中国康复理论与实践2025，Vol.31Issue(11)：1354-1364,11.DOI:10.3969/j.issn.1006-9771.2025.11.012
功能障碍人群辅助器具适配度评价及影响因素分析
Evaluation of assistive device adaptation and analysis of influencing factors among people with dysfunction
摘要
Abstract
Objective To investigate the current status of assistive device adaptation among people with dysfunction in China,identi-fy unmet assistive needs for assistive products,and determine key factors influencing attitudes toward assistive device use. Methods Based on data from the Chinese segment of the Global Rapid Assistive Technology Assessment(rATA)survey,5 935 individuals with dysfunction from Beijing,Anhui,Fujian,Hubei,Sichuan and Shaanxi were included.The adaptation status of assistive devices was analyzed,and a theoretical framework was constructed using the tech-nology acceptance model.Multiple linear regression analysis was applied to identify factors influencing attitudes toward assistive device use. Results The utilization rate of rehabilitation assistive devices among people with dysfunction was 65.9%,with a notable prevalence of multiple functional impairments.Fit rate was the highest(68.44%)in individuals with visual im-pairments,while those with communication impairments had the lowest(1.52%).Fit rates were significantly low-er among rural residents and older adults.Overall satisfaction with assistive devices was relatively high(4.11±0.71).Accessibility of the home environment(B=0.396,P<0.001),accessibility of the public environment(B=0.204,P<0.001),functional utility of assistive devices(B=0.204,P<0.001),and distance to obtain the devices(B<-0.112,P<0.01)were key factors affecting satisfication toward assistive device use,while the source of payment showed no significant impact(P>0.05). Conclusion Significant structural imbalances and group disparities exist in the adaptation of assistive devices among people with dysfunction in China.The phenomenon of multiple functional impairments has not received suffi-cient attention,and there remains a substantial unmet need for assistive products among non-fitted groups.Al-though overall satisfaction with assistive devices is high,influencing factors are complex.Continuous improve-ment of accessibility in both private and public environments,promotion of personalized adaptation services,and optimization of assistive device service networks are essential to enhance adaptation accuracy,sustained use,and subjective well-being among people with dysfunction.关键词
功能障碍/辅助器具/适配度/技术接受模型/影响因素Key words
dysfunction/assistive devices/adaptation level/technology acceptance model/influencing factors分类
临床医学引用本文复制引用
刘晨,董理权,闫媚,江华..功能障碍人群辅助器具适配度评价及影响因素分析[J].中国康复理论与实践,2025,31(11):1354-1364,11.基金项目
国家社会科学基金项目(No.23BSH095) Supported by National Social Science Fund of China(No.23BSH095) （No.23BSH095）
