BACKGROUND: Comprehensive evaluation of the real needs of fracture patients in work activities after earthquake and the occupational therapy centered by the survivors can improve the rehabilitation effect.OBLECTIVE: To analyze the relationship between the various factors and functional recovery after upper limbs fracture of earthquake survivors in Yushu district.METHODS: Seventy-four victims with upper limb fracture were invested by on-site survey. The performance and satisfaction of work activities before and after therapy was evaluated by Canadian Occupational Performance Measure (COPM) in order to confirm the occupational issues under resolving of patients. The uniariate analysis and multiple linear regression analysis were employed. RESULTS AND CONCLUSION: The multiple linear regression analysis showed that the performance of work activities was positive correlated with the living conditions, the social interaction activities, the community activities, dialect and housework (P < 0.05), while negatively with the distance between the inhabitation and the rehabilitation points (P < 0.05). This may provide evidence for future strategy making for developing local therapists of rehabilitation, improving living conditions, reducing the dependence on living conditions, shortening the distance between the inhabitation and the rehabilitation points and enhancing the self-care ability, producing and leisure.%背景:全面测评地震后骨折伤员在作业活动中的真正需求,实施以伤员为中心的作业治疗模式,能提高康复治疗效果.目的:分析玉树地区地震后上肢骨骨折的功能恢复情况与各影响因素之间的关系,阐明伤后控制各影响因素的重要性.方法:以调查问卷的方式对玉树地区地震中上肢骨骨折已愈合的伤员74例进行随访.运用加拿大作业活动测量表(COPM)确认伤员亟待解决的作业活动问题,评测其治疗前后的作业活动表现和满意度.对可能影响上肢骨折伤员功能恢复的因素,行多元线性逐步回归分析.结果与结论:多元线性逐步回归分析结果显示,上肢骨骨折伤员作业活动表现与居住环境、社交活动、社区活动、语言、家务活动呈正相关(P < 0.05),与居住地与康复点的距离呈负相关(P < 0.05).因此,培养藏族康复治疗师、改善居住环境、减少群居环境的依赖性、缩短居住地和康复点的距离以及增强自理、生产、休闲3个方面能力,有助于患者的功能恢复.
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