基于国际功能、残疾和健康分类的下肢地雷炸伤患者康复诊断

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
O. Dorofieieva, K. Yarymbash, O.A. Glinyana, Yu.V. Syomych, I. Skrypchenko
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引用次数: 0

摘要

小腿水平的地雷爆炸伤伴有严重的功能障碍,导致长期残疾,在某些情况下甚至导致残疾。在国家一级,在医疗机构的治疗和康复过程中采用了《国际功能、残疾和健康分类》(ICF)文件,需要对其进行详细的研究和应用,以便对患者进行康复诊断。本研究旨在改善基于国际功能、残疾和健康分类的下肢地雷爆炸伤患者的康复诊断过程。研究对象54人,平均年龄37±4.2岁,男性占80%,女性占20%。在对下肢水平地雷炸伤患者进行临床和器械检查的过程中,根据ICF分类评估显示结构:功能:下肢骨骼75010,下肢肌肉75012,下肢韧带和筋膜75013,下肢皮肤8104;B 28015下肢疼痛,B 4550一般身体耐力,B 7101多个关节的活动性,B 7351一个肢体的肌张力,B 770行走的刻板功能,B 7800肌肉僵硬的感觉,B 810皮肤的保护功能;活动:d 4104站立姿势,d 4106移动身体重心,d 4501长距离行走,d 465使用技术手段移动,d 5100洗涤身体部位,d 5102擦拭干燥,d 5402穿鞋,d 5403脱鞋,d 5702自我卫生支持,d 850高报酬工作,d 920娱乐休闲,e 1151个人日常使用辅助产品和技术,e 310近亲属,e 355专业医护人员。胫部地雷炸伤可引起结构层面的损伤,但大多数患者的损伤发生在功能、活动和参与层面,严重影响了患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rehabilitation diagnosis of patients with mine-explosive wounds of the lower leg based on the international classification of functioning, disability and health
Mine-explosive wounds at the level of the lower leg are accompanied by significant functional disorders, leading to long-term disability, and in some cases – to disability. The introduction at the state level of the document of the International Classification of Functioning, Disabilities and Health (ICF) in the treatment and rehabilitation process of medical institutions, necessitates its detailed study and application for making a rehabilitation diagnosis of patients. The aim of this study is to improve the process of rehabilitation diagnosis of patients with mine-explosive wounds of the lower leg based on the International Classification of Functioning, Disability and Health. The study involved 54 people, the average age of the subjects was 37±4.2 years, 80% of them were men, 20% were women. In the course of the clinical and instrumental methods of examination of patients with mine-explosive wounds at the level of the lower leg, the assessment of categories according to the ICF revealed disorders at the level of structure: functions: s 75010 bones of lower leg, s 75012 muscles of lower leg, s 75013 ligaments and fasciae of lower leg, s 8104 skin of lower extremity; b 28015 pain in the lower limb, b 4550 general physical endurance, b 7101 mobility of several joints, b 7351 muscle tone of one limb, b 770 function of the stereotype of walking, b 7800 sensation of muscular stiffness, b 810 protective function of skin; activities: d 4104 standing position, d 4106 moving the center of gravity of the body, d 4501 walking long distances, d 465 moving using technical means, d 5100 washing body parts, d 5102 wiping and drying, d 5402 putting on footwear, d 5403 taking off footwear, d 5702 self-health support, d 850 well-paid work, d 920 recreation and leisure, e 1151 assistive products and technologies for personal everyday use, e 310 close relatives, e 355 professional health care workers. Mine-blast injuries of the shin cause impairments at the structural level, but the majority of impairments in patients were found at the level of function, activity, and participation, which significantly affected their quality of life.
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来源期刊
Medical Perspectives-Medicni Perspektivi
Medical Perspectives-Medicni Perspektivi MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
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0.00%
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85
审稿时长
9 weeks
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