Helm P A, Kevorkian C G, Lushbaugh M, Pullium G, Head M D, Cromes G F
Arch Phys Med Rehabil. 1982 Jan;63(1):6-16.
Coincident with the recent development of more effective acute care of burn injured patients, has been the growth of dynamic, integrated rehabilitative efforts. The physical, emotional, and social problems that face the thermally injured patient must be solved in a constructive, coordinated manner within the matrix of total patient care. Most burns are minor burns, which may be optimally treated on an outpatient basis in a physical medicine department. Hospitalized patients, with more extensive and severe burns, should have the benefit of rehabilitative team efforts immediately after injury. We describe a comprehensive approach to the rehabilitative care of the thermally injured, including the techniques of wound management, positioning, splinting, and exercise at all chronologic phases of care. The psychosocial component of patient care is also discussed and the importance of counseling and relaxation methods addressed. Specialized problems and therapeutic techniques associated with hand burns are explained and appropriate splinting methods are illustrated.
随着近期对烧伤患者更有效的急性护理的发展，动态、综合的康复努力也在增加。热损伤患者面临的身体、情感和社会问题必须在整体患者护理的框架内以建设性、协调的方式得到解决。大多数烧伤为轻度烧伤，可在物理医学科门诊进行最佳治疗。烧伤范围更广、更严重的住院患者在受伤后应立即受益于康复团队的努力。我们描述了一种针对热损伤康复护理的综合方法，包括在护理的各个阶段进行伤口处理、体位摆放、夹板固定和运动的技术。还讨论了患者护理的心理社会组成部分，并阐述了咨询和放松方法的重要性。解释了与手部烧伤相关的特殊问题和治疗技术，并说明了适当的夹板固定方法。
