智力残疾人康复需求与康复服务发展状况Logistic回归分析研究  

Unmet Needs and Services of Rehabilitation for People with Intellectual Disabilities Using Logistic Regression Analysis

作　　者：李安巧 申兆慧 邱卓英[2,3,4] 李欣 李伦 王国祥 孙宏伟 杨剑[2,9] 马洪卓 陈佳妮[2,3,4,5] 田宝 王少璞 田红梅 程子玮 LI An-qiao;SEHN Zhao-hui;QIU Zhuo-ying;LI Xin;LI Lun;WANG Guo-xiang;SUN Hong-wei;YANG Jian;MA Hong-zhuo;CHEN Jia-ni;TIAN Bao;WANG Shao-pu;TIAN Hong-mei;CHENG Ziwei(China Key Laboratory of Classification,Evaluation and Rehabilitation(Sport)of Intellectual and Development Disability/School of Physical Education(Main Campus),Zhengzhou University,Zhengzhou,Henan 450001,China;WHO-FIC Collaborating Center in China,Beijing 100068,China;Research Institute of Rehabilitation Information,China Rehabilitation Research Center,Beijing 100068,China;Research Institute of Rehabilitation Information,China Rehabilitation Sciences Institute,Beijing 100068,China;School of Psychology,Capital Normal University,Beijing 100037,China;Shenzhen Disabled Persons'Federation,Shenzhen,Guangdong 518008,China;School of Physical Education and Sport Sciences,Research Center of Sport Rehabilitation,Soochow University,Suzhou,Jiangsu 215021,China;China Academy of ICF/Weifang Medical University,Weifang,Shandong 261053,China;College of Physical Education and Health/Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education,East China Normal University,Shanghai 200241,China;Guangdong Vocational Institute of Sports,Guangzhou,Guangdong 510000,China)

机构地区：[1]中国智力和发展性残疾分级、评估与康复(运动)重点实验室/郑州大学体育学院(校本部),河南郑州市450001 [2]世界卫生组织国际分类家族中国合作中心,北京市100068 [3]中国康复研究中心康复信息研究所,北京市100068 [4]中国康复科学所康复信息研究所,北京市100068 [5]首都师范大学心理学院,北京市100037 [6]深圳市残疾人联合会,广东深圳市518008 [7]苏州大学体育学院/运动康复研究中心,江苏苏州市215021 [8]中国ICF研究院/潍坊医学院,山东潍坊市261053 [9]华东师范大学体育与健康学院/青少年健康评价与运动干预教育部重点实验室,上海市200241 [10]广东体育职业技术学院,广东广州市510000

出　　处：《中国康复理论与实践》2020年第5期523-527,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No.2017CZ-7,No.2018CZ-4)。

摘　　要：目的探讨智力残疾人的康复需求特点与康复服务发展状况及其影响因素。方法以250654名智力残疾人省级康复需求与康复服务实名制数据为样本数据,统计分析智力残疾人的康复需求特点和康复服务发展状况,Logistic回归分析其相关因素。结果在智力残疾人的康复需求报告中,报告率从高到低依次为护理47.8%、药物37.2%、功能训练26.1%、辅助器具19.8%和手术1.3%。智力残疾人报告获得的康复服务从高到低依次为护理43.5%、药物29.3%、功能训练27.2%、辅助器具19.6%和手术0.8%。根据Logistic回归模型发现,年龄和残疾等级对智力残疾人康复需求的报告与获得康复服务的概率存在显著影响(P<0.001)。结论智力残疾人康复需求主要表现为护理、药物和康复训练。接受的康复服务与康复需求具有相同的结构。由于智力残疾人功能的复杂性,重度或极重度残疾人更强调护理照料服务,轻度残疾人则需要功能训练。发展针对智力残疾人的康复服务,应该根据其智力功能和社会适应行为特点,开发康复服务项目,提供个别化的精准康复服务。Objective To analyze the characteristics of unmet needs and services of rehabilitation for people with intellectual disability(PIDs).Methods A total of 250654 PIDs had been sampled and administration data of unmet needs and services of rehabilitation at provincial level had been analyzed the characteristics of unmet needs and services of rehabilitation,and the related factors of needs and services were analyzed with Logistic Regression.Results The rate of unmet needs reported by PIDs from high to low were nursing(47.8%),medicine(37.2%),functional training(26.1%),assistive devices(19.8%)and surgery(1.3%).The PIDs reported received service of rehabilitation,including nursing care(43.5%),medicine(29.3%),functional training(27.2%),assistive devices(19.6%)and surgery(0.8%).Logistic Regression Model showed that age and severity of disabilities significantly affect the reported the unmet needs and received services(P<0.001).Conclusion PIDs reported unmet needs mainly involved in the fields of nursing care,medicine and rehabilitation training and therapy.The unmet needs and received services had similar structure.It proposed to develop rehabilitation services tailored to PIDs’intellectual function and adaptive behaviors to develop services items and to deliver individualized and precise services.

关 键 词：智力残疾人 康复需求 康复服务 

分 类 号：R49[医药卫生—康复医学]