早期康复策略对地震伤员的影响初探
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摘要
目的:初步探讨地震对幸存伤员所造成的身心伤害以及早期康复对伤员功能恢复的影响。方法:根据伤员损伤部位进行分类,并对每一位伤员制定明确的康复计划。采用中国残疾人联合会办公室制定的肢体残疾康复评定标准和SEQ心理评估量表,在康复治疗开始前后进行测评。根据评定结果,分析伤员存在的问题并制订康复方案。结果:治疗后地震骨折伤员运动功能和生活自理能力明显提高,心理状态显著改善。32例地震骨折伤员经系统康复治疗后,运动功能积分由1.63分提高到8.49分,生活自理能力积分由4.28分提高到9.24分,3例脑损伤伤员运动功能和生活自理能力经治疗后均可达到满分。48例地震伤员心理评分由7.75分降低到3.53分。结论:尽早进行康复治疗且心理支持贯穿始终,对促进骨折愈合、提高地震伤员的运动功能和生活自理能力有积极的促进作用。
Objective: To investigate the physical and psychological harm and the effect of early rehabilitation on functional recovery of the wounded survivors in the earthquake.Method: A clear recovery plan was established according to the injured site of every injured person.Physical disability rehabilitation assessment standards formulated by the office of China disabled persons federation and SEQ assessment of standard psychological assessment were introduced to assess the wounded before and after the rehabilitation treatment.Problems were analyzed and rehabilitation programs were formulated respectively according to the results.Results: Motor function and self-care ability were highly enhanced and the psychology of fracture injured people was improved significantly after the rehabilitation treatment.The motor function scores increased from 1.63 points to 8.49 points,self-care ability scores increased from 4.28 points to 9.24 points of 32 cases.Most of all,3 cases of brain injured people can achieved full marks on motor function and self-care ability after treatment.The psychological score points of 48 cases decreased from 7.75 to 3.53.Conclusions: Early Rehabilitation and consistent psychological support have great positive effect on fracture healing,motor function and self-care ability improvement.
Objective: To investigate the physical and psychological harm and the effect of early rehabilitation on functional recovery of the wounded survivors in the earthquake.Method: A clear recovery plan was established according to the injured site of every injured person.Physical disability rehabilitation assessment standards formulated by the office of China disabled persons federation and SEQ assessment of standard psychological assessment were introduced to assess the wounded before and after the rehabilitation treatment.Problems were analyzed and rehabilitation programs were formulated respectively according to the results.Results: Motor function and self-care ability were highly enhanced and the psychology of fracture injured people was improved significantly after the rehabilitation treatment.The motor function scores increased from 1.63 points to 8.49 points,self-care ability scores increased from 4.28 points to 9.24 points of 32 cases.Most of all,3 cases of brain injured people can achieved full marks on motor function and self-care ability after treatment.The psychological score points of 48 cases decreased from 7.75 to 3.53.Conclusions: Early Rehabilitation and consistent psychological support have great positive effect on fracture healing,motor function and self-care ability improvement.
引文
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[3]陈威雄,张长杰.持续被动运动对兔膝全层关节软骨缺损修复的影响[J].中华物理医学与康复杂志,2004,26(11):644~647.
[4]李放,徐一鸣,沈丽英,等.等长收缩可以减轻关节源性肌肉抑制[J].中国运动医学杂志,2000,19(2):127~128.
[5]Lake DA.Neuromuscular electrical stimulation:an overview andits application in the treatment of sports injuries[J].Sports Ed,1992,13:320~336.
[6]Read KM,Burgess AR,Dischinger PC,et al.Psychosocial andphysical factors associated with lower extremity injury.AnnuProc Adv AutomotMed,2002,46:289-303.
[7]凌敏,孙月吉,杜娟,等.骨折患者的心理应激与干预[J].中国行为医科学,2005,14(4):374-376.
[2]燕铁斌.半月板损伤及其术后康复[J].中国康复,1991,6(3):134.
[3]陈威雄,张长杰.持续被动运动对兔膝全层关节软骨缺损修复的影响[J].中华物理医学与康复杂志,2004,26(11):644~647.
[4]李放,徐一鸣,沈丽英,等.等长收缩可以减轻关节源性肌肉抑制[J].中国运动医学杂志,2000,19(2):127~128.
[5]Lake DA.Neuromuscular electrical stimulation:an overview andits application in the treatment of sports injuries[J].Sports Ed,1992,13:320~336.
[6]Read KM,Burgess AR,Dischinger PC,et al.Psychosocial andphysical factors associated with lower extremity injury.AnnuProc Adv AutomotMed,2002,46:289-303.
[7]凌敏,孙月吉,杜娟,等.骨折患者的心理应激与干预[J].中国行为医科学,2005,14(4):374-376.
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