上肢假肢设备选择中的用户复杂性和决策:离散选择测量工具开发
Ruben Vargas1, Todd Castleberry2, Kristin Nalivaika2
1University of California San Francisco, Department of Clinical Pharmacy, San Francisco, CA, United States.
Archives of physical medicine and rehabilitation
|January 6, 2026
概括
一个新的基于选择的联合工具可以帮助上肢截肢 (ULA/D) 患者权衡假肢的风险和益处. 用户的复杂性影响偏好,指导个性化设备选择以获得更好的结果.
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
- 假肢和整形手术
背景情况:
- 在选择假肢设备时,上肢截肢或差异 (ULA/D) 患者面临复杂的选择.
- 评估风险-收益权衡对于优化假肢设备选择和用户满意度至关重要.
- 了解用户的复杂性如何影响假肢偏好对于个性化康复至关重要.
研究的目的:
- 开发和试点测试一种基于选择的联合 (CBC) 工具,以评估ULA/D患者在假肢设备选择中的风险/收益权衡.
- 探索用户复杂性对ULA/D.患者假肢偏好的影响.
主要方法:
- 一项基于调查的研究采用了基于选择的联合 (CBC) 工具,并采用了全方位,平衡的重叠实验设计.
- 与ULA/D和内容专家的个人进行定性访谈,以告知属性选择.
- 试点测试涉及54名ULA/D患者完成CBC工具,通过远程采访和在线调查参与.
主要成果:
- 确定了八个关键属性:功能有用性,生活目标,可见性,重量/舒适性,耐用性/修复性,集中力/能量,身体连接和训练.
- 参与者更喜欢通过植入电极 (62.1%) 和高耐用性设备 (56.0%) 进行精确控制.
- 偏好因用户的复杂性而异,中等复杂度的设备比低复杂度 (70%) 和高复杂度 (56%) 的选择更受青.
结论:
- 开发的CBC工具有效地捕捉了用户偏好和假肢选择中的风险-收益权衡.
- 初步发现表明,该工具可以根据用户的复杂性指导个性化的假肢决策.
- 该研究强调了在选择假肢设备时考虑个人用户能力的重要性.
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