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
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.
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