2005年南亚地震导致巴基斯坦北部大规模伤亡,使用各种方法处理。在这方面,2006年初,在巴基斯坦的Muzaffarabad地区启动了以社区为基础的康复方法,重点是预防脊髓损伤患者的并发症.这个案例研究简要描述了它的发展,目标和服务提供组件,除了灾难造成的伤害分布。压疮预防教育,一年来的召回和患病率下降是关键成果,并阐明了在这种情况下实施康复的过程。
本案例研究提供了2010-11年度更大的内部计划评估的结果。研究设计是横断面的,唤起对教育组成部分的召回,以及由此导致的压疮患病率。在随机选择的33例脊髓损伤患者中。结果包括保留有关压疮预防的知识,实践和过去一年压疮患病率的降低。我们还对巴基斯坦北部脊髓人群的损伤和并发症类型进行了叙述性文献综述。
医院队列研究报告“脊柱”损伤为5%,而脊髓损伤的人被认为是地震后最缺乏服务的人,需要康复服务。预防教育评估结果显示,所有33名受访者都接受了压疮检测培训,而32人回忆起“危险迹象”,他们将立即寻求帮助。所有正确回忆的姿势改变时间,然而,他们的实际做法不同。27名受访者(82%)在过去一年中没有压力性溃疡。
脊髓损伤患者压疮患病率去年有所下降,这凸显了社区康复方法的优势,特别是在地理上具有挑战性和资源高度紧张的环境中进行预防教育。这项研究也开始填补了目前文献中的一个关键空白,因为大多数研究仅限于从2005年地震的第一年开始的基于医院的干预措施。针对压疮的康复预防教育的意义可以有效降低脊髓损伤患者这种重要并发症的发生率。基于社区的康复方法在灾后环境中可以证明是有益的,特别是在资源有限的环境和困难的丘陵地形。康复计划应考虑营养干预,以减少多发性压疮,尤其是在中低收入国家。
The 2005 South Asian earthquake led to large-scale injuries and disabilities in northern Pakistan, which were dealt with using various approaches. In this regard, a community-based rehabilitation approach was initiated in the Muzaffarabad district of Pakistan in early 2006, focused on preventing complications among persons with Spinal Cord Injury. This case study briefly describes its development, aims and service provision components, in addition to the distribution of injuries from the disaster. Pressure ulcer prevention education, its recall and decrease in prevalence over a year are presented as key outcomes and illuminate the process of implementing rehabilitation in this context.
This case study presents findings from a larger internal program evaluation in 2010-11. The study design was cross-sectional, to elicit recall of education components and the resulting prevalence of pressure ulcers over the year, in 33 randomly selected persons with Spinal Cord Injury. Outcomes included retention of knowledge about pressure ulcer prevention, practices and reduction in the prevalence of pressure ulcers over the last year. We also conducted a narrative literature review on the types of injuries and complications in the Spinal Cord population from Northern Pakistan.
Hospital cohort studies reported \"spine\" injuries at 5%, while persons with spinal cord injury were identified as the most underserved needing rehabilitation services after the quake. Results from the evaluation of prevention education revealed that all 33 respondents were trained in detection of pressure ulcers, while 32 recalled \"danger signs\" for which they would seek immediate help. All correctly recalled postural change timings, however, their actual practices differed. Twenty-seven respondents (82%) reported no pressure ulcers over the last year.
The decrease in pressure ulcer prevalence over the last year in persons with spinal cord injury highlights the strengths of the community-based rehabilitation approach, particularly preventive education in geographically challenging and highly resource constrained settings. The research also begins to fill a critical gap in the present literature as most research is limited to hospital based interventions from the first year of the 2005 earthquake. Implications for Rehabilitation Prevention education for targeting pressure ulcers can be effective in reducing incidence of this important complication in persons with spinal cord injury. Community-based rehabilitation approaches can prove beneficial in post-disaster settings, especially in resource constrained settings and difficult hilly terrain. Rehabilitation programs should consider nutrition interventions to reduce multiple pressure ulcers, especially in lower middle income countries.