中国组织工程研究第16卷第9期2012–02–26出版ChineseJournalofTissueEngineeringResearchFebruary26,2012Vol.16,No.9ISSN1673-8225CN21-1581/RCODEN:ZLKHAH16711SecondClinicalMedicalCollege,NanjingUniversityofChineseMedicine,Nanjing210046,JiangsuProvince,China;2HandicapInternational“Yushuearthquakerehabilitation”Group,Yushu815000,QinghaiProvince,China;3DisabledPerson’sFederationofYushu,Yushu815000,QinghaiProvince,ChinaZhuYi★,Master,Lecturer,SecondClinicalMedicalCollege,NanjingUniversityofChineseMedicine,Nanjing210046,JiangsuProvince,Chinazhuyi1010@163.comCorrespondenceto:ChengJie,Doctor,Lecturer,SecondClinicalMedicalCollege,NanjingUniversityofChineseMedicine,Nanjing210046,JiangsuProvince,ChinaReceived:2011-07-21Accepted:2011-09-18玉树地震1年后上肢骨折伤员功能恢复的影响因素：加拿大作业活动测量表分析★朱毅1，程洁1，唐方一2，仁青3，黄戬2，赵乙2Influencingfactorsintherecoveryofthesurvivorswithupperlimbfracture1yearafterearthquakeinYushu:TheanalysiswithCanadianOccupationalPerformanceMeasureZhuYi1,ChengJie1,TangFang-yi2,RenQing3,HuangJian2,ZhaoYi2AbstractBACKGROUND:Comprehensiveevaluationoftherealneedsoffracturepatientsinworkactivitiesafterearthquakeandtheoccupationaltherapycenteredbythesurvivorscanimprovetherehabilitationeffect.OBLECTIVE:ToanalyzetherelationshipbetweenthevariousfactorsandfunctionalrecoveryafterupperlimbsfractureofearthquakesurvivorsinYushudistrict.METHODS:Seventy-fourvictimswithupperlimbfracturewereinvestedbyon-sitesurvey.TheperformanceandsatisfactionofworkactivitiesbeforeandaftertherapywasevaluatedbyCanadianOccupationalPerformanceMeasure(COPM)inordertoconfirmtheoccupationalissuesunderresolvingofpatients.Theuniariateanalysisandmultiplelinearregressionanalysiswereemployed.RESULTSANDCONCLUSION:Themultiplelinearregressionanalysisshowedthattheperformanceofworkactivitieswaspositivecorrelatedwiththelivingconditions,thesocialinteractionactivities,thecommunityactivities,dialectandhousework(P<0.05),whilenegativelywiththedistancebetweentheinhabitationandtherehabilitationpoints(P<0.05).Thismayprovideevidenceforfuturestrategymakingfordevelopinglocaltherapistsofrehabilitation,improvinglivingconditions,reducingthedependenceonlivingconditions,shorteningthedistancebetweentheinhabitationandtherehabilitationpointsandenhancingtheself-careability,producingandleisure.ZhuY,ChengJ,TangFY,RenQ,HuangJ,ZhaoY.Influencingfactorsintherecoveryofthesurvivorswithupperlimbfracture1yearafterearthquakeinYushu:TheanalysiswithCanadianOccupationalPerformanceMeasure.ZhongguoZuzhiGongchengYanjiu.2012;16(9):1671-1675.[http://www.crter.cnhttp://en.zglckf.com]摘要背景：全面测评地震后骨折伤员在作业活动中的真正需求，实施以伤员为中心的作业治疗模式，能提高康复治疗效果。目的：分析玉树地区地震后上肢骨骨折的功能恢复情况与各影响因素之间的关系，阐明伤后控制各影响因素的重要性。方法：以调查问卷的方式对玉树地区地震中上肢骨骨折已愈合的伤员74例进行随访。运用加拿大作业活动测量表(COPM)确认伤员亟待解决的作业活动问题，评测其治疗前后的作业活动表现和满意度。对可能影响上肢骨折伤员功能恢复的因素，行多元线性逐步回归分析。结果与结论：多元线性逐步回归分析结果显示，上肢骨骨折伤员作业活动表现与居住环境、社交活动、社区活动、语言、家务活动呈正相关(P<0.05)，与居住地与康复点的距离呈负相关(P<0.05)。因此，培养藏族康复治疗师、改善居住环境、减少群居环境的依赖性、缩短居住地和康复点的距离以及增强自理、生产、休闲3个方面能力，有助于患者的功能恢...
