Ronen R, Braun Z, Eyal P, Eldar R
Fleischman Unit for the Study of Disability, Lowenstein Hospital-Rehabilitation Centre, Raanana, Israel.
Disabil Rehabil. 1996 Sep;18(9):476-81. doi: 10.3109/09638289609165912.
A community-oriented programme for rehabilitation of persons with arthritis is described. It combines an 8-week ambulatory rehabilitation course (including patient education) at a rehabilitation institution, with long-term self-rehabilitation (at patients' homes), supervised by primary-care nurses. Sixty persons (mean age 54; 80% females) with a 13-year average duration of arthritis, were suffering pain, physical limitations, difficulties in social activities, tension and a tendency to depression. They had completed the course and a 12-month self-rehabilitation at home, and were assessed with the Arthritis Impact Measurement Scales (AIMS) questionnaire on admission to the course, at its completion and 1 year thereafter. Assessment upon completion of the course showed improvement in all areas studied. Measurements at follow-up showed that the majority carried out self-rehabilitation activities and preserved the improved functional status. The programme provided a much-needed service to arthritis sufferers living in the community, and promoted both the reorientation of institution-based rehabilitation professionals towards the community and self-rehabilitation and the cooperation between the institution and primary care.
本文描述了一项针对关节炎患者的社区康复计划。该计划将康复机构为期8周的门诊康复课程（包括患者教育）与由初级护理护士监督的长期居家自我康复相结合。60名平均患关节炎13年的患者（平均年龄54岁；80%为女性），存在疼痛、身体功能受限、社交活动困难、紧张及抑郁倾向。他们完成了该课程及为期12个月的居家自我康复，并在课程入学时、课程结束时及之后1年使用关节炎影响测量量表（AIMS）问卷进行评估。课程结束时的评估显示，所有研究领域均有改善。随访测量表明，大多数患者进行了自我康复活动并维持了改善后的功能状态。该计划为社区中的关节炎患者提供了急需的服务，并推动了以机构为基础的康复专业人员重新关注社区和自我康复，以及机构与初级护理之间的合作。
