作　　者： (李欣）; (刘冯铂）; (邱卓英）; (杜若飞）; (杨木春）; (刘宁）;

机构地区： 郑州大学中国智力和发展性残疾分级、评估与康复运动重点实验室,河南郑州市450001 中国康复研究中心康复信息研究所、世界卫生组织国际分类家族中国合作中心,北京市100068

出　　处： 《中国康复理论与实践》 2017年第8期879-882,共4页

摘　　要： 目的研究河南省农村肢体残疾人的康复需求与服务发展。方法使用2016年度河南省残疾人基本服务状况和需求数据,对农村肢体残疾人康复需求与康复服务发展的状况进行统计分析和发展研究。结果本研究涉及河南省所辖全部19个地市的1,028,598名农村肢体残疾人,其中男性占61.7%。在康复需求方面,有手术需求19,348人次(1.9%),有药物需求202,855人次(19.7%),有功能训练需求197,592人次(19.2%),有辅助器具需求360,754人次(35.1%),有护理需求158,012人次(15.4%),不同康复服务需求人数在不同残疾等级方面均有非常高度显著性差异(χ~2>18.080,P<0.001)。在接受康复服务状况方面,年度内接受手术康复服务6061人次(0.6%),接受药物康复服务93,905人次(9.1%),接受功能训练康复服务62,967人次(6.1%),接受辅助器具康复服务81,437人次(7.9%),接受护理康复服务34,595人次(3.4%),得到各种康复服务的人数在不同残疾等级方面有非常显著性差异(χ~2>15.920,P<0.01)。在未得到康复服务的原因方面,康复政策认识学习不足165,172人次(20.3%),缺少足够康复经费支持151,448人次(18.6%),无法到达康复医疗机构20,369人次(2.5%),缺乏康复专业人员或康复机构服务能力低下等540,971人次(66.5%),不同原因的人数在不同残疾等级均有非常高度显著性差异(χ~2>19.182,P<0.001)。结论本研究确认了河南省农村肢体残疾人的康复需求与服务发展状况,建议应大力培养康复专业人才并提高相关康复机构的服务能力,加大康复服务宣传培训力度,提高残疾人的认知能力,加大对于康复服务的资金投入,为需要康复服务的残疾人提供合理便利。 Objective To research the unmet needs and services of rehabilitation for people with physical disabilities in rural areas in Henan,China.Methods The data of 2016 Basic Service Status and Unmet Needs for People with Disabilities in Henan,China were analyzed.Results A total of 1,028,598 people with physical disabilities from all 19 cities had been surveyed,accounting for 61.7% male.In terms of rehabilitation needs,there were 19,348（1.9%） responsed surgery,202,855（19.7%） responsed medical treatment,197,592（19.2%）responsed functional training,360,754（35.1%） responsed assistive products,and 158,012（15.4%） responsed nursing,there were significant differences in the number of people who needed rehabilitation among different disability levels（χ^2〉18.080,P〈0.001）.For rehabilitation service,there were 6061（0.6%） reported surgery,93,905（9.1%） reported medicine,62,967（6.1%） reported function training,81,437（7.9%）reported assistive products,and 34,595（3.4%） reported nursing,there were significant differences in the number of people who got rehabilitation among different disability levels（χ^2〉15.920,P〈0.01）.For the people without rehabilitation services,there were 165,172（20.3%） person-times lack of understanding of rehabilitation policy,151,448（18.6%） reported lack of rehabilitation financial support,20,369（2.5%） reported not to access rehabilitation institutions,540,971（66.5%） reported lack of rehabilitation professionals or services,there were significant differences in the number of people who did not get rehabilitation services among different disability levels（χ^2〉19.182,P〈0.001）.Conclusion The unmet needs and services of rehabilitation for people with physical disabilities in rural areas in Henan were explicated.It recommended to train rehabilitation professionals and improve the service delivery capacity,to raise awareness,increase investment in rehabilitation services and provide reasonable accommodation for people with disabilities.

关 键 词： 河南省 农村 肢体残疾人 康复需求 康复服务