应用加拿大作业活动测量表对120例地震伤员的作业活动和疗效分析

Analysis of the Occupational Activities and Effectiveness of 120 Earthquake Wounded Persons by Canadian Occupational Performance Measure

目的:分析120例地震伤员的作业活动需求,并给予治疗,观察疗效。方法:120例地震伤员在入院和出院时均应用加拿大作业活动测量表(COPM)进行作业活动测评,包括自理、生产及休闲三大类。根据测评结果制定康复治疗计划及假肢的安装,并对伤员作业活动的表现和满意度进行评价。结果:入院时伤员自认为重要并需要亟待解决的作业活动中,自理活动需求频数明显多于生产活动和休闲活动(P<0.01);经过平均55.2d的康复治疗后,出院时伤员对自己的作业活动表现总分和作业活动满意度总分明显高于入院时(P<0.01)。结论:COPM能确认地震伤员亟待解决的作业活动,对临床治疗有指导意义,同时能评价康复疗效。

Objective： To analyze the requirements of occupational activities of 120 earthquake wounded persons, and observe the effectiveness. Methods： The occupational activities of the 120 earthquake wounded persons were assessed by Canadian Occupational Performance Measure on the admission and in the discharge, including self-care, manufacture and leisure. According to the assessment results, rehabilitation plans were made up, and prosthesis was installed. The performance and satisfaction of occupational activities were evaluated. Results： On the admission, the frequency of de-mand for self-care activities was higher than that of manufacture and leisure activities （P〈0.01）. After rehabilitation treatment for an average of 55.2 days, the total scores of the performance and satisfaction of the occupational activities in the discharge were significantly higher than those on the admission （P〈0.01）. Conclusion： Canadian Occupational Performance Measure can confirm the occupational activities that need urgent solution on the earthquake wounded persons, guide the clinical treatment, and at the same time evaluate the rehabilitation effectiveness.