Investigation and Analysis of the Rehabilitative Needs of Old People Wounded in Wenchuan Earthquake_West China Medical Journal

Authors：

CHEN Zhonglan ¹ , CHEN Jiali ¹ , JING Peijia ² , et al. ³

1Nursing School of West China Medical School; 2 Department of Orthopedic;3 Department of Rehabilitation, West China Hospital,Sichuan University, Chengdu 610041,China;

Corresponding?author：

Keywords：

老年人; 康復需求; 地震

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目的:了解汶川地震老年傷員存在的身體結構與功能受損程度及活動、參與能力受限程度,明確其康復護理需求。方法:方便抽樣的方法選取研究對象,采用自行設計的調查表由康復醫師在征得其同意后對其完成資料的收集。結果:共選取研究對象40名。傷員存在多系統多器官的結構和功能受損,存在呼吸道感染者4例(10%),截肢者2例(5%),顱腦損傷導致癱瘓者1例(2.5%),骨折者28例(70%)。傷后早期即出現運動功能的下降,26例(65%)患者存在關節活動受限,26例(65%)肌力下降。疼痛是需要解決的一個重要問題,19例(47.5%)患者存在不同程度的疼痛問題。傷后老年傷員日常活動生活能力下降,生活能基本自理者僅13例(32.5%);參與能力受限也是一個不容忽視的問題,職業能力受限者36例(90%),休閑娛樂能力受限者33例(82.5%),社交能力受限者25例(62.5%)。結論:老年傷員的康復現狀不容樂觀,應該引起重視,康復治療需要及早進行。

Citation： CHEN Zhonglan,CHEN Jiali,JING Peijia,et al.. Investigation and Analysis of the Rehabilitative Needs of Old People Wounded in Wenchuan Earthquake. West China Medical Journal, 2009, 24(6): 1554-1557. doi: Copy

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1. LOGUE JN. Disasters, the environment, and public health:improving our response[J]. Am J Public Health,1996,86:1207-1210.
2. FRIEDMAN E. Coping with calamity. How well does healthcare disaster planning work?[J] JAMA,1994,272:1875-1879.
3. MULLER JE, VERRIER RL. Triggering of sudden deathlessons from an earthquake[J]. N Engl J Med,1996,334:460-461.
4. 卓大宏.在地震災害救援及災區重建中充分發揮康復醫學的作用[J].中國康復醫學雜志,2008,23(6):483-486.
5. 殷磊.老年護理學[M].北京:人民衛生出版社,2005:2.
6. 南登崑.康復醫學[M]. 第 3 版.北京:人民衛生出版社,2006:5,76.
7. MITCHO K, YANKO J. Acute care management of spinal cord injuries[J]. Crit Care Nurs Q,1999,22(2):60-79.
8. KIERNEY PC, ENGRAV LH, ISIK FF, et al. Results of 268 pressure sores in 158 patients managed jointly by plastic surgery and rehabilitation medicine[J]. Plast Reconstruct Surg, 1997,102:765-771.
9. 薛麗.疼痛的測量方法[J].實用護理雜志,1996,12(1):10.
10. 中華醫學會骨科學分會. 骨科常見疼痛的處理專家建議[J] .中華骨科雜志,2008,28(1):78-81.
11. GHOLAM R, ALIAKBAR M,KOUROSH M. Reports from Spinal Cord Injury Patients Eight Months after the 2003 Earthquake in Bam Iran [J]. Am J Phys Med Rehabil 2007,86(11):912–917.
12. CHEN D, APPLE DF, HUDSON LM, et al. Medal complications during acute rehabilitation following spinal cord injury: Current experience of the model systems[J]. Arch Phys Med Rehabil,1999,80:1397-1401.
13. OTTENBACHER KJ, SMITH PM, ILLIG SB, et al. Trends in length of stay, living setting function outcome,and mortality following medical rehabilitation [J].JAMA,2004,292:16871695.
14. 蔣重清, 姚瀟囡,李敏. 城市老年人社會角色的三維調查[J]. 中國健康心理學雜志,2008,16 (4):475-477.
15. 卓大宏.在地震救援及災區重建中充分發揮康復醫學的作用[J].中國康復醫學雜志,2008,23(6):483-486.
16. 岳麗霞,歐國強.災害發生時影響居民心理承受能力的社會心理因素分析[J].災害學,2006,21(1):113-116.
17. ELKLIT,A.The aftermath of an industrial disaster[J]. Acta Psychiatrica Scandinavica,1997,96(supplement no.392):1-25.
18. MACNEIL G, STEWART JC, KAUFMAN AV. Social support as potential moderator of adolescent delinquent behaviors[J]. Child and Adolescent Social Work Journal, 2000, 17 (5):361-379.

West China Medical Journal

Investigation and Analysis of the Rehabilitative Needs of Old People Wounded in Wenchuan Earthquake

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