芦山地震后四川灾区康复现状分析
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摘要
目的了解芦山地震后四川省康复现状,为进一步完善康复的体系建设、人才培养提供一定的参考。方法 2013年4月21日-5月5日,通过访谈和实地调查,收集四川大学华西医院、乐山市市中区医院、峨眉山中医医院、雅安市人民医院地震伤员数量、类型、治疗接受及伤员需求情况,以及医院康复科团队配置进行调查。结果震后2周,四川省共收治伤员25 220例次,已开展手术6 545台次。累计开展早期康复医疗947例。震后2周,四川大学华西医院共接诊地震伤员392例,入院治疗321例。乐山市市中区医院、峨眉山中医医院、雅安市人民医院康复科建设方面,康复医生占康复科医生总数的11.5%(3/26),康复专业护士占康复科护士总数的8.6%(3/35),专业康复治疗师仅4人,占治疗师总人数的4/5。结论为推进四川省康复的发展,康复医学体系的建设、专业人员教育培养、规范康复学科建设以及康复理念普及尤为重要。
Objective To analyze the state of rehabilitation after Lushan earthquake for improving the rehabilitation and personnel training system.Methods From April 21 st to May 5th,2013,we collected data related to earthquake victims and the staff structure from West China Hospital,Leshan Downtown Hospital,Emeishan Hospital of Traditional Chinese Medicine(TCM),and Ya'an People's Hospital through interview and field investigation.Results Two weeks after the earthquake,25 220 victims received treatments in Sichuan Province,6 545 surgeries were conducted,and 947 victims received postoperative early rehabilitation.A total of 392 victims received treatments in West China Hospital,Sichuan University,including 321 in-patients.In Leshan Downtown Hospital,Emeishan Hospital of TCM and Ya'an People's Hospital,the proportion of rehabilitation doctors reached 11.5%among all the doctors,the rehabilitation nurses reached to 8.6%among all nurses,and the rehabilitation therapists with certification reached to 4/5.Conclusion The construction of the rehabilitation system and discipline,the cultivation of professional personnel,and popularization of rehabilitation concept are essential for development of rehabilitation in Sichuan province.
Objective To analyze the state of rehabilitation after Lushan earthquake for improving the rehabilitation and personnel training system.Methods From April 21 st to May 5th,2013,we collected data related to earthquake victims and the staff structure from West China Hospital,Leshan Downtown Hospital,Emeishan Hospital of Traditional Chinese Medicine(TCM),and Ya'an People's Hospital through interview and field investigation.Results Two weeks after the earthquake,25 220 victims received treatments in Sichuan Province,6 545 surgeries were conducted,and 947 victims received postoperative early rehabilitation.A total of 392 victims received treatments in West China Hospital,Sichuan University,including 321 in-patients.In Leshan Downtown Hospital,Emeishan Hospital of TCM and Ya'an People's Hospital,the proportion of rehabilitation doctors reached 11.5%among all the doctors,the rehabilitation nurses reached to 8.6%among all nurses,and the rehabilitation therapists with certification reached to 4/5.Conclusion The construction of the rehabilitation system and discipline,the cultivation of professional personnel,and popularization of rehabilitation concept are essential for development of rehabilitation in Sichuan province.
引文
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9四川省卫生和计划生育委员会医政处.四川省卫生厅关于切实做好“4·20”芦山7.0级地震灾后心理卫生服务和医疗康复工作的通知[EB/OL].(2013-04-23)[2013-07-01].http://www.scwst.gov.cn/index.php/gzkb/6039--4m2070.
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11 Zhang X,Reinhardt JD,Gosney JE,et al.The NHV rehabilitation services program improves long-term physical functioning in survivors of the 2008 Sichuan earthquake:a longitudinal quasi experiment[J].PLo S One,2013,8(1):e53995.
12四川省卫生和计划生育委员会医政处.四川省卫生厅关于印发四川省综合医院评审标准纲要(2010年)的通知[EB/OL].(2010-07 -15)[2013-07-01].http://www.scwst.gov.cn/index.php/yzgl/2270-2010.
13 南登昆.康复医学[M].北京:人民卫生出版社,2001:3.
14 励建安.汶川地震为康复医学带来的机遇和挑战[J].中国康复医学杂志,2008,23(7):583-584.
15 Li Q,Wu X,Bai H,et al.Preparation and response of medical and health institutions when energy flow is interrupted and infrastructure is damaged[J].J Evid Based Med,2009,2(3):152-157.
