Barrett Blake, Phillips Sam L, Bulat Tatjana, Lind Jason D, Ballistrea Lisa, Ramrattan Anita, Friedman Yvonne, Cowan Linda
VISN 8 Patient Safety Center of Inquiry, James A. Haley Veterans Hospital and Clinics, Tampa, FL, USA.
Department of Internal Medicine, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Disabil Rehabil Assist Technol. 2024 Apr;19(3):671-681. doi: 10.1080/17483107.2022.2115565. Epub 2022 Aug 31.
Evaluate the potential of a wheelchair assistive technology (StandBar) to promote power wheelchair users' ability to safely stand independently from their power wheelchair and determine the impact of the device use on psychological well-being for both power wheelchair users and their caregivers.
A convenience sample of 11 power wheelchair users and caregiver dyads provided study data. Participants included power wheelchair users who were existing StandBar users or currently in training with the StandBar as part of their rehabilitation. Assessments were conducted at baseline and at six-month follow-up and included physiological assessments and functional testing with and without the StandBar. Monthly follow-up phone calls were completed to collect information on adverse events (e.g., falls, hospitalizations, and skin breakdown). A qualitative interview assessed StandBar users' and caregivers' perception at six-month follow-up.
StandBar use provided power wheelchair users a higher level of independence, confidence, and safety. All participants highly recommended StandBar use to others with similar levels of functional impairment. StandBar use allowed many participants the ability to complete functional tasks that were otherwise not possible without assistance. Qualitative interviews reported improved independence and psychological well-being for StandBar users as well as reduced levels of anxiety and burden of care by caregivers. The StandBar is a cost-effective assistive technology that promotes independence and functionality for power wheelchair users and improves the psychological well-being of users and their caregivers. Implications for RehabilitationMinimize negative effects of immobilization.Increase independence for activities of daily living (grooming, hygiene, toileting, transfers) and instrumental activities of daily living (social experiences).Improve their quality of life through increasing independence and confidence.Reduce need for assistance and corresponding caregiver burden.
评估一种轮椅辅助技术（站立杆）在促进电动轮椅使用者安全独立地从电动轮椅上站立起来的能力方面的潜力，并确定该设备的使用对电动轮椅使用者及其护理人员心理健康的影响。
选取11对电动轮椅使用者和护理人员作为便利样本提供研究数据。参与者包括现有的站立杆使用者或正在接受站立杆训练作为康复一部分的电动轮椅使用者。在基线和六个月随访时进行评估，包括有和没有站立杆时的生理评估和功能测试。每月完成随访电话以收集不良事件（如跌倒、住院和皮肤破损）的信息。在六个月随访时进行定性访谈，以评估站立杆使用者和护理人员的看法。
使用站立杆为电动轮椅使用者提供了更高水平的独立性、自信心和安全性。所有参与者都强烈向功能障碍程度相似的其他人推荐使用站立杆。使用站立杆使许多参与者能够完成在没有帮助的情况下原本无法完成的功能任务。定性访谈报告称，站立杆使用者的独立性和心理健康得到改善，护理人员的焦虑水平和护理负担减轻。站立杆是一种具有成本效益的辅助技术，可促进电动轮椅使用者的独立性和功能，并改善使用者及其护理人员的心理健康。对康复的意义
尽量减少固定不动的负面影响。
增加日常生活活动（梳理、卫生、如厕、转移）和日常生活工具性活动（社交体验）的独立性。
通过增强独立性和自信心来提高他们的生活质量。
减少对帮助的需求以及相应的护理人员负担。
