Impact of Phased Rehabilitation Programs on the Life Quality of Amputees of the “5·12” Wenchuan Earthquake_West China Medical Journal

Authors：

 LongZhongguo , HeXiupin , Yanghongying , MaoXiaochun

Department of Rehabilitation, the Second People’s Hospital of Mianzhu City, Mianzhu, Sichuan 618201, P. R. China;

Corresponding?author：

Keywords：

“5·12” Wenchuan Earthquake; Amputees; Phased; Rehabilitation programs

DOI：

10.7507/1002-0179.201600243

Video：

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Objective To carry out an investigation on the life quality of amputees in the “5·12” Wenchuan earthquake before and after rehabilitation of one year (short term), three year (intermediate term) and five year (long term) and find out the best program of recovery. Methods In September 2008, 52 patients who were treated in the higher-level hospital and came back to the Second People’s Hospital of Mianzhu City for rehabilitation were divided into two groups: group A and B with 26 patients in each. Phased rehabilitation program was adopted for group A while traditional program was chosen for patients in group B. “The Personal Information Table of Amputees of Deyang City” and The Life Quality Measurement Table of World Health Organization were chosen as the research tools before the program and one year, three years and five years after the program. Result Scores of the life quality of both groups showed a general rising tendency, while group A was higher than group B in each single phase, especially in the longterm one. For positive feeling, group A got a score of 193.0±12.3 and group B got 126.0±11.2; for ability to work, group A had a score of 62.0±5.2 and group B had 41.0±2.3; for life satisfaction, group A achieved 150.0±2.1 and group B achieved 101.0±6.2; for ability of action, the score of group A was 17.0±2.6 and group B was 11.0±5.2. The differences were statistically significant (P ＜ 0.05) . Conclusion Compared with conventional rehabilitation program, phased rehabilitation program can better enhance and consolidate the amputees’ quality of life and promote their returning to family and society, which can make up for the deficiency of the existing rehabilitation programs and is worth popularization and application.

Citation： LongZhongguo, HeXiupin, Yanghongying, MaoXiaochun. Impact of Phased Rehabilitation Programs on the Life Quality of Amputees of the “5·12” Wenchuan Earthquake. West China Medical Journal, 2016, 31(5): 897-900. doi: 10.7507/1002-0179.201600243 Copy

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1. 孫增春, 賈雪, 楊揚, 等. 華西醫院地震康復中心地震擠壓傷截肢傷員的傷情分析[J]. 華西醫學, 2009, 24(3) : 534-536.
2. 楊玉龍, 常有軍, 潘福瓊. 針灸聯合康復治療汶川地震傷員截肢后幻肢痛療效觀察[J]. 實用醫院臨床雜志, 2010, 7(1) : 53-55.
3. 寧寧, 廖燈彬, 何富喬, 等. 小組治療模式在地震截肢傷員康復中的作用[J]. 中國循證醫學雜志, 2008, 8(7) : 496-498.
4. 宋江潤, 李盛華, 楊文博, 等. 地震傷截肢患的近期康復[J]. 甘肅中醫, 2009, 22(8) : 9-10.
5. 陳紅霞, 袁洪平, 唐薇, 等. 康復療法學[M]. 北京: 人民衛生出版社, 2012: 250-270.
6. 方新. 假肢矯形器在地震傷員康復中的應用及臨床新進展[J]. 實用醫院臨床雜志, 2010, 7(1) : 17-19.
7. 孟凌春, 李靜璇. 震后截肢患者的身心護理[J]. 中國醫藥指南, 2010, 8(5) : 132-133.
8. 趙克聰, 孫海燕. 地震傷截肢患者的護理與康復指導[J]. 中國康復理論與實踐, 2008, 14(7) : 640-641.
9. 祁長鳳, 劉松懷, 梁志鋒, 等. 地震截肢患者的心理康復[J]. 首都醫科大學學報, 2008, 29(5) : 576-579.
10. 杜春萍, 陳佳佳, 曾曉梅, 等. 地震擠壓傷截肢傷員的康復護理[J]. 華西醫學, 2009, 24(3) : 549-551.
11. 趙麗明. 基層醫院下肢截肢患者的護理[J]. 中外醫療, 2010, 29(3) : 153-153.
12. 伍紅平, 楊曉蓉. 地震傷員截肢術后早期并發癥的預防及護理[J]. 局解手術學雜志, 2010, 19(1) : 67-67.
13. 胡豇, 王躍, 唐六一, 等. 5·12汶川大地震截肢傷員55例臨床分析[J]. 實用醫院臨床雜志, 2009, 6(1) : 35-37.
14. 胡軍, 李麗, 余瑾, 等. 作業治療學[M]. 北京: 人民衛生出版社, 2012: 226-229.
15. 張作記. 行為醫學量表手冊[M]. 北京: 中華醫學電子音像出版社, 2005: 77-82.
16. 秦勝芳, 劉定海, 彭遠志. 地震危重傷員截肢前的血液細胞生化血氣分析[J]. 檢驗醫學, 2011, 26(9) : 641-643.
17. 唐強, 張安仁, 何堅, 等. 臨床康復學[M]. 北京: 人民衛生出版社, 2012: 174-180.
18. 關驊, 張光鉑, 郭龍. 等中國骨傷康復學[M]. 北京: 人民軍醫出版社, 2011: 93-120.
19. 袁菊蓮, 段鑫, 謝國省, 等. 綜合康復在汶川地震截肢傷員功能障礙的臨床療效分析[J]. 華西醫學, 2010, 25(9) : 1632-1635.

West China Medical Journal

Impact of Phased Rehabilitation Programs on the Life Quality of Amputees of the “5·12” Wenchuan Earthquake

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