工伤康复调查制度在早期介入手外伤康复治疗中的效果

doi:10.3969/j.issn.1006-9771.2017.10.021

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (10): 1226-1230.doi: 10.3969/j.issn.1006-9771.2017.10.021

工伤康复调查制度在早期介入手外伤康复治疗中的效果

黄文柱¹, 严文¹, 王志军¹, 崔淑仪¹, 麦光怀¹, 李运方¹, 谢昭东², 罗子芮³

1.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,广东佛山市 528211;
2.佛山市中医院康复科,广东佛山市 528200;
3.佛山市南海区人民医院康复科,广东佛山市 528210

收稿日期:2017-03-20 修回日期:2017-05-16 出版日期:2017-10-25 发布日期:2017-11-03
通讯作者: 王志军,副主任医师,副教授。E-mail: 13902428562@139.com。
作者简介:黄文柱(1963-),男,汉族,广西容县人,主任医师,教授,主要研究方向：创伤康复。严文(1985-),男,汉族,广东阳春市人,主治医师,主要研究方向：骨科康复。黄文柱和严文并列为第一作者。
基金资助:
1.佛山市医学科学研究资金项目(No.20160112); 2.佛山市医学重点专科培育项目建设资金项目(No.Fspy3-2015027)

Effect of Work Injuries Rehabilitation Investigate System on Early Intervention of Hand Trauma Rehabilitation

HUANG Wen-zhu¹, YAN Wen¹, WANG Zhi-jun¹, CUI Shu-yi¹, MAI Guang-huai¹, LI Yun-fang¹, XIE Zhao-dong², LUO Zi-rui³

1. The Institute of Rehabilitation Medicine, The Fifth People's Hospital of Foshan, Foshan, Guangdong528211, China;
2. Department of Rehabilitation, Traditional Chinese Medicine Hospital of Foshan, Foshan, Guangdong528200, China;
3. Department of Rehabilitation, Nanhai District People's Hospital of Foshan, Foshan, Guangdong528210, China

Received:2017-03-20 Revised:2017-05-16 Published:2017-10-25 Online:2017-11-03
Contact: WANG Zhi-jun. E-mail: 13902428562@139.com

摘要/Abstract

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%) (χ²=2603.683, P<0.001),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%) (χ²=285.906, P<0.001),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%) (χ²=235.327, P<0.001)。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, P<0.001)。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。

关键词: 调查, 制度, 工伤, 手外伤, 早期康复

Abstract: Objective To establish a management system to promote early rehabilitation for work injured patients.Methods The 2015 hospitalized patients were set as control group (n=16,635), and the 2016 hospitalized patients were set as observation group (n=15,372). The control group was hospitalized for injury data collection surveys and was not implemented systematic rehabilitation propaganda, rehabilitation assessment and rehabilitation guidance. However, the observation group hospitalized after establishment of the Work Injuries Rehabilitation Investigation System and accepted work injuries rehabilitation intervention, such as rehabilitation propaganda, rehabilitation assessment and rehabilitation guidance. The changes of hand trauma rehabilitation indicators were compared between two groups.Results The rate of work injuries rehabilitation intervention was 80.6% in the observation group. In the observation group, the proportion of the patients who received early rehabilitation treatment in the designated hospital (56.8%) was significantly higher than that of the control group (17.0%) (χ2=2603.683, P<0.001); the proportion of injured patients who were admitted to the designated work injuries rehabilitation institutions (9.4%) was higher than that of the control group (4.3%) (χ2=285.906, P<0.001). The proportion of patients evaluated as disability in the observation group (17.4%) was significantly less than that of the control group (26.3%) (χ2=235.327, P<0.001). The disability score was significantly lower in the observation group (6.23± 1.29) than in the control group (8.26±1.16) (t=68.371, P<0.001).Conclusion The Work Injuries Rehabilitation Investigation System can promote the early rehabilitation for the hand trauma patients in the designated hospital for work injuries, improve the proportion of hand trauma patients to enter the designated work injuries rehabilitation institutions to receive rehabilitation treatment, reduce the proportion of disabled persons, and reduce the degree of disability, effectively promote the overall recovery of patients with hand trauma.

Key words: investigation, system, work injuries, hand trauma, early rehabilitation

中图分类号:

R681.7

黄文柱, 严文, 王志军, 崔淑仪, 麦光怀, 李运方, 谢昭东, 罗子芮. 工伤康复调查制度在早期介入手外伤康复治疗中的效果[J]. 《中国康复理论与实践》, 2017, 23(10): 1226-1230.

HUANG Wen-zhu, YAN Wen, WANG Zhi-jun, CUI Shu-yi, MAI Guang-huai, LI Yun-fang, XIE Zhao-dong, LUO Zi-rui. Effect of Work Injuries Rehabilitation Investigate System on Early Intervention of Hand Trauma Rehabilitation[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(10): 1226-1230.

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工伤康复调查制度在早期介入手外伤康复治疗中的效果

Effect of Work Injuries Rehabilitation Investigate System on Early Intervention of Hand Trauma Rehabilitation

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