The demand for rehabilitation therapists in Beijing health organizations over the next five years

Purpose. To estimate the demand for rehabilitation therapists in Beijing health organizations over the next 5 years.

Methods. A literature search was carried out to confirm the distribution of rehabilitation therapists in Beijing health organizations in the past and to predict the demand for rehabilitation therapists in Beijing hospitals over the next 5 years by linear regression and logistic curve fitting.

Results. The total demand for rehabilitation therapists in Beijing in 2007 and 2010 will be 1480 – 1620 and 2240 – 2530, respectively.

Conclusions. The allocation and training of manpower specialized in rehabilitation therapeutics for the rehabilitation departments of polyclinics in Beijing should be improved.     

未来5年北京市卫生事业机构对康复治疗技术岗位需求的预测

目的：预测未来五年北京市卫生事业机构对康复治疗技术岗位的需求量。 方法：①文献检索法：系统了解北京市康复治疗技术人员的配置情况及其优劣势。（9采用定量研究来预测北京市2007年和2010年所需的康复治疗师人数。 结果：①文献检索法结果：1997，2001年两次调查结果显示，三级医院康复医学科建立有了较大幅度提高（康复治疗师数字平均为4左右），但仍有近1／3未建科，达标数为57．6％，二级医院建科数仅为23．5％；基层、农村的一级医院康复医疗几乎为空白。2002年调查结果三级医院康复治疗师数平均每所为7．6人；二级医院为0．1人；一级医院为0．3人。②医院床位数／康复治疗师比值法计算结果：根据卫生部文件推算，未来5年每100张病床大约需要康复治疗师人数两三名，2007年和2010年北京市康复治疗师需要量分别是1480～1619人和2239～2524人。 结论：北京市综合医院康复医学科的人力资源配置和培养在未来5年内急需增加和进一步改进。     

未来5年北京市卫生事业机构对康复治疗技术岗位需求的预测

目的:预测未来五年北京市卫生事业机构对康复治疗技术岗位的需求量。方法:①文献检索法:系统了解北京市康复治疗技术人员的配置情况及其优劣势。②采用定量研究来预测北京市2007年和2010年所需的康复治疗师人数。结果:①文献检索法结果:1997,2001年两次调查结果显示,三级医院康复医学科建立有了较大幅度提高(康复治疗师数字平均为4左右),但仍有近1/3未建科,达标数为57.6%,二级医院建科数仅为23.5%;基层、农村的一级医院康复医疗几乎为空白。2002年调查结果三级医院康复治疗师数平均每所为7.6人;二级医院为0.1人;一级医院为0.3人。②医院床位数/康复治疗师比值法计算结果:根据卫生部文件推算,未来5年每100张病床大约需要康复治疗师人数两三名,2007年和2010年北京市康复治疗师需要量分别是1480～1619人和2239～2524人。结论:北京市综合医院康复医学科的人力资源配置和培养在未来5年内急需增加和进一步改进。     

北京市五所三级医院提供和利用康复服务的影响因素研究

目的 明确北京市卫生事业机构提供和利用康复服务的影响因素.方法选取5所分布于不同区域、不同级别的三级医院进行调查,了解康复科和相关科室康复诊疗的现状和影响因素,以及康复医学科在医院的发展情况和制约其发展的影响因素.结果 5所医院康复科均未达到卫生部“综合医院康复科管理规范”的要求;影响三级医院提供康复服务的因素主要有：康复科与其他科室合作形式尚未理顺、北京市卫生系统和医院领导以及临床科室人员不了解康复早期介入的重要性、患者及其家属不了解康复对于防治残疾的特殊疗效、康复诊疗费用的报销受限制等.结论上述因素限制了我市医院康复医疗的发展,应制定相关政策予以解决.     

