从医疗保健提供者,终端用户和亲属的角度来看,上肢假肢的需求
Sofía C Henao1, Simón Cuartas-Escobar2, Sara Salazar-Salgado3
1Pontificia Universidad Javeriana, Cali, Valle del Cauca, Colombia; Universidad EIA, Medellín, Antioquia, Colombia; Universidad de Antioquia, Medellín, Antioquia, Colombia.
概括
对上肢假肢使用者来说,舒适度是关键,但成本的看法各不相同. 解决各种需求和减少放弃因素对于更好的康复结果和用户满意度至关重要.
科学领域:
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
- 人类因素工程 人类因素工程
背景情况:
- 上肢截肢严重影响生活质量,因为复制手的复杂性.
- 高的假肢拒绝率 (高达50%) 源于功能,舒适性和控制方面的问题.
- 现有的假肢往往无法满足用户复杂的功能和人体工程学的要求.
研究的目的:
- 定义关键的上肢假肢设计要求.
- 收集来自医疗保健提供者,最终用户及其亲属的见解.
- 为了帮助开发一个功能性的肌电上肢假肢.
主要方法:
- 与11名医疗保健提供者,10名终端用户和10名亲属进行了半结构化采访.
- 探索了假肢设计特征和日常生活活动 (ADL) 能力.
- 在设计思维过程中应用数据,信息,知识和智慧 (DIKW) 框架.
主要成果:
- 舒适性成为所有利益相关者群体的首要要求.
- 维护和低重量也是关键的设计考虑因素.
- 观察到最终用户和亲属之间在成本感知和对ADL能力的不同看法方面存在显著差异.
结论:
- 优先考虑舒适性和解决各种最终用户ADL需求对于提高独立性至关重要.
- 调和不同利益相关者的看法,特别是关于成本的看法,至关重要.
- 缓解放弃因素,如不切实际的期望和培训差距,可以改善康复结果.
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