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目的调查汶川地震伤残人员的日常生活活动能力(ADL),分析影响伤残人员日常生活活动能力的相关因素,为汶川地震伤残人员的社区康复提供依据。方法利用ADL量表对283名汶川地震伤残人员的日常生活活动能力进行测量。结果 283名伤残人员地震伤残人员ADL平均得分为85.08±14.73,其中20.8% ADL完全正常,71.0%的伤残人员ADL日常生活能力轻度障碍,8.2% ADL中重度障碍;经多因素分析,地震伤残人员ADL的主要影响因素依次是:伤残程度、伤残合并疾病、伤残并发症、是否参与残疾人组织或相关活动(P<0.05)。结论伤残人员ADL关键在于残疾程度,避免伤残并发症和二次残疾的发生,控制伤残合并疾病的发生,增加伤残人员的社会参与度,均有利于伤残人员ADL的提高。
Objective To investigate the daily living activity (ADL) of disabled people in Wenchuan earthquake and to analyze the related factors that affect the daily living activities of disabled people, so as to provide the basis for community rehabilitation of disabled people in Wenchuan earthquake. Methods ADL scale was used to measure the daily living activities of 283 disabled people in Wenchuan earthquake. Results The average ADL score of the 283 disabled persons was 85.08 ± 14.73, of which 20.8% of ADLs were completely normal, 71.0% of ADRs were mildly disturbed and 8.2% of ADL were moderate or severe. After multivariate analysis The main influencing factors of ADL of earthquake disabled were: degree of disability, disability combined disability, disability complication, participation in disability organization or related activities (P <0.05). Conclusion The key point of ADL for disabled is the degree of disability, avoiding the complications of disability and secondary disability, controlling the occurrence of disability combined diseases and increasing the social participation of the disabled, which are all beneficial to the improvement of ADL of the disabled.