Verdonck Michèle Claire, Chard Gill, Nolan Maeve
Occupational Therapy, National Rehabilitation Hospital, Rochestown Ave, Dun Laoghaire, Co Dublin, Ireland.
Disabil Rehabil Assist Technol. 2011;6(3):268-81. doi: 10.3109/17483107.2010.525291. Epub 2010 Oct 12.
This study explores the experiences of Irish people with high cervical spinal cord injuries living with electronic aids to daily living (EADL) and the meaning attributed to such systems in the context of participation in everyday life.
Qualitative methodology using a phenomenological approach was used to explore the phenomenon of living with EADL. Data were collected using four focus groups of users and nonusers of EADL (n = 15). All participants had high cervical spinal cord injuries (C3-5). Groups were video recorded, transcribed verbatim and analysed using descriptive phenomenological analysis.
Findings revealed key elements of the meaning of living with EADL. Two key themes, time alone and changed relationships are described. These contribute to the super ordinate theme of autonomy. Findings suggest that participants perceived improvements in both anticipated and actual lived experiences with EADL. Themes are interrelated and together represent a summary of the experience of living with environmental controls. The themes described are similar to those found in other spinal injury studies relating to quality of life.
Findings highlight differences in life experiences for those with and without EADL and provides motivation to address this difference. Such insights are valuable for both users and providers of EADL.
本研究探讨了患有高位颈脊髓损伤的爱尔兰人使用日常生活电子辅助器具(EADL)的经历,以及在参与日常生活的背景下赋予此类系统的意义。
采用质性研究方法,运用现象学方法来探究使用EADL的生活现象。通过四个焦点小组收集数据,其中包括EADL的使用者和非使用者(n = 15)。所有参与者均患有高位颈脊髓损伤(C3 - 5)。对小组进行录像,逐字转录,并使用描述性现象学分析进行分析。
研究结果揭示了使用EADL生活意义的关键要素。描述了两个关键主题,即独处时间和关系变化。这些促成了自主性这一上位主题。研究结果表明,参与者认为使用EADL在预期和实际生活体验方面都有所改善。这些主题相互关联,共同代表了使用环境控制生活体验的总结。所描述的主题与其他与脊髓损伤相关的生活质量研究中发现的主题相似。
研究结果突出了使用和未使用EADL的人群在生活经历上的差异,并为解决这一差异提供了动力。这些见解对EADL的使用者和提供者都很有价值。