目的 探讨规范化职业康复护理对手外伤患者重返工作的影响.方法 选择2009年1～12月本院收治的136例手外伤患者,术后进行规范化的职业康复护理,观察患者手功能的恢复情况及其重返工作岗位的情况.结果 术后随访6个月～2年,中位随访时间1.1年,103例患者随访成功,33例失访.其中获得随访的103例患者手功能恢复优36例、良57例、可7例、差3例,优良率为90.3％:重返工作岗位92例,重返工作率89.3％.结论 手外伤患者术后存在手功能障碍的问题,对重返工作带来影响,而规范化的职业康复护理能有效促进患者按步骤进行康复锻炼,提高患者的治疗效果,有利于患者早日恢复工作.%Objective To investigate the effects of normalized vocational rehabilitation nursing on returning to work after hand injury. Methods A total of 136 patients with hand injury from our hospital involved in the study from January to December 2009. After surgery they were treated with normalized vocational rehabilitation nursing, their hands' working conditions and their resumption to work recorded. Results Follow-up ranged from 6 months to 2 years, averaged 1.1 years after surgery. 103 patients had their hand functions recovered, among whom 36 reached excellent recovery in their hand function, 57 good, 7 fairly good and 3 poor, with a good rate of 90.3%. 92 patients returned to work, taking up 89.3%. Conclusions The patients with hand injury usually suffer from a problem of hand dysfunction, which affects their returning to work. The normalized vocational rehabilitation nursing can effectively lead the patients to carry out rehabilitation exercise step by step, improve their therapeutic efficacy, and help them return to work as soon as possible.
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