“5·12”汶川地震截肢伤员分阶段康复方案对生存质量的影响
|
摘要
目的对"5·12"汶川地震截肢伤员开展康复前、康复满1年(近期)、满3年(中期)及满5年(远期)的生存质量变化,进行调查研究,探索最佳的持续康复方案。方法 2008年9月,把在上级医院救治后,陆续返回绵竹市第二人民医院进行康复治疗的52例"5·12"地震截肢伤员分为A、B两组,每组各26例。A组采用分阶段康复方案,B组采用常规康复方案。于康复前、满1年、3年及5年时,采用"震后德阳市截肢伤员个人情况表"和世界卫生组织生存质量测定量表作为研究工具,进行生存质量调查分析。结果 A、B两组生存质量分值总体呈现持续上升态势,各期分值A组都高于B组,2013年9月远期生存质量调查显示,A组与B组在积极的感觉方面评分分别为(193.0±12.3)、(126.0±11.2)分,做事能力分别为(62.0±5.2)、(41.0±2.3)分,生活满意度分别为(150.0±2.1)、(101.0±6.2)分,行动能力分别为(17.0±2.6)、(11.0±5.2)分,差异有统计学意义(P<0.05)。结论分阶段康复方案较常规康复方案更能促使伤员更好地改善和巩固生存质量,促进伤员更早回归家庭和社会,弥补了现有截肢康复方案的不足,值得推广应用。
Objective To carry out an investigation on the life quality of amputees in the "5·12" Wenchuan earthquake before and after rehabilitation of one year(short term),three year(intermediate term) and five year(long term) and find out the best program of recovery.Methods In September 2008,52 patients who were treated in the higher-level hospital and came back to the Second People's Hospital of Mianzhu City for rehabilitation were divided into two groups:group A and B with 26 patients in each.Phased rehabilitation program was adopted for group A while traditional program was chosen for patients in group B. "The Personal Information Table of Amputees of Deyang City" and The Life Quality Measurement Table of World Health Organization were chosen as the research tools before the program and one year,three years and five years after the program.Result Scores of the life quality of both groups showed a general rising tendency,while group A was higher than group B in each single phase,especially in the longterm one.For positive feeling,group A got a score of 193.0±12.3 and group B got 126.0±11.2;for ability to work,group A had a score of 62.0±5.2 and group B had 41.0±2.3;for life satisfaction,group A achieved 150.0±2.1 and group B achieved 101.0±6.2;for ability of action,the score of group A was 17.0±2.6 and group B was 11.0±5.2.The differences were statistically significant(P < 0.05).Conclusion Compared with conventional rehabilitation program,phased rehabilitation program can better enhance and consolidate the amputees' quality of life and promote their returning to family and society,which can make up for the deficiency of the existing rehabilitation programs and is worth popularization and application.
Objective To carry out an investigation on the life quality of amputees in the "5·12" Wenchuan earthquake before and after rehabilitation of one year(short term),three year(intermediate term) and five year(long term) and find out the best program of recovery.Methods In September 2008,52 patients who were treated in the higher-level hospital and came back to the Second People's Hospital of Mianzhu City for rehabilitation were divided into two groups:group A and B with 26 patients in each.Phased rehabilitation program was adopted for group A while traditional program was chosen for patients in group B. "The Personal Information Table of Amputees of Deyang City" and The Life Quality Measurement Table of World Health Organization were chosen as the research tools before the program and one year,three years and five years after the program.Result Scores of the life quality of both groups showed a general rising tendency,while group A was higher than group B in each single phase,especially in the longterm one.For positive feeling,group A got a score of 193.0±12.3 and group B got 126.0±11.2;for ability to work,group A had a score of 62.0±5.2 and group B had 41.0±2.3;for life satisfaction,group A achieved 150.0±2.1 and group B achieved 101.0±6.2;for ability of action,the score of group A was 17.0±2.6 and group B was 11.0±5.2.The differences were statistically significant(P < 0.05).Conclusion Compared with conventional rehabilitation program,phased rehabilitation program can better enhance and consolidate the amputees' quality of life and promote their returning to family and society,which can make up for the deficiency of the existing rehabilitation programs and is worth popularization and application.
引文
1孙增春,贾雪,杨扬,等.华西医院地震康复中心地震挤压伤截肢伤员的伤情分析[J].华西医学,2009,24(3):534-536.
2 杨玉龙,常有军,潘福琼.针灸联合康复治疗汶川地震伤员截肢后幻肢痛疗效观察[J].实用医院临床杂志,2010,7(1):53-55.
3 宁宁,廖灯彬,何富乔,等.小组治疗模式在地震截肢伤员康复中的作用[J].中国循证医学杂志,2008,8(7):496-498.
