• 1四川大學華西護理學院;2四川大學華西醫(yī)院康復科;3四川大學華西醫(yī)院骨科,四川成都 610041;

目的:了解汶川地震老年傷員存在的身體結構與功能受損程度及活動、參與能力受限程度,明確其康復護理需求。方法:方便抽樣的方法選取研究對象,采用自行設計的調查表由康復醫(yī)師在征得其同意后對其完成資料的收集。結果:共選取研究對象40名。傷員存在多系統(tǒng)多器官的結構和功能受損,存在呼吸道感染者4例(10%),截肢者2例(5%),顱腦損傷導致癱瘓者1例(2.5%),骨折者28例(70%)。傷后早期即出現運動功能的下降,26例(65%)患者存在關節(jié)活動受限,26例(65%)肌力下降。疼痛是需要解決的一個重要問題,19例(47.5%)患者存在不同程度的疼痛問題。傷后老年傷員日?；顒由钅芰ο陆?生活能基本自理者僅13例(32.5%);參與能力受限也是一個不容忽視的問題,職業(yè)能力受限者36例(90%),休閑娛樂能力受限者33例(82.5%),社交能力受限者25例(62.5%)。結論:老年傷員的康復現狀不容樂觀,應該引起重視,康復治療需要及早進行。

引用本文： 陳忠蘭,陳佳麗,敬沛嘉,寧寧. 汶川地震老年傷員康復需求調查分析. 華西醫(yī)學, 2009, 24(6): 1554-1557. doi: 復制

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  1. 1. LOGUE JN. Disasters, the environment, and public health:improving our response[J]. Am J Public Health,1996,86:1207-1210.
  2. 2. FRIEDMAN E. Coping with calamity. How well does healthcare disaster planning work?[J] JAMA,1994,272:1875-1879.
  3. 3. MULLER JE, VERRIER RL. Triggering of sudden deathlessons from an earthquake[J]. N Engl J Med,1996,334:460-461.
  4. 4. 卓大宏.在地震災害救援及災區(qū)重建中充分發(fā)揮康復醫(yī)學的作用[J].中國康復醫(yī)學雜志,2008,23(6):483-486.
  5. 5. 殷磊.老年護理學[M].北京:人民衛(wèi)生出版社,2005:2.
  6. 6. 南登崑.康復醫(yī)學[M]. 第 3 版.北京:人民衛(wèi)生出版社,2006:5,76.
  7. 7. MITCHO K, YANKO J. Acute care management of spinal cord injuries[J]. Crit Care Nurs Q,1999,22(2):60-79.
  8. 8. KIERNEY PC, ENGRAV LH, ISIK FF, et al. Results of 268 pressure sores in 158 patients managed jointly by plastic surgery and rehabilitation medicine[J]. Plast Reconstruct Surg, 1997,102:765-771.
  9. 9. 薛麗.疼痛的測量方法[J].實用護理雜志,1996,12(1):10.
  10. 10. 中華醫(yī)學會骨科學分會. 骨科常見疼痛的處理專家建議[J] .中華骨科雜志,2008,28(1):78-81.
  11. 11. GHOLAM R, ALIAKBAR M,KOUROSH M. Reports from Spinal Cord Injury Patients Eight Months after the 2003 Earthquake in Bam Iran [J]. Am J Phys Med Rehabil 2007,86(11):912–917.
  12. 12. CHEN D, APPLE DF, HUDSON LM, et al. Medal complications during acute rehabilitation following spinal cord injury: Current experience of the model systems[J]. Arch Phys Med Rehabil,1999,80:1397-1401.
  13. 13. OTTENBACHER KJ, SMITH PM, ILLIG SB, et al. Trends in length of stay, living setting function outcome,and mortality following medical rehabilitation [J].JAMA,2004,292:16871695.
  14. 14. 蔣重清, 姚瀟囡,李敏. 城市老年人社會角色的三維調查[J]. 中國健康心理學雜志,2008,16 (4):475-477.
  15. 15. 卓大宏.在地震救援及災區(qū)重建中充分發(fā)揮康復醫(yī)學的作用[J].中國康復醫(yī)學雜志,2008,23(6):483-486.
  16. 16. 岳麗霞,歐國強.災害發(fā)生時影響居民心理承受能力的社會心理因素分析[J].災害學,2006,21(1):113-116.
  17. 17. ELKLIT,A.The aftermath of an industrial disaster[J]. Acta Psychiatrica Scandinavica,1997,96(supplement no.392):1-25.
  18. 18. MACNEIL G, STEWART JC, KAUFMAN AV. Social support as potential moderator of adolescent delinquent behaviors[J]. Child and Adolescent Social Work Journal, 2000, 17 (5):361-379.