在中度和重度的身体创伤伤后12个月需要基于社区的康复服务和支持:简要报告
Nada Andelic1, Håkon Moksnes, Mari S Rasmussen
1From the Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway (NA, HM, MR, CS, TH, EIH, US, CR, HLS); Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway (NA, HM, CS, EIH, CR); Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway (MR, US, HLS); Faculty of Health Sciences, Department of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway (CS, AA); Department of Physical Medicine and Rehabilitation, University Hospital of North Norway, Tromsø, Norway (CS, AA); School of Data Science and Department of Psychology, University of Virginia, Charlottesville, Virginia (PBP); and Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway (CR).
几乎一半的创伤患者在受伤后的一年内经历了未满足的康复需求,特别是服务和支持. 年轻的患者,患有先前存在的疾病和较高残疾水平的患者面临着更大的未满足需求.
科学领域:
- 创伤康复 创伤康复
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 身体创伤需要广泛的,长期的康复.
- 有效的急性后护理需要了解社区的康复需求.
- 评估未满足的需求对于改善患者康复轨迹至关重要.
研究的目的:
- 确定创伤患者未得到满足的康复需求的频率.
- 检查与这些未满足的需求在伤害后的第一年相关的因素.
- 为提高社区康复服务的战略提供信息.
主要方法:
- 对中度至重度创伤患者的前性多中心队列研究 (NISS > 9).
- 从2020年从两个创伤中心活着出院的患者收集的数据.
- 使用需要和供应复杂度表在受伤后12个月评估的需求.
主要成果:
- 46%的患者在受伤后12个月报告没有满足康复需求.
- 常见的未满足需求包括康复服务,专业后续检查和社会/家庭支持.
- 未满足的需求与年龄较小,受伤前的并发症和功能障碍显著相关.
结论:
- 很大一部分创伤幸存者有未满足的康复需求.
- 针对年轻患者,并发病患者和严重残疾患者,需要针对性的策略.
- 标准化的需求评估和指导方针对于伤害后康复至关重要.
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