Hass U, Brodin H, Andersson A, Persson J
Center for Medical Technology Assessment, Linköping University, Sweden.
IEEE Trans Rehabil Eng. 1997 Sep;5(3):263-75. doi: 10.1109/86.623018.
A new program based on improved user participation for the selection of assistive devices was implemented and its effectiveness and efficiency assessed. The intervention was compared with traditional routines. The study population comprised persons with rheumatoid arthritis who lived in two communities in Sweden. The selection process yielded increased user participation, user satisfaction, an increased number of prescriptions, and consequently also higher costs. The outcome measures showed more vague improvements. No improvement in functional ability was found regarding pain and difficulty with daily activities in the two study groups, but an increased use of assistive devices was found among women below 64 years in the intervention group (p = 0.001). Women below 64 years in the intervention group rated an improved health-related quality of life regarding both the total score (p = 0.017) and the underlying dimensions of physical function (p = 0.012). Even though the intervention yielded positive results on process-variables as increased user participation and an increased number of prescribed assistive devices, only women below 64 years showed an increased use of assistive devices in daily activities and an improved health related quality of life.
实施了一项基于提高用户参与度来选择辅助设备的新计划，并对其有效性和效率进行了评估。将该干预措施与传统常规方法进行了比较。研究人群包括居住在瑞典两个社区的类风湿性关节炎患者。选择过程提高了用户参与度、用户满意度，增加了处方数量，因此成本也更高。结果指标显示改善较为模糊。在两个研究组中，未发现疼痛和日常活动困难方面的功能能力有所改善，但干预组中64岁以下女性使用辅助设备的情况有所增加（p = 0.001）。干预组中64岁以下女性在总分（p = 0.017）和身体功能基本维度（p = 0.012）方面对与健康相关的生活质量评价有所改善。尽管该干预措施在诸如提高用户参与度和增加处方辅助设备数量等过程变量方面产生了积极结果，但只有64岁以下女性在日常活动中使用辅助设备的情况有所增加，且与健康相关的生活质量得到改善。
