小组治疗模式在地震截肢伤员康复中的作用
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摘要
目的探讨小组治疗模式在地震截肢伤员康复过程中的影响。方法对5?12汶川地震后收治我科的85例截肢伤员,采用以骨科医生、骨科护士、物理治疗师、职业治疗师、心理咨询师、志愿者、社会工作者、伤员及家属等共同参与的小组治疗模式对地震截肢伤员实施综合康复措施,评价其康复效果。结果接受综合治疗干预后,85例地震截肢伤员在生理、心理、社会功能等各方面均有显著改善(P<0.05)。结论针对地震截肢伤员的问题以小组治疗模式进行干预可明显提高伤员的整体康复效果及生存质量。
Objective To explore the effect of a teamwork intervention during their rehabilitation process for patients who had undergone an amputatation after an earthquake. Methods A total of 85 patients undergoing amputation were included in the study. A rehabilitation team consisting of orthopaedic doctors, orthopaedic nurses, physical therapists, professional therapists, psychology consultants, volunteers, social workers, patients and their relatives participated in the comprehensive rehabilitation program. The outcome of this teamwork intervention was evaluated. Results Statistically significant improvement was observed in terms of patients' physiological, psychological and social roles after the teamwork intervention ( P<0.05). Conclusion The teamwork intervention can improve the overall outcome of rehabilitation, including quality of life, in amputated patients following an earthquake.
Objective To explore the effect of a teamwork intervention during their rehabilitation process for patients who had undergone an amputatation after an earthquake. Methods A total of 85 patients undergoing amputation were included in the study. A rehabilitation team consisting of orthopaedic doctors, orthopaedic nurses, physical therapists, professional therapists, psychology consultants, volunteers, social workers, patients and their relatives participated in the comprehensive rehabilitation program. The outcome of this teamwork intervention was evaluated. Results Statistically significant improvement was observed in terms of patients' physiological, psychological and social roles after the teamwork intervention ( P<0.05). Conclusion The teamwork intervention can improve the overall outcome of rehabilitation, including quality of life, in amputated patients following an earthquake.
引文
1杜克,王守志.骨科护理学.北京:人民卫生出版社.2006,6(1):704-715.
2李学增.外科护理学.北京:人民卫生出版社.1996,4(12):548-602.
3 Rybarczyk B,Nicholas JJ,Nyenhuis DL.Coping With a Leg Amputation:Integrating Research and Clinical Practice.Rehabilitation Psychology,1997,42(3):241-256.
4 Kelly MJ,Lloyd TDR,Marshall D,et al.Asnapshot of MDT working and patient mapping in the UK colorectal cancer cen-tres in2002.Colorectal Dis,2003,5(6):577.
5林月秋,李主一.战伤截肢残端并发症的处理及预防.解放军医学杂志,1992,17(2):127-128.
6范凌,王元山.截肢术后残端综合征患者残肢功能的康复治疗.中国临床康复,2005,9(10):199.
7 Coping With a Leg Amputation:Integrating Research and Clinical Practice.Rehabilitation Psychology,1997,42(3):241-256.
8 Sherman RA,Arena JG.Crit Rev Phys Rehabil Med,1992,4(1,2):1-26.
9 Iacono RP,Linford J,Sandyk R.Pain management after lower extremity amputation.Neurosurgery,1987,20(3):496-500.
10赵利,王安庆,刘克敏,等.截肢常见并发症的预防及其处理.中国康复理论与实践,2006,12(12):1045-1046.
11宁宁.骨科康复护理学.北京.人民军医出版社.2005,137-138,144-145.
2李学增.外科护理学.北京:人民卫生出版社.1996,4(12):548-602.
3 Rybarczyk B,Nicholas JJ,Nyenhuis DL.Coping With a Leg Amputation:Integrating Research and Clinical Practice.Rehabilitation Psychology,1997,42(3):241-256.
4 Kelly MJ,Lloyd TDR,Marshall D,et al.Asnapshot of MDT working and patient mapping in the UK colorectal cancer cen-tres in2002.Colorectal Dis,2003,5(6):577.
5林月秋,李主一.战伤截肢残端并发症的处理及预防.解放军医学杂志,1992,17(2):127-128.
6范凌,王元山.截肢术后残端综合征患者残肢功能的康复治疗.中国临床康复,2005,9(10):199.
7 Coping With a Leg Amputation:Integrating Research and Clinical Practice.Rehabilitation Psychology,1997,42(3):241-256.
8 Sherman RA,Arena JG.Crit Rev Phys Rehabil Med,1992,4(1,2):1-26.
9 Iacono RP,Linford J,Sandyk R.Pain management after lower extremity amputation.Neurosurgery,1987,20(3):496-500.
10赵利,王安庆,刘克敏,等.截肢常见并发症的预防及其处理.中国康复理论与实践,2006,12(12):1045-1046.
11宁宁.骨科康复护理学.北京.人民军医出版社.2005,137-138,144-145.
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