我国康复治疗技术岗位需求预测研究

目的：进行我国康复治疗技术岗位需求的预测，为制定康复治疗技术人才的培养规划提供依据。方法：①采用文献检索法了解我们与国外康复治疗人员配置的差距。②用动态数列法和趋势分析法计算我国2005年和2010年的床位数，采用床位数／康复治疗师比值法，预测2005年和2010年所需的康复治疗师人数。③专家咨询法：选取全国康复医学专家52名，收集各医院康复医学科康复治疗师目前的人数和2005年、2010年治疗师配置情况的预测。据此计算2005年和2010年所需的康复治疗师人数；另参考广东省康复医学专家对未来10年我国各级医院康复治疗师配置和需求总量提出的预测意见。结果：①我国康复治疗师总数现在约为0.4/10万人口，北京市二级医院康复医学科康复治疗师存在较大人员缺口，社区康复治疗师配置尤为薄弱。②2005年需要康复治疗师43700-47000名，2010年需要康复治疗师68910-74000名；③广东部分专家的预测：2005年和2010年全国需要的康复治疗师人数为约1．5万人和3．5万人。结论：2005年我国需要康复治疗师的保守估计是1．5万人，乐观估计是4．5万人。2010年我国需要康复治疗师的人数保守估计是3.5万人，乐观估计是6．9万人。2005年PT：OT=2．51：1,2010年PT：OT=2．48：1。     

北京市护理队伍现状及需求预测

目的通过对北京市护理人力资源构成现状和需求的调查研究,掌握未来十二五期间北京市护理卫生人才的需求状况,为高校护理人才培养规模的确定提供参考依据。方法对北京市2所三级甲等医院、2所二级医院、2所社区卫生服务中心和2所乡镇卫生院进行护理人力资源现况和需求的调查。结果各级各类医院护理人力资源结构存在着差异,北京市护理人才培养存在着需求大于供应的现状,人才培养层次偏低。结论需要进一步扩大招生规模,适度增加本专科护理专业学生的培养,逐步减少中专生的培养规模。     

Physical therapists' perceptions of family involvement in the rehabilitation process

The purpose of this qualitative study was to describe how physical therapists working in rehabilitation settings involved families in the patient's rehabilitation program and what factors facilitated or impeded this involvement. Forty physical therapists practicing in the eastern United States were individually interviewed on their involvement of families in a patient's rehabilitation. The interview data were transcribed, coded, and analyzed for main themes. Family involvement was found to be a significant aspect of a patient's rehabilitation. Factors pertaining to the family, the patient, the healthcare organization and the physical therapist were identified. Factors, such as the family's knowledge, attitudes and skills of the family, their relationship with the patient prior to the injury or disability, the availability and opportunity of family members to be involved, and their physical capabilities, all influenced the degree to which the family participated. Therapists also perceived the cognitive status of the patient as a factor which dictated the proper amount of family participation. The health-care organization was an important factor which needed to encourage and support the family participation. With decreased lengths of stay there is less time for families to be independent in caring for their loved one. The organization of the department could be instrumental in this by providing multiple formal and informal avenues for family training, such as support groups, home visits, ‘open door’ policy visiting hours, and scheduling changes. Finally, the physical therapists might have been the single most significant factor in facilitating family involvement. It was important for them to establish open and honest communication and be pro-activists for their patients and their families. The findings were consistent with the existing literature base in relation to the patient and family. Additional findings present physical therapists and healthcare organizations with suggestions for improving family education. Copyright © 1996 Whurr Publishers Ltd.     

北京市造口治疗师角色功能履行状况调查

目的了解北京市造口治疗师角色功能履行情况,探讨其存在的问题,促进其角色发展。方法采用目的取样法,通过问卷调查北京市获得资格认证6个月以上的25名造口治疗师角色功能履行情况。结果所有的造口治疗师都开展了临床实践、咨询工作,主要集中在造口、伤口护理方面;21名造口治疗师开展了教学工作,教学对象为造口治疗师学生、其他护理人员、病人及其家属;16名造口治疗师参与了科研工作。结论造口治疗师各角色功能履行程度不同,建议通过设置专业岗位、完善认证管理制度、分层次培养等手段促进造口治疗师临床角色功能的体现。     

The roles,barriers and experiences of rehabilitation therapists in disaster relief: post-earthquake Haiti 2010

Abstract

Purpose: This article describes the roles and experiences of rehabilitation therapists involved in disaster relief work (DRW) in Haiti after the 2010 earthquake. The results of a pilot study and phenomenological study are presented. Method: A phenomenological study of rehabilitation providers’ experiences in post-disaster relief care is presented along with preliminary pilot study results. The phenomenological study explored the experiences of therapists from a lived experience perspective through the roles they played in DRW. Results: Participants provided disaster relief through direct patient care, adaptive equipment sourcing and allocation, education and training, community outreach and logistic or administrative duties. Barriers and challenges included: (1) emotions: ups and downs; (2) challenges: working at the edge of practice; (3) education: key to success and sustainability; (4) lessons learned: social responsibility is why we go; and (5) difficulty coming home: no one understands. Conclusions: Therapists play a key role in disaster relief situations. Data presented should encourage organizations to include therapists from early planning to implementation of relief services. Further studies are needed to evaluate the impact of rehabilitation interventions in disaster settings.

