CAJ | 학술논문

目的：探讨脊髓损伤全面康复模式的发展。方法成都市二医院的脊髓损伤康复共经历三种模式，模式一：仅有躯体功能康复，由医疗康复团队完成；模式二：躯体功能康复和职业社会康复结合，但分为医疗康复和社会康复两个团队进行，医疗康复快结束时介入职业社会康复；模式三：优化模式二，将医疗康复和社会康复两个团队紧密结合，躯体功能康复与职业社会康复早期融合。以收治的脊髓损伤伤员60例为样本，通过生活质量评分( WHOQOL-BREF)，评价3种康复模式的效果。结果较前两种模式，模式三能使医疗、职业及社会康复相互促进，充分调动患者在治疗过程中的主动参与，使患者在最短的康复时间内，达到最理想的疗效，并能将康复训练与伤员日常生活、职业回归联系起来，以提高伤员生活质量，促进伤员早期回归社会和工作。结论要提高脊髓损伤伤员生活质量，需要早期将医疗康复与职业社会康复结合起来。
목적：탐토척수손상전면강복모식적발전。방법성도시이의원적척수손상강복공경력삼충모식，모식일：부유구체공능강복，유의료강복단대완성；모식이：구체공능강복화직업사회강복결합，단분위의료강복화사회강복량개단대진행，의료강복쾌결속시개입직업사회강복；모식삼：우화모식이，장의료강복화사회강복량개단대긴밀결합，구체공능강복여직업사회강복조기융합。이수치적척수손상상원60례위양본，통과생활질량평분( WHOQOL-BREF)，평개3충강복모식적효과。결과교전량충모식，모식삼능사의료、직업급사회강복상호촉진，충분조동환자재치료과정중적주동삼여，사환자재최단적강복시간내，체도최이상적료효，병능장강복훈련여상원일상생활、직업회귀련계기래，이제고상원생활질량，촉진상원조기회귀사회화공작。결론요제고척수손상상원생활질량，수요조기장의료강복여직업사회강복결합기래。
Objective To discuss the development of integral rehabilitation model of patients with Spinal Cord Injury(SCI). Methods SCI rehabilitation in Chengdu No. 2 People’s Hospital has experienced 3 steps. Model merely body function re-habilitation treatment was given to SCI patients;Model 2:body function rehabilitation was combined with professional&social re-habilitation, the latter of which was carried out at the end of the former;Model 3:Body function rehabilitation and occupational&social rehabilitation were implemented in early stage of the rehabilitation process. After following up 60 patients with SCI, we evalu-ated the effect of this 3 models with WHOQOL-BREF. Results Compared with the first two models, treatment of Model 3 can make medical rehabilitation and occupational&social rehabilitation interactive and promotive, encourage active participation of pa-tients into rehabilitation process, help patients to achieve better outcome in shorter time, combine rehabilitation training to patients’daily life and occupation return, then can improve their quality of life and urge them to go back to work earlier. Conclusion To improve the quality of life of patients with SCI, we need to combine medical rehabilitation and occupational& social Rehabilitation in early stage of rehabilitation process.