CHILD Research Group, Jönköping University, Sweden; Department of Rehabilitation, Jönköping University, Sweden; Exceed Research Network, Exceed Worldwide, Lisburn, UK.
School of Social Sciences, Education and Social Work, Queen's University, Belfast, Northern, Ireland; Exceed Research Network, Exceed Worldwide, Lisburn, UK.
Disabil Health J. 2021 Jul;14(3):101071. doi: 10.1016/j.dhjo.2021.101071. Epub 2021 Feb 6.
There is an assumption that provision of assistive technologies, such as prostheses and orthoses, will improve the life situation of people with disabilities; however, this issue has been poorly addressed in low- and middle-income country settings.
The objective of this qualitative study was to explore the life experience of people who use lower-limb prosthetic or orthotic devices in Cambodia, with a view to identifying areas in which developments can be made to improve the life experiences for prosthesis and orthosis users.
Participants were recruited from 1/urban and 2/rural prosthetic and orthotic clinics, run by the same non-governmental organisation. Individual interviews were conducted in 2019 with 15 users of prosthetic or orthotic devices. Interviews were transcribed and analysed using a thematic analysis approach.
Three themes were identified: 1) A more positive outlook with an assistive device; 2) assistive devices reduce barriers but do not eliminate them and 3) disability creates social exclusion while assistive devices facilitate inclusion. For participants in this study, life without a prosthesis or orthosis was characterised by financial insecurity and a sense of hopelessness. After receiving an assistive device, participants experienced a greater sense of self-worth and empowerment as well as improved functional performance and social interactions.
Disability was found to affect multiple facets of participants' lives including physical and psychosocial factors. Prosthetic and orthotic devices were experienced as being enablers of social inclusion and generally improved the life situation for individuals with disabilities in The Kingdom of Cambodia. Attention should be directed towards improving knowledge of, and access to prosthetic and orthotic services, securing a stable income for users and addressing device related problems.
人们假设提供辅助技术，如假肢和矫形器，将改善残疾人的生活状况；然而，在中低收入国家，这一问题并未得到很好的解决。
本定性研究的目的是探讨柬埔寨下肢假肢或矫形器使用者的生活体验，旨在确定可以改善假肢和矫形器使用者生活体验的发展领域。
参与者是从由同一家非政府组织运营的 1/城市和 2/农村假肢和矫形诊所招募的。2019 年，对 15 名假肢或矫形器使用者进行了个人访谈。访谈内容采用主题分析方法进行转录和分析。
确定了三个主题：1）有辅助设备的更积极的前景；2）辅助设备减少了障碍，但并未消除它们；3）残疾造成社会排斥，而辅助设备促进包容。对于本研究的参与者来说，没有假肢或矫形器的生活特点是经济不安全和绝望感。在获得辅助设备后，参与者体验到了更大的自我价值感和赋权感，以及改善的功能表现和社会互动。
残疾被发现影响参与者生活的多个方面，包括身体和心理社会因素。假肢和矫形器被体验为社会包容的推动者，总体上改善了柬埔寨王国残疾人士的生活状况。应注意提高对假肢和矫形服务的认识和获取机会，为使用者确保稳定的收入，并解决与设备相关的问题。
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