澳大利亚四肢瘫痪患者手部水肿管理的当前实践趋势。
Current practice trends of oedema management in the hands of people with tetraplegia in Australia.
作者信息
Oh Soo, Gustafsson Louise, Eames Sally
机构信息
1School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD Australia.
2Occupational Therapy department, Princess Alexandra Hospital, Brisbane, QLD Australia.
出版信息
Spinal Cord Ser Cases. 2019 Aug 7;5:71. doi: 10.1038/s41394-019-0215-7. eCollection 2019.
STUDY DESIGN
Survey research design.
OBJECTIVES
To describe current practice methods for oedema management in people with tetraplegia.
SETTING
Australia.
METHODS
Online survey with open and closed questions regarding clinical practice trends in the assessment and treatment of oedema in the hands in people with tetraplegia.
RESULTS
Seventeen occupational therapists working in spinal cord injury (SCI) in Australia completed the survey. Oedema was identified by visual inspection ( = 17, 100%) and recorded using circumferential tape measurement ( = 13, 76%). Elevation was used by all participants in conjunction with compression gloves ( = 13, 76%), retrograde massage ( = 13, 76%), compression bandaging ( = 12, 71%) and the boxing glove splint ( = 9, 53%). Participants stated that oedema presented challenges to patients with difficulty exercising ( = 11, 65%), changes to body image ( = 5, 29%) and pain ( = 4, 24%).
CONCLUSION
Assessment and treatment practices were not consistent. Oedema in the hands in people with tetraplegia was perceived to have various impacts on a person's rehabilitation and hand function. The findings highlight the need for research evidence to guide practice.
研究设计
调查研究设计。
目的
描述四肢瘫痪患者水肿管理的当前实践方法。
地点
澳大利亚。
方法
进行在线调查，包含关于四肢瘫痪患者手部水肿评估和治疗临床实践趋势的开放式和封闭式问题。
结果
澳大利亚17名从事脊髓损伤（SCI）工作的职业治疗师完成了调查。通过目视检查确定水肿（n = 17，100%），并使用卷尺测量周长进行记录（n = 13，76%）。所有参与者都使用抬高方法，同时结合使用压力手套（n = 13，76%）、逆行按摩（n = 13，76%）、加压包扎（n = 12，71%）和拳击手套夹板（n = 9，53%）。参与者表示，水肿给难以锻炼的患者带来挑战（n = 11，65%）、改变身体形象（n = 5，29%）和引起疼痛（n = 4，24%）。
结论
评估和治疗方法不一致。四肢瘫痪患者手部水肿被认为对患者的康复和手部功能有多种影响。研究结果强调需要研究证据来指导实践。
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