• Implications for Rehabilitation

• Understanding the roles and experiences of therapists in disaster relief setting is important

• Certain barriers to providing care in post-disaster settings exist

• Those participating in disaster response should be well prepared and aware of that they might be asked to do

     

The role of the occupational therapist in Jordan: a survey of the members of the healthcare team exploring their knowledge about occupational therapy in rehabilitation hospitals

Purpose.?Occupational therapy (OT) is a developing profession that has only been introduced to Jordanian hospitals 18 years ago. The main objective of this study was to explore the level of knowledge the healthcare team members in Jordanian rehabilitation hospitals have about OT.

Method.?Two hundred and fifty questionnaires were distributed to different members in the healthcare team in three major hospitals in Jordan. One hundred fifty-three questionnaires were returned and used for analysis.

Results.?Collectively, the results revealed a fair knowledge level about OT among the healthcare team members in rehabilitation, who stated that the main responsibilities of this profession were rehabilitation for activities of daily living, hand therapy and increasing the quality of life for disabled people. Furthermore, the majority of the respondents agreed that OT is a vital profession that plays an important role in rehabilitation teams, and expressed their expectations of developing standards and regulations for this profession.

Conclusion.?Actions should be channelled towards educating members of the team about OT through university curriculum. It is critical that the Jordanian Ministry of Health establishes specific statements and regulations which clarify the role of the OT within different settings of the healthcare system.     

我国康复服务需求评估与供需缺口原因分析

目的 从“残、病、伤、老”四类群体角度,分类梳理、评估社会总体康复服务需求,分析康复服务供需缺口的原因。方法 收集康复领域文献,包括世界卫生组织和我国有关部门颁布的政策文件、相关调查以及相关研究,进行文献分析。结果 我国“残、病、伤、老”群体康复服务需求规模庞大,康复服务供给尚未有效满足现存需求。导致我国康复服务供需缺口的主要原因包括：健康态势和人口趋势加大社会康复服务的需求;康复服务资源储备不足,康复服务体系建设相对滞后;残疾报告制度不完善,康复服务需求与供给之间的衔接不畅。结论 基于残疾报告制度建设,尽快完善我国康复服务体系,提升康复服务水平。     

The system for medical rehabilitation in Croatia

Purpose.?To describe the framework for medical rehabilitation in Croatia and to discuss its influence on the practice of the specialty.

Methods.?Collection, analysis and interpretation of data pertaining to the need for medical rehabilitation in the country and to its elements of structure, process and outcome of care.

Results.?The practice of medical rehabilitation in Croatia has evolved without strategic planning on the national level and therefore without a designed system. This lack in the present framework causes shortcomings in all three elements of rehabilitation care and impedes the advancement of the specialty.

Conclusion.?Medical rehabilitation in Croatia needs a national strategic plan for a three-level system that incorporates inpatient, outpatient and community-based rehabilitation.     

The system for medical rehabilitation in Croatia

Purpose. To describe the framework for medical rehabilitation in Croatia and to discuss its influence on the practice of the specialty.

Methods. Collection, analysis and interpretation of data pertaining to the need for medical rehabilitation in the country and to its elements of structure, process and outcome of care.

Results. The practice of medical rehabilitation in Croatia has evolved without strategic planning on the national level and therefore without a designed system. This lack in the present framework causes shortcomings in all three elements of rehabilitation care and impedes the advancement of the specialty.

Conclusion. Medical rehabilitation in Croatia needs a national strategic plan for a three-level system that incorporates inpatient, outpatient and community-based rehabilitation.     

