University Health Network/University of Toronto Hand Program, Toronto, Ontario, Canada.
J Hand Ther. 2011 Apr-Jun;24(2):95-102; quiz 103. doi: 10.1016/j.jht.2010.11.001. Epub 2011 Jan 14.
A hand injury has physical, psychological, and social consequences. Hand therapists play a critical role facilitating physical and psychosocial recovery and adjustment. It is important that our assessments and treatment interventions consider the whole person, are culturally relevant, and are patient centered to positively affect adjustment and improve outcomes. Psychosocial distress needs to be identified early using screening tools such as the Injured Workers Survey and the Impact of Event scale to direct treatment and refer appropriately. Peer support, either informally or during psycho-educational support groups can provide patients with valuable information, such as positive coping strategies and stress management techniques. Early participation and independence in meaningful activities ensures that important roles are preserved, which positively affects self-esteem, identity, motivation, locus of control, and outlook. Assessment tools, such as the Canadian Occupational Performance Measure and the Patient-Specific Functional Scale, can assist hand therapists in collaborating with patients to establish meaningful, culturally relevant hand therapy goals thereby facilitating successful adjustment.
手部损伤会带来身体、心理和社会方面的后果。手部治疗师在促进身体和心理社会康复和适应方面发挥着关键作用。评估和治疗干预措施考虑到整个人，具有文化相关性并且以患者为中心，这一点非常重要，因为这可以积极影响调整并改善结果。使用受伤工人调查和事件影响量表等筛查工具尽早识别心理困扰，以便进行针对性治疗和适当转介。同伴支持，无论是非正式的还是在心理教育支持小组中，都可以为患者提供有价值的信息，例如积极的应对策略和压力管理技巧。尽早参与有意义的活动并保持独立性可以确保重要角色得以保留，这对自尊心、身份认同、动机、控制源和前景产生积极影响。加拿大职业表现量表和患者特定功能量表等评估工具可以帮助手部治疗师与患者合作，制定有意义的、具有文化相关性的手部治疗目标，从而促进成功的调整。
