玉树地震上肢骨折伤员功能恢复的影响因素加拿大作业活动.PDFVIP

玉树地震上肢骨折伤员功能恢复的影响因素： 加拿大作业活动测量表分析 朱毅 南京中医药大学 报告摘要 摘要 目的：分析玉树地区地震中上肢骨骨折的功能恢复情况与各影响因素之间的关系，阐明伤后控制各影响因素的重 要性。 方法：以调查问卷的方式对玉树地区74例地震中上肢骨骨折已愈合的伤员进行随访。运用加拿大作业活动测量表 (COPM)确认伤员亟待解决的作业活动问题，评测其治疗前后的作业活动表现和满意度。对可能影响上肢骨折伤员 功能恢复的因素，行单因素方差分析和多元线性逐步回归分析。 结果：多元线性逐步回归分析结果显示，上肢骨骨折伤员作业活动表现跟居住环境、社交活动、社区活动、语言、 家务活动呈正相关(P0.05)，跟居住地与康复点的距离呈负相关(P0.05)。 结论：上肢骨骨折功能恢复与多种影响因素有关，培养本族康复治疗师、改善居住环境、减少群居环境的依赖性、 缩短居住地和康复点的距离以及增强自理、生产、休闲三方面能力等，有助于患者的功能恢复。 Analysis of Factors Influencing Recovery Upper Limbs Fractures of Earthquake Survivors) in Yushu Base on COPM Abstract Objective: To analyze the relationship between the various factors and functional recovery after upper limbs fractures of earthquake survivors in Yushu district. Method: Seventy-four victims with upper limbs fractures were invested by on-site survey. The functional situation before and after therapy was evaluated by COPM, in order to confirm patients occupational issues under resolving. The uniariate analysis and multiple linear regression analysis were employed. Result: The multiple linear regression analysis showed that the influencing factors were positive correlated with the living conditions, the social interaction activities, the community activities, dialect and housework (P0.05) , while negatively with the distance between the inhabitation and the rehabilitation points (P0.05) . Conclusion: The functional recovery after upper limbs fractures were related to various factors. This may provide evidence for future strategy making for developing local therapists of rehabilitation, improving living conditions, reducing the dependence on living conditions, shortening the distance between the inhabitation and the rehabilitation points and enhancing the ability of taking care of oneself, producing and leisure. 1 朱毅博士