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; 康复需求; 地震

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目的:了解汶川地震老年伤员存在的身体结构与功能受损程度及活动、参与能力受限程度,明确其康复护理需求。方法:方便抽样的方法选取研究对象,采用自行设计的调查表由康复医师在征得其同意后对其完成资料的收集。结果:共选取研究对象40名。伤员存在多系统多器官的结构和功能受损,存在呼吸道感染者4例(10%),截肢者2例(5%),颅脑损伤导致瘫痪者1例(2.5%),骨折者28例(70%)。伤后早期即出现运动功能的下降,26例(65%)患者存在关节活动受限,26例(65%)肌力下降。疼痛是需要解决的一个重要问题,19例(47.5%)患者存在不同程度的疼痛问题。伤后老年伤员日常活动生活能力下降,生活能基本自理者仅13例(32.5%);参与能力受限也是一个不容忽视的问题,职业能力受限者36例(90%),休闲娱乐能力受限者33例(82.5%),社交能力受限者25例(62.5%)。结论:老年伤员的康复现状不容乐观,应该引起重视,康复治疗需要及早进行。

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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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.在地震灾害救援及灾区重建中充分发挥康复医学的作用[J].中国康复医学杂志,2008,23(6):483-486.
5. 殷磊.老年护理学[M].北京:人民卫生出版社,2005:2.
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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. 薛丽.疼痛的测量方法[J].实用护理杂志,1996,12(1):10.
10. 中华医学会骨科学分会. 骨科常见疼痛的处理专家建议[J] .中华骨科杂志,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. 蒋重清, 姚潇囡,李敏. 城市老年人社会角色的三维调查[J]. 中国健康心理学杂志,2008,16 (4):475-477.
15. 卓大宏.在地震救援及灾区重建中充分发挥康复医学的作用[J].中国康复医学杂志,2008,23(6):483-486.
16. 岳丽霞,欧国强.灾害发生时影响居民心理承受能力的社会心理因素分析[J].灾害学,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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