Gustafsson M, Hagberg L, Holmefur M
School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
J Hand Surg Eur Vol. 2011 Sep;36(7):590-8. doi: 10.1177/1753193411408186. Epub 2011 May 18.
The aim of this study was to investigate health and disability in people with acute traumatic hand injury 10 years after the accident. A consecutive sample of patients from the Department of Hand Surgery was followed up by means of a postal questionnaire containing the instruments EQ-5D for assessment of health and DASH for assessment of disability. Questions were added about cold sensitivity, numbness and aesthetic problems. The 97 people with various acute hand injuries had greater problems with impairments of hand function than with limitations of activities and participation in daily life. Pain was more common than among the general Swedish population. Cold sensitivity was reported by 78% and was associated with both worse impairments and greater limitations on activity and participation. Despite problems with pain and cold sensitivity, they reported good health and a low degree of disability.
本研究的目的是调查急性创伤性手部损伤患者在事故发生10年后的健康状况和残疾情况。对手外科科室的一系列患者样本通过邮寄问卷进行随访，问卷包含用于评估健康状况的EQ-5D量表和用于评估残疾情况的DASH量表。另外还增加了有关冷敏感、麻木和美观问题的提问。97名患有各种急性手部损伤的患者在手部功能受损方面比在日常生活活动受限和参与受限方面存在更多问题。疼痛比瑞典普通人群更为常见。78%的患者报告有冷敏感，且与更严重的功能受损以及更大程度的活动和参与受限相关。尽管存在疼痛和冷敏感问题，但他们报告健康状况良好且残疾程度较低。
