康复技术培训 骨骼肌肉康复.ppt

Psychic stress精神应急 Pain and burden of disease 疼痛和疾病负担 Family burden家庭负担 Occupational stress职业压力 Environment and personal factors环境和个人因素  Example UKS (Ultrakurzscreening in der Rehabilitation) 超简易筛选 35% of our patients show tripel or fourfold burden:我们35%的病人显示有3-4倍的压力 Psychic comorbidity伴随心理疾病 Pain疼痛 Family burden家庭负担 Occupational burden职业负担 Profound diagnostics are performed in cases of positive screenig for severe psychosocial burden 如果筛选出严重的社会心理负担,应当做进一步的诊断 Exploration of occupational situation 职业情形探究 Psychological individual interview社会心理学的个人谈话 Possibly with other specific Assessments可能结合其他的评估 i.e.HADS (Hospital Anxiety and Depression Scale) 如医院焦虑和抑郁量表 Anxiety and Depression have severe impact on disease course and employment reintegration焦虑和抑郁严重影响疾病过程和重返社会就业 and are seldom discoverd in first contact with the physican并且很少能在 第一次与医师接触时发现 * ICF-model: Rheumatoid Arthritis类风湿性关节炎ICF模型 Rheumatoid Arthritis类风湿性关节炎 Body Functions + Structures:躯体结构和功能： Pain疼痛 Impairment of 以下方面的损害： - joint mobility关节活动 - Musclular strength肌肉力量 -sleep and energy休息与精力 Systemic inflammation全身炎症 Joint destruction关节损害 Activities: 活动： Mobility: 移动： -Walking 步行 - Using transportation 使用交通工具 -Lifting and Carrying objects电梯和传送工具 -Fine hand use精细手工 Self Care:自我管理： -Washing oneself自己洗漱 -Dressing穿衣 Participation: 参与： professional activity and employment职业活动和就业 Family relationship家庭关系 community, social and civic life社区、社会和公民生活 Recreation and leasure娱乐 Religion and spirituality宗教信仰和灵性 Political life and citizenship政治生活和公民权益 Environmental Factors: 环境因素： Products and technology产品和技术 Support and relationship支持和关系 - Family friends, colleagues家庭、朋友和同事 Attitudes: 态度 -leadership behavior at work工作中的领导行为 Services, systems and policies服务、制度和政策 -Health and pension insurance健康和养老保险 Personal Factors:个人因素 age and sex年龄和性别 health behabior健康行为 coping abilities应对能力 other mental or physical impairments (comorbiditiy) 其他的精神和身体损伤（合并症） supplementaryPhysical ther