People with severe disabilities require support in performing activities of daily living (ADL), from personal care to technological support. For people with disabilities, digital healthcare is effective in improving their ability to perform ADLs. This study aimed to identify factors associated with the digital healthcare needs of people with severe disabilities in ADL. Qualitative data were collected from in-depth individual interviews and focus group interviews from 16 participants. Transcripts of interviews were then analyzed, and the essential factors were identified. Twenty-eight difficulty factors related to ADL were defined according to the type of disability. Factors requiring digital healthcare were specified in accordance with the qualitative analysis performed on the interview results. Appropriate tasks were established according to disability, such as posture control and emergency management for individuals with cervical spinal injury; communication and posture control in adults with cerebral palsy; communication and toileting monitoring for parents of children with disabilities; and emergency management, breathing exercise, and oxygen saturation management for individuals with muscular dystrophy. All factors identified in the study conform to the International Classification of Functioning, Disability, and Health (ICF) codes. This study will contribute toward understanding the needs of people with severe disability in terms of digital healthcare.

中文翻译：

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以日常生活活动为中心的重度残疾人数字化医疗需求分析

从个人护理到技术支持，重度残障人士在进行日常生活活动 (ADL) 时需要支持。对于残疾人来说，数字医疗保健可以有效提高他们执行 ADL 的能力。本研究旨在确定与 ADL 严重残疾人的数字医疗保健需求相关的因素。定性数据来自 16 名参与者的深入个人访谈和焦点小组访谈。然后分析访谈记录，并确定基本因素。根据残疾类型定义了与 ADL 相关的 28 个困难因素。根据对访谈结果进行的定性分析，指定了需要数字医疗保健的因素。根据残疾情况制定相应的任务，如对颈椎损伤个体的姿势控制和应急管理；脑瘫成人的沟通和姿势控制；残疾儿童父母的沟通和如厕监测；肌肉萎缩症患者的应急管理、呼吸运动和氧饱和度管理。研究中确定的所有因素均符合国际功能、残疾和健康分类 (ICF) 代码。这项研究将有助于了解重度残疾人在数字医疗保健方面的需求。残疾儿童父母的沟通和如厕监测；肌肉萎缩症患者的应急管理、呼吸运动和氧饱和度管理。研究中确定的所有因素均符合国际功能、残疾和健康分类 (ICF) 代码。这项研究将有助于了解重度残疾人在数字医疗保健方面的需求。残疾儿童父母的沟通和如厕监测；肌肉萎缩症患者的应急管理、呼吸运动和氧饱和度管理。研究中确定的所有因素均符合国际功能、残疾和健康分类 (ICF) 代码。这项研究将有助于了解重度残疾人在数字医疗保健方面的需求。