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探索新用户在手动轮椅操作方面面临的挑战。

Exploring the challenges in manual wheelchair operation for new users.

作者信息

Sathananthan Suhantee, Blackburn Émilie, Kairy Dahlia, Gagnon Dany H, Miller William C, Musselman Kristin, Routhier François, Archambault Philippe S

机构信息

School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.

Centre for Interdisciplinary Research in Rehabilitation (CRIR), Montréal, Canada.

出版信息

Disabil Rehabil Assist Technol. 2025 Jul;20(5):1385-1394. doi: 10.1080/17483107.2024.2448724. Epub 2025 Jan 4.

DOI:10.1080/17483107.2024.2448724
PMID:39754707
Abstract

PURPOSE

This exploratory qualitative study examines the challenges faced by manual wheelchair (MWC) users and their clinicians, with a focus on mobility difficulties in both outdoor and indoor environments, as well as training priorities.

METHODS

The study involved semi-structured interviews with 18 clinicians and 25 MWC users from various rehabilitation centres. The interviews, lasting between 30 and 60 minutes, explored specific aspects of MWC use, including mobility challenges, training needs, and psychological factors.

RESULTS

Thematic analysis of the data revealed key patterns, such as indoor and outdoor navigation issues, had difficulty with basic propulsion skills, and the psychological impact of using an MWC. Participants emphasized the need for comprehensive training programs, addressing safety concerns, and ensuring proper MWC adjustments to improve mobility and comfort.

CONCLUSION

The study highlights the importance of psychological support and public awareness campaigns to reduce stigma and promote inclusivity. The findings are crucial for developing a tailored training program for new MWC users, addressing both physical and psychological challenges to enhance their overall quality of life and independence.

摘要

目的

本探索性定性研究考察了手动轮椅使用者及其临床医生所面临的挑战,重点关注户外和室内环境中的移动困难以及训练重点。

方法

该研究对来自不同康复中心的18名临床医生和25名手动轮椅使用者进行了半结构化访谈。访谈持续30至60分钟,探讨了手动轮椅使用的具体方面,包括移动挑战、训练需求和心理因素。

结果

对数据的主题分析揭示了关键模式,如室内和室外导航问题、基本推进技能困难以及使用手动轮椅的心理影响。参与者强调需要全面的训练计划,解决安全问题,并确保手动轮椅的正确调整以提高移动性和舒适度。

结论

该研究强调了心理支持和公众意识宣传活动对于减少污名化和促进包容性的重要性。这些发现对于为新的手动轮椅使用者制定量身定制的训练计划至关重要,该计划要解决身体和心理挑战,以提高他们的整体生活质量和独立性。

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