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Tytuł pozycji:

Compliance with prescriptions for wheelchairs, walking aids, orthotics, and pressure-relieving devices in patients with traumatic spinal cord injury.

Tytuł :
Compliance with prescriptions for wheelchairs, walking aids, orthotics, and pressure-relieving devices in patients with traumatic spinal cord injury.
Autorzy :
Frasuńska J; Department of Rehabilitation, First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland - .; Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland - .; Department of Rehabilitation, Mazovian Rehabilitation Center (STOCER), Konstancin-Jeziorna, Poland - .
Tederko P; Department of Rehabilitation, First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.; Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Wojdasiewicz P; Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.; Department of General and Experimental Pathology, Center for Preclinical Research and Technology (CePT), Medical University of Warsaw, Warsaw, Poland.
Mycielski J; Department of Economics, University of Warsaw, Warsaw, Poland.
Turczyn P; Department of Rehabilitation, First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.; Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Tarnacka B; Department of Rehabilitation, First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.; Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Pokaż więcej
Źródło :
European journal of physical and rehabilitation medicine [Eur J Phys Rehabil Med] 2020 Apr; Vol. 56 (2), pp. 160-168. Date of Electronic Publication: 2019 Dec 03.
Typ publikacji :
Journal Article; Observational Study
Język :
English
Imprint Name(s) :
Original Publication: Torino : Edizioni Minerva Medica
MeSH Terms :
Orthotic Devices*
Patient Compliance*
Self-Help Devices*
Spinal Cord Injuries/*rehabilitation
Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Pressure Ulcer/prevention & control ; Retrospective Studies ; Surveys and Questionnaires ; Young Adult
Entry Date(s) :
Date Created: 20191205 Date Completed: 20200930 Latest Revision: 20200930
Update Code :
20210210
DOI :
10.23736/S1973-9087.19.05920-3
PMID :
31797659
Czasopismo naukowe
Background: The use of adaptive equipment (AE) is the basic indication for patients with spinal cord injury (SCI). Inappropriate decisions concerning the use of AE imply treatment results, patient confidence, and patient and state costs. The present study is the first analysis of the causes of non-compliance conducted in Europe with the provision of AE in SCI patients using Wielandt and Strong's classification.
Aim: The aim of this study is to analyze of the causes of non-compliance in the process of providing AE to SCI patients.
Design: Retrospective observational study.
Setting: "STOCER" Masovian Rehabilitation Centre, Konstancin-Jeziorna, Poland.
Population: Seventy-two patients with traumatic SCI 10 months after the completion of the acute and post-acute phases of inpatient rehabilitation.
Methods: Wielandt and Strong's classification was used to determine the causes of non-compliance with AE provisions and the present authors' questionnaire with the World Health Organisation Quality of Life (WHOQOL-BREF) were used to identify the risk factors of non-compliance with AE provisions.
Results: Non-compliance with prescribed AE provisions was reported in 34 (49.3%) of 69 study participants. Non-compliance was due to medical-related factors in 44.1%, client-related factors in 20.6%, equipment-related factors in 11.8%, and unspecific factors in 17.8% of cases. Non-compliance with AE provisions correlated with complete neurological deficit, preserved ability to walk (in case of wheelchairs), the presence of bedsores (in cases of lower extremity devices), low financial status, and lost ability to walk (in cases of AE for standing and walking). The highest percentage of non-compliance was noted for the provision of knee-ankle-foot orthosis (50%).
Conclusions: The most common causes of non-compliance with AE provisions include health status improvement in the patient and high cost of the device.
Clinical Rehabilitation Impact: These results can be helpful for more effective treatment planning and the avoidance of unnecessary reimbursement costs covered by the state and users.

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