Vaksvik Tone, Kjeken Ingvild, Holm Inger
Division of Surgery and Clinical Neuroscience, Department of Orthopaedics, Section of Rehabilitation, Oslo University Hospital, Norway; Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway.
Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway; National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
J Hand Ther. 2015 Jan-Mar;28(1):46-51; quiz 52. doi: 10.1016/j.jht.2014.09.006. Epub 2014 Oct 5.
Prospective cohort study.
Knowledge of the strategies used by patients with injuries of the hand to manage cold hypersensitivity should guide information given by health-care workers.
To explore the use of cold-associated self-management strategies in patients with severe hand injuries.
Seventy patients being cold hypersensitive following a hand injury, reported use of strategies to limit cold-induced symptoms in the injured hand(s) and the severity of cold-associated activity limitations one and two years after surgery.
The patients used several strategies, including clothing (100%), use of own body (movement/use of muscles to produce heat or massage of the fingers) (94%), and heating aids (48%), but were still limited in valued cold-associated activities two years after surgery. The number of patients staying indoors, using heating aids and hand wear indoors and during summer-time increased with severity of cold hypersensitivity. Patients both implemented and discontinued different strategies after the first year, but for most strategies, the proportions of users were quite stable.
The most common strategies used to limit cold-induced symptoms in the injured hand(s) were clothing and use of own body. Many patients also seemed to benefit from using heating aids. After one year, a number of patients still experimented in finding the best strategies and were still limited in valued cold-associated activities.
2b.
前瞻性队列研究。
了解手部受伤患者用于管理冷超敏反应的策略，应能指导医护人员提供的信息。
探讨严重手部损伤患者使用与冷相关的自我管理策略的情况。
70名手部受伤后出现冷超敏反应的患者，报告了在术后一年和两年时使用的限制受伤手部冷诱发症状的策略，以及与冷相关的活动受限的严重程度。
患者使用了多种策略，包括着装（100%）、利用自身身体（活动/运用肌肉产生热量或按摩手指）（94%）以及加热辅助器具（48%），但术后两年在有价值的与冷相关的活动方面仍受到限制。随着冷超敏反应严重程度的增加，待在室内、在室内及夏季使用加热辅助器具和手部穿戴用品的患者数量增多。患者在第一年之后既有实施也有停止不同的策略，但对于大多数策略而言，使用者的比例相当稳定。
用于限制受伤手部冷诱发症状的最常见策略是着装和利用自身身体。许多患者似乎也从使用加热辅助器具中受益。一年后，一些患者仍在尝试寻找最佳策略，并且在有价值的与冷相关的活动方面仍受到限制。
2b。