4 宋江润,李盛华,杨文博,等.地震伤截肢患的近期康复[J].甘肃中医,2009,22(8):9-10.
5 陈红霞,袁洪平,唐薇,等.康复疗法学[M].北京:人民卫生出版社,2012:250-270.
6 方新.假肢矫形器在地震伤员康复中的应用及临床新进展[J].实用医院临床杂志,2010,7(1):17-19.
7 孟凌春,李静璇.震后截肢患者的身心护理[J].中国医药指南,2010,8(5):132-133.
8 赵克聪,孙海燕.地震伤截肢患者的护理与康复指导[J].中国康复理论与实践,2008,14(7):640-641.
9 祁长凤,刘松怀,梁志锋,等.地震截肢患者的心理康复[J].首都医科大学学报,2008,29(5):576-579.
10 杜春萍,陈佳佳,曾晓梅,等.地震挤压伤截肢伤员的康复护理[J].华西医学,2009,24(3):549-551.
11 赵丽明.基层医院下肢截肢患者的护理[J].中外医疗,2010,29(3):153-153.
12 伍红平,杨晓蓉.地震伤员截肢术后早期并发症的预防及护理[J].局解手术学杂志,2010,19(1):67-67.
13 胡豇,王跃,唐六一,等.5·12汶川大地震截肢伤员55例临床分析[J].实用医院临床杂志,2009,6(1):35-37.
14 胡军,李丽,余瑾,等.作业治疗学[M].北京:人民卫生出版社,2012:226-229.
15 张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:77-82.
16 秦胜芳,刘定海,彭远志.地震危重伤员截肢前的血液细胞生化血气分析[J].检验医学,2011,26(9):641-643.
17 唐强,张安仁,何坚,等.临床康复学[M].北京:人民卫生出版社,2012:174-180.
18 关骅,张光铂,郭龙.等中国骨伤康复学[M].北京:人民军医出版社,2011:93-120.
19 袁菊莲,段鑫,谢国省,等.综合康复在汶川地震截肢伤员功能障碍的临床疗效分析[J].华西医学,2010,25(9):1632-1635.
2 杨玉龙,常有军,潘福琼.针灸联合康复治疗汶川地震伤员截肢后幻肢痛疗效观察[J].实用医院临床杂志,2010,7(1):53-55.
3 宁宁,廖灯彬,何富乔,等.小组治疗模式在地震截肢伤员康复中的作用[J].中国循证医学杂志,2008,8(7):496-498.
4 宋江润,李盛华,杨文博,等.地震伤截肢患的近期康复[J].甘肃中医,2009,22(8):9-10.
5 陈红霞,袁洪平,唐薇,等.康复疗法学[M].北京:人民卫生出版社,2012:250-270.
6 方新.假肢矫形器在地震伤员康复中的应用及临床新进展[J].实用医院临床杂志,2010,7(1):17-19.
7 孟凌春,李静璇.震后截肢患者的身心护理[J].中国医药指南,2010,8(5):132-133.
8 赵克聪,孙海燕.地震伤截肢患者的护理与康复指导[J].中国康复理论与实践,2008,14(7):640-641.
9 祁长凤,刘松怀,梁志锋,等.地震截肢患者的心理康复[J].首都医科大学学报,2008,29(5):576-579.
10 杜春萍,陈佳佳,曾晓梅,等.地震挤压伤截肢伤员的康复护理[J].华西医学,2009,24(3):549-551.
11 赵丽明.基层医院下肢截肢患者的护理[J].中外医疗,2010,29(3):153-153.
12 伍红平,杨晓蓉.地震伤员截肢术后早期并发症的预防及护理[J].局解手术学杂志,2010,19(1):67-67.
13 胡豇,王跃,唐六一,等.5·12汶川大地震截肢伤员55例临床分析[J].实用医院临床杂志,2009,6(1):35-37.
14 胡军,李丽,余瑾,等.作业治疗学[M].北京:人民卫生出版社,2012:226-229.
15 张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:77-82.
16 秦胜芳,刘定海,彭远志.地震危重伤员截肢前的血液细胞生化血气分析[J].检验医学,2011,26(9):641-643.
17 唐强,张安仁,何坚,等.临床康复学[M].北京:人民卫生出版社,2012:174-180.
18 关骅,张光铂,郭龙.等中国骨伤康复学[M].北京:人民军医出版社,2011:93-120.
19 袁菊莲,段鑫,谢国省,等.综合康复在汶川地震截肢伤员功能障碍的临床疗效分析[J].华西医学,2010,25(9):1632-1635.