工伤康复调查制度在早期介入手外伤康复治疗中的效果

发布时间：2018-03-19 01:18

本文选题：调查　切入点：制度　出处：《中国康复理论与实践》2017年10期 　论文类型：期刊论文

【摘要】：目的探索建立一种促进工伤的手外伤患者早期康复的工伤康复管理制度。方法选择2015年至2016年佛山市因工伤住院的手外伤患者,将2015年度患者设为对照组(n=16,635),2016年度患者设为观察组(n=15,372)。对照组未进行系统的康复宣传、评定及康复指导;观察组建立工伤康复调查制度,强化进行系统康复宣传、评定及康复指导等工伤康复调查干预。比较两组手外伤患者相关工伤康复管理指标的变化。结果观察组工伤康复调查干预人数比例达80.6%。观察组在工伤定点医院得到早期康复介入的比例(56.8%)显著高于对照组(17.0%)(χ~2=2603.683,P0.001),进入定点工伤康复机构接受工伤康复的比例(9.4%)显著高于对照组(4.3%)(χ~2=285.906,P0.001),被评定为残疾的手外伤患者比例(17.4%)显著少于对照组(26.3%)(χ~2=235.327,P0.001)。观察组手外伤残疾患者的残疾程度评分(6.23±1.29)显著低于对照组(8.26±1.16)(t=68.371,P0.001)。结论工伤康复调查可促进工伤的手外伤患者在工伤定点医院得到早期康复介入、提高进入定点工伤康复机构接受工伤康复治疗的比例,减少手外伤患者残疾比例,降低残疾者的残疾程度,有效促进总体康复效果。
[Abstract]:Objective to establish a management system for early rehabilitation of hand trauma patients at work injury. Methods from 2015 to 2016, patients with hand injuries in Foshan City were selected. The patients in the control group were set up as the control group for the year 2015. The patients in the control group were set up as the observation group for the year 2016. The control group did not carry out systematic rehabilitation propaganda, evaluation and rehabilitation guidance, and the observation group established the investigation system of industrial injury rehabilitation to strengthen the systematic rehabilitation propaganda. Compare the changes of the management indexes of the related injury rehabilitation between the two groups of hand trauma patients. Results the proportion of the investigation and intervention in the observation group was 80.6. The observation group was obtained in the designated hospital of industrial injury. The proportion of early rehabilitation intervention (56.8%) was significantly higher than that of the control group (17.0%) (蠂 2 2603.683%, P 0.001, P 0.001, P 0.001), and significantly higher than that of the control group (4.33%) (蠂 2 / 2 / 285.906 / P 0.001, with 17.4% assessed as disabled), and significantly lower than that of the control group (26.3%, 蠂 2235.327mg / P ~ (1)). The disability score of the patients with hand trauma in the observation group was significantly lower than that in the control group (6.23 卤1.29), which was significantly lower than that in the control group (8.26 卤1.16). Conclusion the investigation of occupational injury rehabilitation can promote the early rehabilitation intervention of the patients with hand injury in the designated hospitals. To increase the proportion of persons admitted to fixed rehabilitation institutions to receive rehabilitation treatment, to reduce the proportion of hand trauma patients with disability, to reduce the degree of disability of disabled persons, and to effectively promote the overall rehabilitation effect.
【作者单位】：广东省佛山市第五人民医院(佛山科学技术学院附属医院)康复医学研究所;佛山市中医院康复科;佛山市南海区人民医院康复科;
【基金】：佛山市医学科学研究资金项目(No.20160112) 佛山市医学重点专科培育项目建设资金项目(No.Fspy3-2015027)
【分类号】：R49;R658.2

【相似文献】