Đánh giá sự cải thiện chức năng sinh hoạt hàng ngày của bệnh nhân thoát vị đĩa đệm cột sống cổ bằng phương pháp vật lý trị liệu - phục hồi chức năng

TCNCYH 71 (dJ - 2010

trained in medical ethics. Medical ethics was taught mainly by one credit and integrated into medical

psychdidgy. Teaching/learning methed was activated. Many schdols did students assessment with tests,

but there were 47.1 % students have assessed by Idng questiens. Conclusion: Teaching/learning medical

ethics had been dene in all sehddls, but it shdud be improved.

Keywords: medical ethics, active teaching/leaning, medical student, medical school

DANH GIA SL/ CAI THIEN CHLfC NANG SINH HOAT HANG NGAY

CUA BENH NHAN THOAT Vj DIA DEM COT SONG CO BANG

PHLfONG PHAP VAT LY TRj LIEU - PHUC HOI CHLfC NANG

Phi Thuy Linh', Pham Van Mlnh^

Tnfdng Dai bgc Y Ha Ndi

Hau qui cua thoit vi dia dem cot sd'ng cd thddng keo dii, anh hddng rat Idn din Cuoc sd'ng vi sinh hoat

cua ngifdi benh. Muc tieu: dinh gii sd eai thien chifc nang sinh boat hang ngiy cua benh nhin thoat vj dTa

dem cot sdng cd bing phifang phip vit ly trj lidu - phuc hoi chifc nang. Ddi tugng va phuang phap nghien

cifu: nghien cdu tien cdu ddac tiin hinh tren 30 benh nhan thoit vj dia dem cdt sd'ng co difac diiu trj bang

cac bien phip vat I'y trj Hdu - phuc hoi chdc ning. Sd cii thien chdc nang sinh boat hing ngiy ddac dinh

gia difa vio bang ciu hdi NPQ (Northwick Park Neck Pain Questionnaire). Kit qua va kit luan: cic bien

phip vat ly tri Hdu - phuc hoi chdc nang thdc sd dem lai hieu qua cai thien cic chdc ning sinh boat hing

ngay cho bdnh nhan thoat vj dTa d$m cdt sdng co. Sau 30 ngiy diiu trj khdng cdn benh nhin bi anh hddng d

mifc do nhiiu vi rat nhiiu, 40%o so benh nhin bj anh hddng d mde do it va 60% sd benh nhan bi anh

hifdng d mde do trung binh.

Tii khoa: Chflc nang sinh boat hang ngay, thoat vj dTa dem ept sdng cd, vat ly trj lieu - phuc hdi chflc nang

I. DAT VAN DE

Thoit vj dTa dem (TVDD) cot sdng cd la mpt

benh ly kha phd bien d Viet Nam eung nhfl tren

the gidi [10). Theo ele nghien cdu cua Gore [8],

Kelsey [9] cho thay Xy le TVDD cot sdng cd khoang

5,5 ngfldi/100000 dan.

Do dac diem gil l phlu cua cot sd'ng cd nen

khi TVDD ed the gay chen ep tuy sd'ng va rl thi n

kinh, tfl dd se anh hfldng rat Idn den kha nang lao

dong, sin xua't cua ngfldi benh. 0 Viet Nam,

TVDD ept sdng cd thfldng gap d dp tudi tfl 35 - 59

tudi (83,78%), di y la dp tudi dang lao dpng ed fch

cho xa hdi. Do vay, viee ehan doln sdm va dilu

trj kjp thdi TVDD ept sdng ed nham duy tri cae

chdc nang sinh boat thfldng ngay eua ngfldi benh

la viee bet sflc can thiet [3, 41.

Hien nay, ed rit it eae nghien cflu v l sfl ei i

thien eac chdc nang sinh boat bang phfldng phlp

vat ly tri lieu - phue hdi chflc nang. Do vay,

chdng tdi tien hanh nghien edu d l tai nay nham

muc tieu: Danfi gia stf cai thien chtfc nang sinh

boat hang ngay cua benh nhan thoat vi dia dem

cot sdng cd bang phUdng phap vat ly tri lieu -

phuc hoi chtfc nang .

II. DOI TUONG VA PHUONG PHAP

NGHIEN CL/U

1. Doi tUging nghien ciifu

Gdm 30 benh nhan dflpe ehan dean thoat vi

dTa dem cot sdng co dfldc dilu trj tai Trung tam

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