Unmet Needs and Services of Nursing Care for Adults with Extremely Severe and Severe Intellectual Disabilities Using Structural Equation Analysis
10.3969/j.issn.1006-9771.2020.05.008
- VernacularTitle:极重度和重度成年智力残疾人护理需求与护理服务结构方程模型
- Author:
Jia-ni CHEN
1
;
An-qiao LI
2
;
Lun LI
2
;
Zhuo-ying QIU
1
;
Hong-wei SUN
2
;
Bao TIAN
3
;
Zhao-hui SHEN
1
;
Xin LI
2
;
Di CHEN
1
;
Ting ZHU
4
;
Hong-zhuo MA
2
;
Hong-mei TIAN
5
;
Zi-wei CHENG
5
Author Information
1. Research Institute of Rehabilitation Information, China Rehabilitation Research Centre, Beijing 100068, China
2. WHO Collaborating Center for China, Family of International Classifications, Beijing 100068, China
3. School of Psychology, Capital Normal University, Beijing 100037, China
4. Shenzhen Longgang Special Education School, Shenzhen, Guangdong 518100, China
5. China Key Laboratory of Classification, Evaluation and Rehabilita‐ tion (Sport) of Intellectual and Development Disability/School of Physical Education (Main Campus), Zhengzhou Uni‐ versity, Zhengzhou, Henan 450001, China
- Publication Type:Research Article
- Keywords:
intellectual disabilities;
nursing care;
unmet needs of rehabilitation;
services of rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(5):534-538
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics and related factors of unmet needs of nursing care and service for adults with extremely severe and severe intellectual disabilities. Methods:A total of 127 547 adults with extremely severe and severe intellectual disabilities were sampled. Descriptive statistics and multiple response analysis were conducted, and a structural equation model of unmet needs of nursing care and received the services was developed. Results:A total of 26 038 adults with extremely severe and severe intellectual disabilities reported unmet needs of rehabilitation, including nursing care (52.50%), medicine (36.90%), assistive device (20.90%), functional training (19.70%) and surgery (0.80%) respectively. A total of 11 640 adults with extremely severe and severe intellectual disabilities reported received rehabilitation services, including nursing care (49.90%), medicine (36.80%), functional training (19.10%), assistive device (14.10%) and surgery (1.00%) respectively. The structural equation model showed that received nursing care service (main effect = 0.646) and received rehabilitation services (included nursing care) (main effect = 0.014), age (main effect = 0.031), household registration (main effect = 0.015) and educational level (main effect = -0.158) had effects on unmet needs of nursing care (P < 0.001). Conclusion:Adults with extremely severe and severe intellectual disabilities reported unmet needs mainly involved in field of nursing care, and their rehabilitation services mapped to their main needs. It proposed to develop rehabilitation services tailored to their rehabilitation experience, age, socioeconomic status, functional conditions and characteristic of unmet needs, to develop accessible services items and individualized nursing care programs, and to expand the nursing care service supply and coverage of nursing care.
