Center on Health Promotion Research for Persons With Disabilities, Department of Disability and Human Development, University of Illinois at Chicago, 1640 West Roosevelt Rd., Chicago, IL 60608-6904, USA.
Phys Ther. 2011 Dec;91(12):1728-39. doi: 10.2522/ptj.20100410. Epub 2011 Oct 14.
Secondary conditions are considered a direct consequence of having a disability, and many are presumed to be preventable. Although a few researchers have noted that people with disabilities are exposed to several secondary conditions, including pain, fatigue, depression, and obesity, what is lacking in the literature is a conceptual framework for understanding the antecedents, risk factors, and consequences of secondary conditions. To move the rehabilitation and public health professions toward a more unified approach to understanding and managing secondary conditions as well as distinguishing them from chronic and associated conditions, this article proposes a set of criteria for defining secondary conditions and a conceptual model that considers the potential factors associated with their onset, impact, severity, and management.
次生状况被认为是残疾的直接后果，许多人认为这些状况是可以预防的。尽管有少数研究人员指出，残疾人面临着多种次生状况，包括疼痛、疲劳、抑郁和肥胖，但文献中缺乏理解次生状况的前因、风险因素和后果的概念框架。为了使康复和公共卫生专业朝着更统一的方法发展，以理解和管理次生状况，并将其与慢性和相关状况区分开来，本文提出了一套定义次生状况的标准和一个概念模型，该模型考虑了与其发生、影响、严重程度和管理相关的潜在因素。
