日常生活中的决策与困境：脊髓损伤患者的轮椅日常使用及其对压疮风险的影响
Decisions and Dilemmas in Everyday Life: Daily Use of Wheelchairs by Individuals with Spinal Cord Injury and the Impact on Pressure Ulcer Risk.
作者信息
Fogelberg Donald, Atkins Michal, Blanche Erna Imperatore, Carlson Michael, Clark Florence
机构信息
Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California.
出版信息
Top Spinal Cord Inj Rehabil. 2009 Fall;15(2):16-32. doi: 10.1310/sci1502-16.
Abstract
Individuals with spinal cord injury (SCI) use wheelchairs for mobility and for full participation in their daily activities. The use of wheelchairs, however, can increase the risk of pressure ulcers. This study focused on wheelchair users' perceptions of the interplay between their wheeled mobility and the development of pressure ulcers by performing a secondary analysis of data gathered during a 2-year ethnographic study of 20 community-dwelling adults with SCI. Data from a subset of these individuals are described; each of these stories contains a pressure ulcer risk episode related to wheeled mobility or cushion use. Identified risk episodes were associated with wheelchair selection, wheelchair adjustment, habituation to new equipment, lifestyle choices, and challenging life contexts. Examples highlighted the crucial relationship between individuals' minute-to-minute decision-making and pressure ulcer risk.
摘要
脊髓损伤（SCI）患者依靠轮椅行动，并充分参与日常活动。然而，使用轮椅会增加发生压疮的风险。本研究通过对20名社区居住的成年SCI患者进行为期2年的人种学研究收集的数据进行二次分析，重点关注轮椅使用者对其轮式移动与压疮形成之间相互作用的认知。描述了这些个体子集中的数据；每个故事都包含一个与轮式移动或坐垫使用相关的压疮风险事件。已识别的风险事件与轮椅选择、轮椅调整、对新设备的适应、生活方式选择以及具有挑战性的生活环境有关。实例突出了个体的日常决策与压疮风险之间的关键关系。
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