使用例行收集的数据了解假肢的维护,修复和更换:在柬埔寨进行了三十年的回顾性研究
Alex Dickinson1,2,3, Lucy Gates2,4, Cheryl Metcalf2,3,5
1Faculty of Engineering & Physical Sciences, University of Southampton, UK.
Journal of global health
|April 25, 2025
概括
假肢修复和更换时间因使用者的人口统计和活动水平而异. 了解这些模式对于改善假肢设备寿命和在资源较低的环境中改善患者护理至关重要.
科学领域:
- 康复工程 康复工程 康复工程
- 假肢和整形手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 假肢显著提高生活质量和社会经济地位,特别是在资源较低的环境中.
- 行政数据分析对于改善医疗保健至关重要,但对假肢维护,修复和更换的研究有限.
- 现有的假肢存活率数据稀缺,高度可变,往往缺乏人口学子组分析.
研究的目的:
- 在柬埔寨队伍中调查假肢设备交付,维护/维修和更换的时间分布.
- 分析服务提供,用户人口统计和健康特征对假肢生命周期的影响.
- 为了比较不同的人口和临床群体的修复和更换可能性.
主要方法:
- 分析了14822次设备交付和22878次维修,对6986名个人进行了分析.
- 卡普兰-梅尔生存分析以确定时间到事件分布.
- 考克斯的比例危险模型用于比较组之间的维修和更换率.
主要成果:
- 在修复之前,设备的平均存活时间为237天,在更换之前为727天.
- 儿童和活跃职业人员的设备更换得更快;上肢设备的寿命比下肢设备更长.
- 观察到女性的修复和更换时间比男性更早,以及体积变化与磨损的变化.
结论:
- 假肢维护受到设备的耐用性和获得康复服务的影响.
- 早期维修或更换可以表明设备的质量,适合性和用户的移动性,或突出服务不足的人群.
- 结果提供了基准数据,用于设计新的假肢技术,平衡功能,成本和耐用性.
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