Park Myung Woo, Kim Won Sep, Bang Moon Suk, Lim Jae Young, Shin Hyung-Ik, Leigh Ja-Ho, Kim Keewon, Kwon Bum Sun, Jang Soong-Nang, Jung Se Hee
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea.
Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Ann Rehabil Med. 2018 Jun 27;42(3):465-472. doi: 10.5535/arm.2018.42.3.465.
To investigate medical comorbidities and needs for medical and rehabilitation services of adults with cerebral palsy (CP) in Korea.
This was a prospective cross-sectional study. One hundred fifty-four adults with CP were enrolled in the study between February 2014 and December 2014. Information was obtained from participants regarding functional status, demographic and socioeconomic data, medical problems, and requirements for and utilization of medical and rehabilitation services.
The participants included 93 males and 61 females with a mean age of 40.18±9.15 years. The medical check-up rate of adults with CP was lower than that of healthy adults and the total population with disabilities (53.2% vs. 58.6% vs. 70.4%). A quarter of the subjects failed to visit the hospital during the past year, and the main reason was the financial burden. Due to a cost burden and lack of knowledge, more than one-third of the subjects had unmet needs for rehabilitation services; the majority reported needs for rehabilitation services, such as physical therapy for pain management.
The medical check-up rate was lower in the adults with CP, even though their medical comorbidities were not less than those of healthy people. Several non-medical reasons hindered them from receiving proper medical and rehabilitation services. Such barriers should be managed effectively.
调查韩国成年脑瘫患者的合并症以及对医疗和康复服务的需求。
这是一项前瞻性横断面研究。2014年2月至2014年12月期间，154名成年脑瘫患者被纳入研究。从参与者那里获取了有关功能状态、人口统计学和社会经济数据、医疗问题以及医疗和康复服务的需求与利用情况的信息。
参与者包括93名男性和61名女性，平均年龄为40.18±9.15岁。成年脑瘫患者的体检率低于健康成年人和残疾人群体（分别为53.2%、58.6%和70.4%）。四分之一的受试者在过去一年中未去医院就诊，主要原因是经济负担。由于费用负担和知识匮乏，超过三分之一的受试者对康复服务有未满足的需求；大多数人表示需要康复服务，如用于疼痛管理的物理治疗。
成年脑瘫患者的体检率较低，尽管他们的合并症并不少于健康人群。一些非医疗原因阻碍了他们获得适当的医疗和康复服务。应有效解决这些障碍。
