对轮椅使用者社区移动体验的定性研究。

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
African Journal of Disability Pub Date : 2024-02-16 eCollection Date: 2024-01-01 DOI:10.4102/ajod.v13i0.1253
Jerome P Fredericks, Surona Visagie, Lana van Niekerk
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引用次数: 0

摘要

背景:行动自由取决于社区流动性,是提高生活质量的关键因素,也是建立个人社区身份认同的重要因素:描述生活在社会经济困难环境中的轮椅使用者的社区行动体验:研究环境:帕尔(Paarl)是南非西开普省的一个近郊区。本文报告了合作调查第一周期第一阶段(对过去社区出行和小巴出租车使用经历的反思)的调查结果。九名成年轮椅使用者、八名护理人员、六名小巴出租车司机和四名社区利益相关者参与了此次调查。通过焦点小组讨论收集数据,并采用归纳式主题分析法对数据进行分析:确定了四个主题,即 "知识、态度和行动"、"自然、人为和机械环境障碍"、"健康和安全问题 "以及 "社区参与度低和生活质量差"。这些主题显示了轮椅使用者在社区内活动等日常活动是多么困难,以及这如何限制了他们对社区的参与:结论:生活在低收入城郊地区的轮椅使用者很难参与对他们有意义的社区活动,因为各种障碍阻碍了社区轮椅的移动和小巴出租车的使用:有关社区行动不便的调查结果,特别是有关小巴出租车使用的调查结果,为具体建议以及合作调查的下一阶段和周期提供了指导。合作探究的目的是让合作研究者找到自己的声音,并为轮椅使用者使用小巴出租车制定解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A qualitative exploration of community mobility experiences of wheelchair users.

Background: Freedom of movement, which is dependent on community mobility, is a key contributor to good quality of life and important in the establishment of a person's community identity.

Objective: To describe the community mobility experiences of wheelchair users who lived in a socio-economically challenged setting.

Method: The study setting was Paarl, a peri-urban area of the Western Cape province of South Africa. This article reports findings from phase 1 (a reflection on past community mobility and minibus taxi use experiences) of cycle 1 of a co-operative inquiry. Nine adult wheelchair users, eight caregivers, six minibus taxi drivers, and four community stakeholders participated. Data were collected during a focus group discussion and analysed using inductive thematic analysis.

Results: Four themes, 'Knowledge, attitudes, and actions', 'Natural, manmade and mechanical environmental barriers', 'Health and safety concerns' and 'Poor community participation and quality of life' were identified. The themes showed how difficult an everyday activity like moving around in the community were for wheelchair users, and how that limited their community involvement.

Conclusions: Wheelchair users living in a low-income peri-urban area struggled to participate in community activities meaningful to them because various barriers hampered community wheelchair mobility and minibus taxi use.

Contribution: The findings regarding community mobility struggles and specifically minibus taxi access guided specific recommendations and the further phases and cycles of the co-operative inquiry. The purpose of the co-operative inquiry was to allow co-researchers to find their voice and develop solutions to minibus taxi access for wheelchair users.

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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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