残疾人肌肉骨骼损伤后康复效率分析

IF 0.3 Q4 REHABILITATION
O. Detsyk, Halyna Y Yukish, O. Burak, I. Stovban, Zhanna M Zolotarova, Nataliia B. Fedorkiv, Ihor M. Karpinets
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引用次数: 1

摘要

目的:分析残疾人肌肉骨骼损伤后康复效率低的原因。材料与方法:对102例续证后永久残疾的患者进行回顾性研究。结果:仅31.4%的人减轻了残疾的严重程度。其余的保持不变(67.6%)或恶化(1.0%)。肌肉骨骼损伤后永久性残疾的典型人群为男性(86.3%)、村民(74.5%)、工作年龄(99.0%),其中37.5%为40岁以下男性。近一半人(45.1%)的复试次数超过3次;52.0%的人受伤后4年及以上;9.8%的病例认为继续康复无望。康复措施实施中存在的缺陷包括:过度使用有效性证据不足的药物(85.3-88.2%),物理治疗和职业治疗覆盖率不足(56.4%),个体康复计划(IRP)形成的正式方法,特别是在康复潜力评估(100.0%),运动限制程度(20.6%),社会和劳动康复(36.3%)。大部分被调查对象(86.3%)被认为有工作能力,但得到合理就业建议的只有63.7%,其中78.4%的人没有工作。结论:提高康复效果需要国家层面的综合解决方案,改变残疾程度评估方法,形成和实施以现代国际标准为基础的IRP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Rehabilitation Inefficiency in Persons with Disabilities After Musculoskeletal Injuries
Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards.
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来源期刊
Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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