Hertig-Godeschalk Anneke, Gemperli Armin, Arnet Ursina, Hinrichs Timo
a Department of Neurology , Inselspital Bern, Bern University Hospital, University of Bern , Bern , Switzerland.
b Swiss Paraplegic Research , Nottwil , Switzerland.
J Spinal Cord Med. 2018 Jan;41(1):91-101. doi: 10.1080/10790268.2017.1308995. Epub 2017 Mar 30.
To identify the availability and unmet need of home adaptations (HAs) among the Swiss population with spinal cord injury (SCI).
Cross-sectional study.
Swiss Spinal Cord Injury Community Survey 2012.
Individuals aged 16 or older with chronic SCI living in Switzerland.
Not applicable.
The availability of ten HAs (self-report) was analyzed by sex, age, living situation, indoor mobility, SCI severity, SCI etiology and time since SCI. The unmet need (self-report of not having a HA but needing it) of HAs was analyzed by financial hardship.
Among the 482 study participants (mean age 55.2 years, standard deviation 15.0 years, 71.6% males), 85.1% had at least one HA. The most frequent HA was a wheelchair accessible shower (62.7%). Availability of HAs markedly varied with indoor mobility (e.g. 38.4% of participants using a wheelchair had a stair lift compared to 17.4% of those walking) and with SCI severity (e.g. 54.8% of those with complete paraplegia had a wheelchair accessible kitchen worktop compared to 26.0% of those with incomplete paraplegia). Unmet need was highest for adjustable kitchen worktops (78.7% of those with a need) and adjustable kitchen cabinets (75.7%) and lowest for wheelchair accessible showers (9.4%) and grab bars next to the toilet (8.5%). No significant differences in unmet need were found when stratifying for financial hardship.
Availability of HAs is dependent on indoor mobility and SCI severity. There is a considerable degree of unmet need for selected HAs, which couldn't be explained by financial hardship.
确定瑞士脊髓损伤（SCI）人群中家庭改造（HA）的可用性及未满足的需求。
横断面研究。
2012年瑞士脊髓损伤社区调查。
居住在瑞士的16岁及以上慢性SCI个体。
不适用。
通过性别、年龄、生活状况、室内活动能力、SCI严重程度、SCI病因及SCI后时间分析十种HA（自我报告）的可用性。通过经济困难情况分析HA未满足的需求（自我报告未拥有但需要某种HA）。
在482名研究参与者中（平均年龄55.2岁，标准差15.0岁，71.6%为男性），85.1%至少拥有一种HA。最常见的HA是带轮椅通道的淋浴间（62.7%）。HA的可用性因室内活动能力（例如，使用轮椅的参与者中有38.4%拥有楼梯升降机，而步行者中这一比例为17.4%）和SCI严重程度（例如，完全性截瘫患者中有54.8%拥有带轮椅通道的厨房台面，而不完全性截瘫患者中这一比例为26.0%）而有显著差异。可调式厨房台面（有需求者中的78.7%）和可调式厨房橱柜（75.7%）的未满足需求最高，带轮椅通道的淋浴间（9.4%）和马桶旁扶手（8.5%）的未满足需求最低。按经济困难情况分层时，未满足需求未发现显著差异。
HA的可用性取决于室内活动能力和SCI严重程度。对于某些特定的HA存在相当程度的未满足需求，这无法用经济困难来解释。