16 Jiang J,Li Y,Huang X,et al.Lessons learnt from the Wenchuan earthquake:performance evaluation of treatment of critical injuries in hardest-hit areas[J].J Evid Based Med,2012,5(3):114-123.
17 中国医院协会.三级综合医院评审标准实施指南[M].北京:人民卫生出版社,2011:136-137.
18 中国医院协会.三级综合医院评审标准条款评价要素与方法说明[M].北京:人民卫生出版社,2011:202-206.
19 李宏毅,闵洁.与平凡并肩战斗的王者——评电影《国王的演讲》的特别之处[J].电影文学,2012(20):107-108.
2 Shen J,Kang JX,SHI YK,et al.Lessons learned from the Wenchuan earthquake[J].J Evid Based Med,2012,5(2):75-88.
3四川省卫生和计划生育委员会.紧急响应迅速行动——四川省“4·20”芦山强烈地震医疗卫生救援情况(二十六)[EB/OL].(2013-05 -05)[2013-07-01].http://www.scwst.gov.cn/index.php/yals/6495-420.
4 华西医院宣传统战部.我院目前共收治地震伤员4 0 0人次[EB/OL].(2013-04-20)[2013-07-01].http://www.cd120.com/htmlnewszhongyaoxinwen/60910.jhtml.
5 Xiao MY,Li JA,Zhang X,et al.Factors af ecting functional outcome of Sichuan-earthquake survivors with tibial shat fractures:a followup study[J].J Rehabil Med,2011,43(6):515-520.
6 Li Y,Reinhardt JD,Gosney JE,et al.Evaluation of functional outcomes of physical rehabilitation and medical complications in spinal cord injury victims of the Sichuan earthquake[J].J Rehabil Med,2012,44(7):534-540.
7 Zhang X,Hu XR,Reinhardt JD,et al.Functional outcomes and health-related quality of life in fracture victims 27 months at er the Sichuan earthquake[J].J Rehabil Med,2012,44(3):206-209.
8 Ni J,Reinhardt JD,Zhang X,et al.Dysfunction and post-traumatic stress disorder in fracture victims 50 months after the Sichuan earthquake[J].2013,PLo S One,8(10):e77535.
9四川省卫生和计划生育委员会医政处.四川省卫生厅关于切实做好“4·20”芦山7.0级地震灾后心理卫生服务和医疗康复工作的通知[EB/OL].(2013-04-23)[2013-07-01].http://www.scwst.gov.cn/index.php/gzkb/6039--4m2070.
10四川省卫生和计划生育委员会.紧急响应迅速行动——四川省“4·20”芦山7.0级地震医疗卫生救援情况(二十一)[EB/OL].(2013-04-28)[2013-07-01].http://www.scwst.gov.cn/index.php/yals/6226—42070.
11 Zhang X,Reinhardt JD,Gosney JE,et al.The NHV rehabilitation services program improves long-term physical functioning in survivors of the 2008 Sichuan earthquake:a longitudinal quasi experiment[J].PLo S One,2013,8(1):e53995.
12四川省卫生和计划生育委员会医政处.四川省卫生厅关于印发四川省综合医院评审标准纲要(2010年)的通知[EB/OL].(2010-07 -15)[2013-07-01].http://www.scwst.gov.cn/index.php/yzgl/2270-2010.
13 南登昆.康复医学[M].北京:人民卫生出版社,2001:3.
14 励建安.汶川地震为康复医学带来的机遇和挑战[J].中国康复医学杂志,2008,23(7):583-584.
15 Li Q,Wu X,Bai H,et al.Preparation and response of medical and health institutions when energy flow is interrupted and infrastructure is damaged[J].J Evid Based Med,2009,2(3):152-157.
16 Jiang J,Li Y,Huang X,et al.Lessons learnt from the Wenchuan earthquake:performance evaluation of treatment of critical injuries in hardest-hit areas[J].J Evid Based Med,2012,5(3):114-123.
17 中国医院协会.三级综合医院评审标准实施指南[M].北京:人民卫生出版社,2011:136-137.
18 中国医院协会.三级综合医院评审标准条款评价要素与方法说明[M].北京:人民卫生出版社,2011:202-206.
19 李宏毅,闵洁.与平凡并肩战斗的王者——评电影《国王的演讲》的特别之处[J].电影文学,2012(20):107-108.
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