The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
J Rehabil Med. 2012 Mar;44(3):206-9. doi: 10.2340/16501977-0945.
To evaluate functional outcomes, health-related quality of life and life satisfaction in fracture victims 27 months after the 2008 Sichuan earthquake.
A total of 390 earthquake survivors from 3 earthquake areas who sustained fractures were divided into early intervention, late intervention and control groups. Functional outcomes assessed included activities of daily living using the Modified Barthel Index and pain level with a visual analogue scale. Health-related quality of life was evaluated with the Medical Outcomes Study Short-Form 36 and life satisfaction using the Life Satisfaction Questionnaire.
Activities of daily living and life satisfaction in the intervention groups were significantly improved compared with the control group. Health-related quality of life was higher in early intervention subjects compared with controls. Group differences in pain level were not significant. In addition, the early and late intervention groups did not differ significantly in any of the measured outcomes. Good performance of activities of daily living and widowed marital status predicted high health-related quality of life, while pain level was associated with worsened outcomes. Rehabilitation therapy, remunerative employment and female gender were predictors of improved life satisfaction.
Clinical effectiveness of physical rehabilitation intervention was demonstrated in fracture earthquake victims.
评估 2008 年四川地震 27 个月后骨折患者的功能结果、健康相关生活质量和生活满意度。
将来自 3 个地震灾区的 390 名骨折幸存者分为早期干预组、晚期干预组和对照组。使用改良巴氏指数评估日常生活活动能力，使用视觉模拟评分法评估疼痛程度。采用医疗结局研究 36 项简短健康状况调查量表评估健康相关生活质量，采用生活满意度问卷评估生活满意度。
与对照组相比，干预组的日常生活活动能力和生活满意度显著提高。早期干预组的健康相关生活质量高于对照组。疼痛程度的组间差异不显著。此外，早期和晚期干预组在任何测量结果上均无显著差异。日常生活活动能力良好和丧偶的婚姻状况预测健康相关生活质量较高，而疼痛程度与较差的结局相关。康复治疗、有酬就业和女性是提高生活满意度的预测因素。
身体康复干预在骨折地震灾民中具有临床效果。
