我是職能治療師，燒傷復健路上我陪你

I Am an Occupational Therapist. I Will Accompany You Through the Process of Burn Rehabilitation

陳生松(Sheng-Sung Chen)

《護理雜誌》 63卷1期 (2016/02) Pp. 42-48

https://doi.org/10.6224/JN.63.1.42

摘要

燒燙傷是一種常見的意外傷害，大面積的燒傷會造成疤痕增生與攣縮，影響病人的日常活動。職能治療師必須儘早介入治療，協助傷患持續復健至疤痕成熟。本文概述職能治療師能為燒傷個案提供的服務，例如擬訂燒傷職能治療復健計畫，提供個別化輔具以使個案儘快重拾日常生活的獨立，而重返職場。期待本文能讓更多專業了解燒傷的職能治療，以減少燒傷後遺症。

關鍵字

燒燙傷 ； 職能治療 ； 復健

並列摘要

Burn injuries nearly always occur by accident. Burn injuries that cover large areas of the body typically cause hypertrophic scarring and joint contractures that affect the ability of the burn patient to handle normal activities of daily living. Occupational therapists begin the related interventions as early as possible, and patients require rehabilitation continuously until scar maturation. The present article provides an overview of the approach that occupational therapists should take in treating burn patients. Key elements of this approach include creating a burn rehabilitation program and helping patients achieve independence in their activities of daily living by applying individual assistive devices. The goal of this program is to allow burn patients to return to the workplace and to a normal life. We hope that this article makes more specialists aware of the proper approach to occupational therapy for burn patients and reduces the incidence of post-burn-injury sequelae.

並列關鍵字

burns ； occupational therapy ； rehabilitation

參考文獻

Chen, J., Li-Tsang, C. W. P., Yan, H., Liang, G., Tan, J., Yang, S., & Wu, J. (2013). A survey on the current status of burn rehabilitation services in China. Burns, 39(2), 269–278. doi:10.1016/j.burns.2012.06.016

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Foster, K. (2014). Clinical guidelines in the management of burn injury: A review and recommendations from the organization and delivery of burn care committee. Journal of Burn Care & Research, 35(4), 271–283. doi:10.1097/BCR.0000000000000088

Friedstat, J. S., & Hultman, C. S. (2014). Hypertrophic burn scar management: What does the evidence show? A systematic review of randomized controlled trials. Annals of Plastic Surgery, 72(6), s198–s201. doi:10.1097/SAP.0000000000000103

Godleski, M., Oeffling, A., Bruflat, A. K., Craig, E., Weitzenkamp, D., & Lindberg, G. (2013). Treating burn-associated joint contracture: Results of an inpatient rehabilitation stretching protocol. Journal of Burn Care & Research, 30(4), 420–426. doi:10.1097/BCR.0b013e3182700178