恢复期颅脑损伤患者实施路径式健康教育的康复效果观察

目的探讨路径式健康教育在颅脑损伤患者恢复期应用的效果。方法将76例颅脑损伤康复期住院患者随机分为对照组和观察组。两组患者均给予常规康复治疗护理干预,对照组给予传统健康教育,观察组给予路径式健康教育。结果实施路径式健康教育后,观察组患者肢体运动功能、日常活动能力功能、康复知识掌握率等指标均优于对照组(P<0.01或P<0.05)。结论路径式健康教育有助于促使患者全面掌握颅脑损伤后康复的相关健康知识,提高治疗依从性和积极性,加速肢体功能恢复,提高日常生活活动能力。     

康复健康教育对脊髓损伤患者康复治疗依从性的研究

目的探讨康复健康教育对脊髓损伤(SCI)患者康复治疗依从性的临床意义。方法 2012年1月至2013年12月该院收治的SCI患者62例,随机分为观察组与对照组,各31例。对照组予以常规治疗与康复护理,观察组在对照组的基础上实施个性化康复健康教育,比较2组患者康复治疗的依从性。结果观察组患者对SCI疾病的认知水平和康复治疗的依从性评分显著高于对照组,差异有统计学意义(P0.05),观察组患者并发症发生率显著低于对照组,差异有统计学意义(P0.05)。结论对SCI患者实施康复健康教育,有利于提高患者康复治疗的依从性,降低其并发症发生率。     

起搏器植入术后患者心脏康复信息需求现状及影响因素分析

目的:探讨永久起搏器植入术后患者心脏康复信息需求现状及影响因素.方法:选取安徽省合肥市某二级甲等综合医院2020年6月至12月心血管内科住院且首次接受永久起搏器植入术的患者189例作为研究对象.通过问卷调查评估起搏器植入术后患者心脏康复信息需求现状,分析起搏器术后患者心脏康复信息需求的影响因素.结果:起搏器植入术后患者...     

北京市宣武区康复对象对社区康复服务的需要及其影响因素分析

目的:通过对目前北京市宣武区残疾人对社区康复服务的需要情况进行流行病学调查,了解该地区残疾人社区康复服务需要的基本情况,并对其接受康复服务可能的影响因素运用卫生统计学方法进行初步探索,以便为进一步满足该地区残疾人的康复需要提出政策性的建议。方法:采用系统抽样和单纯随机抽样方法对宣武区进行抽样;运用EPIDATA2.1制作数据库录入界面,用SPSS11.5统计软件对所得数据进行卫生统计学分析。结果:①北京市宣武区57.4%的残疾人需要康复服务,但接受康复服务的仅占13.9%。②以近三个月是否接受康复服务为标准,评价北京市宣武区康复服务对象对社区康复服务需要的影响因素主要有:医疗费用太高,人们对康复了解程度不够,不相信康复治疗的疗效等三个因素(P<0.05)。结论:北京市宣武区社区康复的服务与患者的需要还有相当差距,应采取有针对性的措施进行改善,至于北京市社区康复服务需求工作的研究还有待进一步探讨。     

中国环境养生学在康复医学中的应用

环境养生作为中医养生学的一部分,指导人类预防疾病,增强体质,保护人体健康。其在康复医学中的应用主要体现在疗养方面。该文重点从“自然环境与健康”、“居住环境与健康”以及“室内环境与健康”3方面探讨环境对人类健康的影响,提出改善环境质量的一些基本方法,指导人们选择和创造适宜的生活环境。     

The role of the ICF in physical therapy and vocational rehabilitation: contributing to developments in occupational health

Abstract

Background: Vocational rehabilitation is implemented to ensure and sustain return to work. Different healthcare professionals are involved in the process of vocational rehabilitation and physical therapists are in the forefront of providing vocational rehabilitation services. A comprehensive conceptual framework is required, so appropriate and adequate vocational rehabilitation can be provided by physical therapists. The international classification of functioning, disability, and health (ICF) by the World Health Organization can provide such a framework.

Objective: This paper will discuss recent developments in the field where the ICF has been used in vocational rehabilitation, how such usage will benefit physical therapy practice, and priority areas that need to be addressed in the near future.

Discussion: The ICF has been used in multiple ways in vocational rehabilitation in which physical therapists can play a major role. To better understand and measure work disability, the ICF can be used as a basis for a conceptual definition of vocational rehabilitation and as a tool to develop or select functioning domains and measurement instruments relevant to vocational rehabilitation.

Conclusion: The ICF is a viable option for physical therapists to understand and facilitate the process of vocational rehabilitation towards better return to work outcomes. Physical therapists, as one of the primary health professionals engaged in vocational rehabilitation, will benefit from using a reference framework like the ICF in their clinical practice and research.