Lee Jiwon, Lim Jae Kuk, Lee Min Jun, Jo Yoon-Sik, Park Jae Sung, Kim Jong Moon, Kim Shin Kyoung
Department of Rehabilitation Medicine, Konkuk University School of Medicine, Chungju, Korea.
Department of Neurology, Konkuk University School of Medicine, Chungju, Korea.
Ann Rehabil Med. 2015 Apr;39(2):277-84. doi: 10.5535/arm.2015.39.2.277. Epub 2015 Apr 24.
To evaluate changes in activity of daily living before and after provision of electric-powered indoor/outdoor chair (EPIOC), discuss problems of current activities of daily living (ADL) evaluating tools for EPIOC users, and provide preliminary data to develop ADL evaluation tool for EPIOC user.
A total of 70 users who were prescribed EPIOC and had been using for more than 1 year were recruited in this study. Before and after provision of EPIOC, MBI and FIM scores were measured and a questionnaire consisting of six categories (general socioeconomic states, currently using state, whether EPIOC was helpful for social participation and occupational chances, psychiatric influences, self-reported degrees of independency, and barriers of using EPIOC) was used.
No difference in MBI scores before and after provision of EPIOC was observed. However, the wheelchair ambulation category showed a significant difference. While motor FIM was not significantly different from MBI, FIM score were significantly (p<0.05) higher than MBI. For questions regarding social participation frequency, helpfulness of EPIOC on confidence, refreshing patients' emotions and self-reported degrees of independence, all of them showed positive responses. Especially, EPIOC users' self-reported degree of independency showed favorable results. There was discrepancy in MBI or FIM measured by physicians.
Our study showed that there was a gap between the existing ADL evaluation tool and the ADL level that EPIOC users were actually feeling. Thus, it is necessary to develop an evaluation tool specifically for EPIOC.
评估提供电动室内/室外轮椅（EPIOC）前后日常生活活动能力的变化，探讨当前日常生活活动（ADL）评估工具对于EPIOC使用者存在的问题，并为开发针对EPIOC使用者的ADL评估工具提供初步数据。
本研究招募了70名开具了EPIOC处方且已使用超过1年的使用者。在提供EPIOC前后，测量了MBI和FIM评分，并使用了一份由六个类别（一般社会经济状况、当前使用状况、EPIOC对社会参与和职业机会是否有帮助、精神影响、自我报告的独立程度以及使用EPIOC的障碍）组成的问卷。
提供EPIOC前后MBI评分未观察到差异。然而，轮椅移动类别显示出显著差异。虽然运动FIM与MBI无显著差异，但FIM评分显著高于MBI（p<0.05）。对于关于社会参与频率、EPIOC对信心的帮助、使患者情绪恢复以及自我报告的独立程度的问题，所有回答均为积极。特别是，EPIOC使用者自我报告的独立程度显示出良好结果。医生测量的MBI或FIM存在差异。
我们的研究表明，现有的ADL评估工具与EPIOC使用者实际感受到的ADL水平之间存在差距。因此，有必要开发专门针对EPIOC的评估工具。
