欢迎来到《四川大学学报(医学版)》

基于ICF核心组合的芦山地震骨盆骨折伤员的功能评价

Functional Outcome Assessment in Patients with Pelvic Fracture after Lushan Earthquake: a Pilot Study usingICF-based Tool

  • 摘要: 目的 探索骨骼肌肉系统ICF核心组合应用于芦山地震骨盆骨折伤员的可行性,为ICF核心组合在地震等自然灾害后骨折伤员中的应用提供初步研究证据。 方法 采用骨骼肌肉系统ICF核心组合综合版,对2013年4月20~30日在四川大学华西医院就诊的 10例芦山地震骨盆骨折伤员进行功能评价,数据以统计描述的方法进行分析。 结果 骨盆骨折是芦山地震后较为严重的损伤,骨折类型复杂,合并伤多。在身体功能评价中,主要为骨盆骨折伤员的睡眠、能量和内在驱力、痛觉以及运动和皮肤修复功能的损伤。在身体结构评价中,主要为骨盆、躯干、下肢和皮肤结构的损伤。在活动与参与评价中,伤员表现为体位转换、行走、护理身体各部等活动的困难。 结论 骨骼肌肉系统ICF核心组合能够为芦山地震后的骨盆骨折伤员提供一套相对全面的和系统的评价方法,从身体功能、结构以及活动和参与功能3个方面评估伤员的功能障碍情况。骨骼肌肉系统ICF核心组合如何有效的、针对性的应用于地震等自然灾害后骨盆骨折以及其他骨折伤员的康复评估有待进一步的临床研究。

     

    Abstract: Objective The purpose of this pilot study was to assess the functional outcome of patients with pelvic fracture after Lushan earthquake using a newly developed tool based on the International Classification of Functioning, Disability and Health (ICF). Methods Ten patients diagnosed as pelvic fracture were recruited in this study from April 20th to 30th, 2013 in West China Hospital, Sichuan University. Data were collected using the international comprehensive version of ICF Core Set for patients with musculoskeletal conditions. Descriptive statistics analysis were used. Results Pelvic fracture caused by Lushan earthquake lead to a series of severe injuries complicated with multiple organ dysfunction. In the assessment of body functions, almost all the patients with pelvic fracture showed impairments including energy and drive, sleep, sensation of pain, mobility and repair function of skin. In the assessment of body structures, the damages were mainly distributed in pelvic region, lower extremity, trunk as well as areas of skin. In the assessment of activities and participations, limitations and restrictions were related to changing and maintaining basic body position, transferring, walking andself-care. Conclusion ICF Core Set could provide a comprehensive, systematic and evidence-based assessments from the perspective of body function, body structure as well as activities and participations for patients with pelvic fracture after Lushan earthquake. Future study with large sample size is needed to validate the assessment of ICF Core Set for patients with musculoskeletal injuries after earthquake and other natural disasters.

     

/

返回文章
返回