ORIJINAL ARAŞTIRMA
Üçüncü Basamak Bir Hastanenin Fiziksel Tıp ve Rehabilitasyon Kliniğinde Takip Edilen İş Kazası Olgularının Sosyodemografik ve Klinik Özellikleri
The Sociodemographic and Clinical Characteristics of Occupational Accident Victims Followed in Physical Therapy and Rehabilitation Department of a Tertiary Hospital
Received Date : 16 Sep 2019
Accepted Date : 12 Jun 2020
Available Online : 28 Sep 2020
Nurdan YILMAZa, Osman DEMİRb
aDepartment of Physical Therapy and Rehabilitation, Gaziosmanpaşa University Faculty of Medicine, Tokat, TURKEY
bDepartment of Biostatistics, Gaziosmanpaşa University Faculty of Medicine, Tokat, TURKEY
Doi: 10.31609/jpmrs.2019-71471 - Makale Dili: EN
J PMR Sci. 2020;23(3):129-36
ÖZET
Amaç: Bu çalışmanın amacı iş kazası sonrası fizik tedavi ve
rehabilitasyon programına alınan hastaların sosyodemografik özelliklerine
ek olarak, yaralanma ve yaralanmanın gerçekleştiği iş koluna ait
verilerin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya Ocak
2012 ve Aralık 2018 tarihleri arasında kliniğimizce iş kazası sonrası
rehabilitasyon için takip edilen 102 hasta dahil edildi. Hastane otomasyon
sisteminde bulunan elektronik ortam dosyaları retrospektif olarak
tarandı. Her hasta için sosyodemografik özellikleri, yaralanma ve
yaralanmanın gerçekleştiği iş koluna ait veriler kayıt altına alındı. Bulgular:
Çalışmaya dahil edilen 102 hastanın yaş ortalaması 36.39±10.38
(min: 18, maks: 59) idi. Hastaların 100 (%98) ü erkek, 2 (%2)’si kadındı.
Hastaların %18,6’sı 18-25 yaş aralığında; %42,2’si 26-40 yaş
aralığında ve %39,2’si ise 40 yaş ve üzerinde idi. Hastaların aldıkları ortalama
fizik tedavi seans sayısı 42.89±25.53 (min: 15, maks: 180) idi.
İş kazaları en fazla inşaat sektöründe görülürken; ilk sırada yüksekten
düşme, ikinci sırada kesici-delici alet yaralanmaları yer alıyordu. Tüm
kazazedelerin %48 (n:49)’i ilkokul mezunu idi. En çok sekelin istatiksel
olarak anlamlı şekilde üst ekstremite yaralanmalarından sonra gözlendiği
tespit edildi. En sık gözlenen sekel %45,1 (n:46) ile
kontraktürdü. Sonuç: Çalışmamızın sonuçlarına göre iş kazalarından
en çok inşaat ve metal sanayi iş kollarında çalışan, ilkokul mezunu genç
erkeklerin etkilendiği görülmüştür. Fizik tedavi ve rehabilitasyon ihtiyacı
olan hastaların birçoğunun tüm tedavi uygulamalarına rağmen sekelle
iyileştiği tespit edilmiştir.
Anahtar Kelimeler: İş kazaları; rehabilitasyon; komplikasyonlar
ABSTRACT
Objective: The aim of this study is to evaluate the sociodemographic,
injury and employment characteristics of the patients
included in a physical medicine and rehabilitation program after an
occupational accident (OA). Material and Methods: The study included
102 patients who were admitted to our clinic for a rehabilitation
program after an OA between January 2012 and December 2018. Electronic
media files in the hospital automation system were retrospectively
scanned. We recorded the sociodemographic, injury and
employment characteristics for each patient. Results: The mean age of
102 patients included in the study was 36.39±10.38 (min: 18, max:
59). One hundred (98%) of them were male, two (2%) were female.
18.6% of the patients are between the ages of 18-25; 42.2% were between
the ages of 26-40 and 39.2% were over the age of 40. The mean
number of physical therapy sessions was 42.89±25.53 (min: 15, max:
180). OAs mostly occurred in the construction industry, most frequently
as a result of falling from a height, followed by sharp object
injuries. Of all patients, 48% (n:49) were primary school graduates. It
was found that most sequela was observed statistically significantly
after upper limb injuries. The most common sequelae was contracture
with 45.1% (n: 46). Conclusion: The results of our study showed that
the primary school graduate young males working in the construction
and metal industry sectors were mostly affected by OAs. It was found
that many of the patients in need of physical therapy and rehabilitation
programs recovered with sequelae despite all treatment applications.
Keywords: Occupational accidents; rehabilitation; complications
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