加拿大作业活动测量表在51例四川地震伤员康复中的应用
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摘要
目的探讨《加拿大作业活动测量表》(COPM)在地震伤员康复中的应用。方法51例住院地震伤员治疗前和治疗1个月后分别应用COPM进行评测。首先通过治疗前评测,确认地震伤员亟待解决的作业活动问题,针对这些问题,评测他们在治疗前后的作业活动的表现和满意度。结果地震伤员亟待解决的作业活动问题中,自理活动明显多于生产活动和休闲活动(P<0.01);治疗前后地震伤员对自己的作业活动表现总分和作业活动满意度总分均有明显的提高(P<0.01,P<0.01)。结论应用COPM进行评测,可以帮助确认地震伤员亟待解决的作业活动,有助于制定首要的康复目标和治疗计划。
Objective To apply Canadian Occupational Performance Measure (COPM) on the patients injured in Sichuan Earthquake.Methods COPM was applied to evaluate 51 patients in hospital before and 1 months after treatment.The first evaluation confirmed the problems on occupational activities for them.Then the plan was made to solve the problems.The second evaluation was to assess the effect of the treatment.Results The problem of self-care activity is more than that of productive activities and leisure activities(P<0.01).Total scores of performance of occupational activity and satisfaction improved(P<0.01,P<0.01)Conclusion COPM is helpful to confirm the problems of occupational activities and contribute to develope the primary goals for rehabilitation and treatment programs.
Objective To apply Canadian Occupational Performance Measure (COPM) on the patients injured in Sichuan Earthquake.Methods COPM was applied to evaluate 51 patients in hospital before and 1 months after treatment.The first evaluation confirmed the problems on occupational activities for them.Then the plan was made to solve the problems.The second evaluation was to assess the effect of the treatment.Results The problem of self-care activity is more than that of productive activities and leisure activities(P<0.01).Total scores of performance of occupational activity and satisfaction improved(P<0.01,P<0.01)Conclusion COPM is helpful to confirm the problems of occupational activities and contribute to develope the primary goals for rehabilitation and treatment programs.
引文
[1]Law M,Baptiste S,Carswell A,et.al.Canadia Occupa-tional Performance Measure[M].2nd ed.Turonto,Ont,Canada:CAOT Publications.1994.
[2]Law M,Baptiste S,Carswell A,et al.COPM-Canadian Oc-cupational Performance Measure[EB/OL].http://www.caot.ca/copm/index.ht m[2005-05].
[3]Dedding C,Cardol M,Eyssen ICJ M,et al.Validity of the Canadian Occupational Performance Measure:a client-cen-tred outcome measurement[J].Clin Rehabil,2004,18(6):660-667.
[4]Canadian Association of Occupational Therapist.Guidelines for the client-centered practice of occupational therapy[M].Toronto:CAOT Publications ACE,1991:54.
[5]恽晓平,Packer TL,欧阳多利,等.从113例不同疾病患者的活动障碍分析看作业治疗的必要性[J].中国康复理论与实践,1995,1(1):15-19.
[6]周海云,席静雯,王春玉.作业疗法结合认知疗法治疗脑卒中偏瘫恢复期患者情绪障碍的临床研究[J].中华物理医学与康复杂志,2007,29(9):627-630.
[2]Law M,Baptiste S,Carswell A,et al.COPM-Canadian Oc-cupational Performance Measure[EB/OL].http://www.caot.ca/copm/index.ht m[2005-05].
[3]Dedding C,Cardol M,Eyssen ICJ M,et al.Validity of the Canadian Occupational Performance Measure:a client-cen-tred outcome measurement[J].Clin Rehabil,2004,18(6):660-667.
[4]Canadian Association of Occupational Therapist.Guidelines for the client-centered practice of occupational therapy[M].Toronto:CAOT Publications ACE,1991:54.
[5]恽晓平,Packer TL,欧阳多利,等.从113例不同疾病患者的活动障碍分析看作业治疗的必要性[J].中国康复理论与实践,1995,1(1):15-19.
[6]周海云,席静雯,王春玉.作业疗法结合认知疗法治疗脑卒中偏瘫恢复期患者情绪障碍的临床研究[J].中华物理医学与康复杂志,2007,29(9):627-630.
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