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[风湿性疾病患者的能力与需求概况:职业康复中作为跨学科任务进行适用性评估的基础]

[Abilities and requirements profile of rheumatic patients, basis for suitability assessment as an interdisciplinary task in vocational rehabilitation].

作者信息

Meinhart P, Hellmann J

机构信息

Institut und Poliklinik für Arbeitsmedizin, Friedrich-Schiller-Universität Jena.

出版信息

Rehabilitation (Stuttg). 1991 Aug;30(3):144-9.

PMID:1947423
Abstract

Vocational rehabilitation service provision is always required when current job tasks can no longer be carried out due to disease-related performance restrictions. For social service agencies and employment offices as well as the rehabilitation facilities to intervene, information is needed on the remaining abilities, in order to be able to match future job requirements accordingly. Chronic rheumatic diseases gain increasing importance due to their high incidence and chronic progression; their impact on the capacity for work is considerable, with little attention however so far paid by the rehabilitation community. For 30 rheumatic patients of working age, abilities profiles have therefore been prepared and requirements profiles been established for their current job tasks, based on the methodological concept of Ertomis-Stiftung which had been supplemented by certain items important from an industrial medical angle. The findings show that the rheumatic person experiences limitations in all movement functions, and that lifting and carrying in particular are not possible. A major request is inclusion of a dynamic assessment criterion in the abilities profiles, as the person with a rheumatic disease in principle is capable of carrying out all movements, not however at the speed required to perform the job tasks.

摘要

当因疾病相关的工作能力限制而无法再执行当前工作任务时,总是需要提供职业康复服务。对于社会服务机构、就业办公室以及康复机构来说,若要进行干预,就需要了解患者剩余的能力,以便能够相应地匹配未来的工作要求。慢性风湿性疾病因其高发病率和慢性进展而变得越来越重要;它们对工作能力的影响相当大,然而到目前为止康复界对此关注甚少。因此,基于Ertomis-Stiftung的方法概念,并补充了一些从工业医学角度来看很重要的项目,为30名处于工作年龄的风湿性疾病患者编制了能力概况,并确定了他们当前工作任务的要求概况。研究结果表明,风湿性疾病患者在所有运动功能方面都存在限制,尤其无法进行 lifting 和 carrying(此处可能是搬运之类的动作,具体需结合医学背景确定准确意思)。一个主要的要求是在能力概况中纳入动态评估标准,因为患有风湿性疾病的人原则上能够进行所有动作,然而却无法达到执行工作任务所需的速度。

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