[多创伤患者的长期护理,康复管理的要求]
J Schmidt1, F Lehmann2, N Ashouri3
1Institut für Rehabilitations- und Unfallmedizin, An-Institut an der Medizinischen Hochschule Brandenburg Theodor Fontane, Warener Str. 1, 12683, Berlin, Deutschland. joerg.schmidt@mhb-iru.de.
多创伤后的康复是一个漫长的过程. 医疗和技术干预在早期至关重要,而职业和社会参与的挑战在以后出现,需要量身定制的支持.
科学领域:
- 创伤学 创伤学 创伤学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多创伤康复存在重大挑战,因为其持续时间长,需要持续的患者和支持系统参与.
- 在康复过程中确定关键因素和最佳时间对于改善患者的治疗结果至关重要.
研究的目的:
- 确定特定因素和时间表对于多创伤患者的有效康复管理至关重要.
- 分析康复需求和干预措施在受伤后的进展情况.
主要方法:
- 评估了50个记录的多创伤康复课程,包括214个案例文档.
- 在康复过程中识别的问题和实施的措施的统计集群.
主要成果:
- 患者队列的特征与德国创伤外科学会 (TR-DGU) 创伤登记册的数据一致.
- 事故发生后平均200天内开始康复治疗.
- 早期康复 (事故后4-5个月) 侧重于医疗/技术措施 (78%),住院治疗 (42%) 和进一步的医疗康复 (54%).
- 事故发生11-12个月后,职业参与问题浮出水面,社会康复需求在15-16个月后变得突出.
结论:
- 有效的多创伤康复需要一个全面的,个性化的方法.
- 康复策略必须全面地解决身体,心理和社会恢复方面的问题.
- 干预的时机至关重要,不同的阶段需要不同的管理重点.
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