅运输安全实践的了解程度。设计了两份各有10个问题的调查问卷。一份问卷发放给了107名轮椅使用者的便利样本,他们的平均年龄为31岁(范围:4至86岁)。诊断结果包括脑瘫(39%)、脊髓损伤(19%)等。第二份问卷发放给了87名护理人员(33%)、治疗师(27%)、医生(18%)和其他人员的便利样本。结果表明,大多数轮椅使用者(67%)以及约一半的CTPs未接受过关于最佳运输实践的教育。两组中不到20%的人听说过运输选项或运输用轮椅,不到7%的人了解SAE J2249和ANSI - RESNA WC/19轮椅及运输标准。67%的轮椅使用者和46%的CTPs认为知识的缺乏限制了他们采用最佳运输实践,其次是成本和车辆空间问题。关于最佳实践的教育与知识的增加以及乘客和轮椅约束装置使用的增加有关。我们得出结论,轮椅使用者、护理人员以及开具轮椅处方的专业人员对轮椅运输安全实践的了解程度较低。这种知识缺陷导致缺乏标准化运输,并可能危及安全。教育可能有益,应该加以推行。

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