四川汶川地震伤残人员日常生活活动能力的调查分析
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摘要
目的调查汶川地震伤残人员的日常生活活动能力(ADL),分析影响伤残人员日常生活活动能力的相关因素,为汶川地震伤残人员的社区康复提供依据。方法利用ADL量表对283名汶川地震伤残人员的日常生活活动能力进行测量。结果 283名伤残人员地震伤残人员ADL平均得分为85.08±14.73,其中20.8% ADL完全正常,71.0%的伤残人员ADL日常生活能力轻度障碍,8.2% ADL中重度障碍;经多因素分析,地震伤残人员ADL的主要影响因素依次是:伤残程度、伤残合并疾病、伤残并发症、是否参与残疾人组织或相关活动(P<0.05)。结论伤残人员ADL关键在于残疾程度,避免伤残并发症和二次残疾的发生,控制伤残合并疾病的发生,增加伤残人员的社会参与度,均有利于伤残人员ADL的提高。
Objective To investigate activities of daily life (ADL) for disabled persons in Wenchuan earthquake,and analyze influence factors related to ADL for disabled persons,provide evidence for community-based rehabilitation. Methods The ADL for 283 disabled persons were measured by ADL scale. Results The average ADL score was 85.08±14.73 for 283 disabled persons,20.8% were completely normal,71.0% were with mild disorder,8.2% were with moderate to severe obstacles. Through multivariate analysis,the main factors related to ADL for disabled persons were: degree of disability,disability complicating diseases,disability complications,whether involved in disabled people’s organizations and related activities or not (P<0.05). Conclusion The key factor of ADL for disabled persons is degree of disability. Avoiding the occurrence of complications and secondary disabilities,controlling complicating disable diseases and increasing social participation for disabled persons,are helpful to enhance the ADL for disabled persons.
Objective To investigate activities of daily life (ADL) for disabled persons in Wenchuan earthquake,and analyze influence factors related to ADL for disabled persons,provide evidence for community-based rehabilitation. Methods The ADL for 283 disabled persons were measured by ADL scale. Results The average ADL score was 85.08±14.73 for 283 disabled persons,20.8% were completely normal,71.0% were with mild disorder,8.2% were with moderate to severe obstacles. Through multivariate analysis,the main factors related to ADL for disabled persons were: degree of disability,disability complicating diseases,disability complications,whether involved in disabled people’s organizations and related activities or not (P<0.05). Conclusion The key factor of ADL for disabled persons is degree of disability. Avoiding the occurrence of complications and secondary disabilities,controlling complicating disable diseases and increasing social participation for disabled persons,are helpful to enhance the ADL for disabled persons.
引文
[1]程凯.汶川地震伤残人员灾后生存与发展思考[J].人口与发展,2008(4):25-28.
[2]李小力,武建华,戴晓明.ADL量表在伤残等级评定中运用[J].中国司法鉴定.2004,5:48-49.
[3]Mulrow CD,Gerety MB,Cornell JE,et al.The relationship between disease and function and perceived health in very frail elder[J].J Am Geriatr Soc,1994,42:374-380.
[4]Nathan DM.Longtermcomplications of diabetes mellitus[J].N Engl J Med,1993,328:1676-1685.
[5]王军,康斌,唐诗添,等.四川汶川地震伤情统计与分析[J].实用骨科杂志,2008,12(14):731-732.
[6]刘福刚,孟宪江.中国县域经济年鉴[M].北京:社会科学文献出版社,2004-2008.
[7]张东枚.残疾人日常生活能力与家庭负担研究[D].暨南大学,2003.
[8]刘志坤.河北省高龄老人生活质量现状及影响因素研究[D].2005.
[9]景睿,李向云,杨淑香,等.山东省农村老年人日常生活能力及其影响因素研究[J].现代预防医学,2009,29(3):513-515.
[10]田庆丰,韩萍,许存洲.河南新乡农村老年人ADL功能健康状况调查[J].第一军医大学学报,2005,25(8):1072-1074.
[11]张援月,李健,贾子善,等.脑卒中患者的日常生活能力及其影响因素[J].中国康复医学杂志,1992,7(5):203-205.
[12]Krassioukov AV,Furlan JC,Fehlings MG.Medical comorbidities,secondary complications,and mortality in elderly with acute spinal cord injury[J].J Neurotrauma,2003,20(4):391-399.
[13]林强,刘颖,何成奇,等.汶川地震脊髓损伤患者日常生活活动能力预后的相关因素分析[J].中国康复医学杂志,2009,24(10):900-903.
[14]朱志明,赵国祥,周丽红.城市和山区长寿老人流行病学研究综合报告[J].实用老年医学,1996,9(4):159-161.
[15]谢玉琳,肖新丽.老年护理学[M].北京:中国医药科技出版社,2009:8.
[16]李立明,周杏元,曹卫华,等.上海南市区老年人群生活质量流行病学研究[J].中国慢性病预防与控制,2006,4(5):227-229.
[2]李小力,武建华,戴晓明.ADL量表在伤残等级评定中运用[J].中国司法鉴定.2004,5:48-49.
[3]Mulrow CD,Gerety MB,Cornell JE,et al.The relationship between disease and function and perceived health in very frail elder[J].J Am Geriatr Soc,1994,42:374-380.
[4]Nathan DM.Longtermcomplications of diabetes mellitus[J].N Engl J Med,1993,328:1676-1685.
[5]王军,康斌,唐诗添,等.四川汶川地震伤情统计与分析[J].实用骨科杂志,2008,12(14):731-732.
[6]刘福刚,孟宪江.中国县域经济年鉴[M].北京:社会科学文献出版社,2004-2008.
[7]张东枚.残疾人日常生活能力与家庭负担研究[D].暨南大学,2003.
[8]刘志坤.河北省高龄老人生活质量现状及影响因素研究[D].2005.
[9]景睿,李向云,杨淑香,等.山东省农村老年人日常生活能力及其影响因素研究[J].现代预防医学,2009,29(3):513-515.
[10]田庆丰,韩萍,许存洲.河南新乡农村老年人ADL功能健康状况调查[J].第一军医大学学报,2005,25(8):1072-1074.
[11]张援月,李健,贾子善,等.脑卒中患者的日常生活能力及其影响因素[J].中国康复医学杂志,1992,7(5):203-205.
[12]Krassioukov AV,Furlan JC,Fehlings MG.Medical comorbidities,secondary complications,and mortality in elderly with acute spinal cord injury[J].J Neurotrauma,2003,20(4):391-399.
[13]林强,刘颖,何成奇,等.汶川地震脊髓损伤患者日常生活活动能力预后的相关因素分析[J].中国康复医学杂志,2009,24(10):900-903.
[14]朱志明,赵国祥,周丽红.城市和山区长寿老人流行病学研究综合报告[J].实用老年医学,1996,9(4):159-161.
[15]谢玉琳,肖新丽.老年护理学[M].北京:中国医药科技出版社,2009:8.
[16]李立明,周杏元,曹卫华,等.上海南市区老年人群生活质量流行病学研究[J].中国慢性病预防与控制,2006,4(5):227-229.
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