Archives of Rehabilitation
مجله توانبخشی
jrehab
Medical Sciences
http://rehabilitationj.uswr.ac.ir
55
journal55
2538-6247
2538-6247
10.32598/rj
fa
jalali
1390
1
1
gregorian
2011
4
1
12
1
online
1
fulltext
fa
رابطه مدیریت درمان حوادث شغلی منجر به قطع عضو با نتایج آن در مصدومین مراجعه کننده به بیمارستان لاله ۱۳۸۴-۸۸
Management of Work–Related Injuries Leading to Amputation and Its Relation with Treatment Outcome
مدیریت توانبخشی
Rehabilitation Management
پژوهشی
Original
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<p dir="rtl" style="text-align: justify"><strong>هدف:</strong> حوادث ناشی از کار معضل مهمی برای سلامتی جمعیت شاغل است. هدف پژوهش حاضر بررسی ارتباط مدیریت درمان حوادث شغلی منجر به قطع عضو با نتایج این مراقبتها بود.</p>
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<p dir="rtl" style="text-align: justify"><strong>روش بررسی:</strong> پژوهش حاضر یک مطالعه از نوع همبستگی است که بهصورت تمام شمار بر روی پروندههای مصدومین حوادث شغلی قطع عضو شده مراجعه کننده به بیمارستان لاله طی سالهای ۱۳۸۴ الی ۱۳۸۸ (135=N) انجام گرفته است. برای گردآوری دادهها از چک لیست محققساخته استفاده شد که روایی محتوایی آن از سوی خبرگان تأیید شد. در تجزیه و تحلیل اطلاعات از روش آماری آزمون خیدو و آمار توصیفی استفاده گردید.</p>
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<p dir="rtl" style="text-align: justify"><strong>یافتهها:</strong> نحوه مراقبت از عضو قطع شده با موفقیت عمل جراحی پیوند مجدد آن عضو ارتباط نشان داد (0/001><span style="color:rgb(29, 27, 17)">P</span>) بهطوری که <span style="color:black">٪۹۵</span> مصدومینی که اصول مراقبتهای اولیه در انتقال عضو قطع شده آنها رعایت شده بود، پیوندهای موفقیتآمیزی داشتند. نتایج درمان در اندامهای بزرگ با فاصله زمانی وقوع حادثه تا شروع عمل جراحی ارتباط داشت<span style="color:black"> (0/038=P). </span> نحوه ارجاع مصدومین تأثیری معنادار بر نتایج درمان نداشت، لکن ارجاع مستقیم از مراکز بهداشتی مستقر در محیطهای کاری و محل حادثه نسبت به ارجاع از سایر بیمارستانها نتایج پیوند موفقیتآمیزتری را نشان داد.</p>
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<p dir="rtl" style="text-align: justify"><strong>نتیجهگیری:</strong> با مدیریت صحیح مصدومین حوادث شغلی منجر به قطع عضو به ویژه مراقبتهای اصولی و بهداشتی در هنگام انتقال، کاهش زمان انتقال و سازماندهی فرایند ارجاع میتوان از معلولیتهای بسیار و پیامدهای ناگوار آن جلوگیری کرد.</p>
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<p dir="ltr" style="text-align: justify"><strong>Objective:</strong> Work related accidents are considered as a significant health problem of working population. The goal of this study was to determine relation of treatment management with treatment outcome of Work-Related injuries leading to amputation.</p>
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<p dir="ltr" style="text-align: justify"><strong>Materials & Methods:</strong> current study was based on correlation method which was evidence based and was based on actual data of medical records of occupational accidents leading to amputations. Study population included all injuries that suffered limb amputation due to work and were referred to Laleh hospital during 2005 to 2009 (N=135). The data were collected by check list<span style="font-size:10pt"> </span>and analyzed by descriptive and inferential Statistics.</p>
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<p dir="ltr" style="text-align: justify"><strong>Results:</strong> Taking care method had a considerable effect on success of replant operation of that limb (P<0.001) so that in 95.23% of injuries whom principles of primary care had been done for them during transportation of amputated limb to hospital, had a successful operation. Treatment results of injuries in large limbs have had a strong relation to interval of incident occurrence to start of operation (P=0.038) How to refer injuries to hospital has not had a meaningful impact on treatment outcome (P=0.469) although referring injuries from health centers of workplace directly to hospital had more successful result comparing to transferring from other hospitals.</p>
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<p dir="ltr" style="text-align: justify"><strong>Conclusion:</strong> Appropriate management of work-related injuries leading to amputation especially primary healthcare’s during limb transmission and reducing transmission time, correct organization of referring procedure can prevent occurrence of many devastating disabilities and horrible consequences.</p>
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مصدومیت شغلی, قطع عضو, نتایج درمان
Work-related injuries, Amputation, Treatment outcome
34
38
http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-531-1&slc_lang=fa&sid=1
Iravan
Masoudi-Asl
ایروان
مسعودی اصل
masoudi_1352@yahoo.com