连云港海滨风景旅游区疗养环境质量调查

目的对连云港海滨风景旅游区疗养环境质量状况进行调查分析,发掘、利用、保护自然疗养因子。方法调查本区环境中空气、水、噪声和辐射等环境质量以及气候特点,对人文、自然景观等环境资料进行分析。结果本区的空气、水、噪声和辐射等环境质量均达到国家统一卫生标准,同时本区拥有空气负离子、紫外线、海水、沙滩、景观等多种疗养因子。结论连云港海滨风景旅游区环境质量达到国家统一卫生标准,疗养因子丰富,是不可多得的疗养、避暑、休闲度假胜地。     

鼓浪屿海滨疗养因子及其作用初探

鼓浪屿属亚热带季风性海洋气候，夏无酷暑，冬无严寒，年均气温２０．９℃气湿８０．５％，气压９９７．６９帕巴，空气湿润、清新，细菌量少，年均空气负离子浓度为８９５个／ｍｌ，年均日照量１４９．２±４０．４０小时，年均海水温度２１．６℃岛上四季常青，风景秀丽。这些丰富而良好的疗养因子对避免气象病理反应，消除疲劳，增强机体的免疫力，促进新陈代谢和血液循环，改善心、脑、肾及全身器官的功能，消除病因，降低发病率，促进肌体康复均起着重要的作用。     

烟台海滨自然疗养因子考察分析

本文对烟台海滨疗养区的地理环境、景观、海水等作了较详细的介绍；对该地区的气温、气压、温度、降水量、日照、负离子及风速等气象资料进行了统计分析；并对这些自然疗养因子对人体的疗养康复作用进行了探讨。     

老年人海滨疗养前后内生肌酐清除率的变化

目的　探讨海滨疗养期间诸多疗养因子的协同作用是否可以改善老年人肾脏的清除功能 ,延缓衰老改变。方法　观察对象按A组≥ 70岁 ,B组 60岁 69岁和C组≤ 59岁分组。检测每例入院、出院时的肌酐清除率 ,观察其变化。结果　C组肌酐清除率变化不大 (P >0 .0 5) ;A与B两组出院时的肌酐清除率明显高于入院时。结论　海滨疗养期间诸多疗养因子的协同作用可以改善老年人肾脏的清除功能 ,延缓老年人肾脏的衰老性改变     

海滨疗养在空勤保健疗养中的作用

目的　通过对海滨疗养特点分析 ,了解其在空勤保健疗养中的作用。方法　收集有关资料并结合临床来探讨海滨疗养对空勤保健疗养的作用。结果　海滨疗养在空勤人员保健疗养中的作用是很重要的。结论　海滨疗养在空勤人员保健疗养中具有医疗保健和促进疾病康复的作用。     

彭浪屿海滨综合疗养因子对冠心病影响的研究

目的：探讨鼓浪屿海滨综合疗养辄子对冠心病的影响。方法：随机选择确诊为冠心病的患者156人,观察综合疗养前后的临床症状、血压,检查血脂、血糖、心电图、超声心动图等指标,采用平均值,标准差,t检验进行统计学处理。结果：后临床症状好转,血压,血脂,血糖,心电图,超声心动图等指标均有不同程度的改善。结论：鼓浪屿海滨综合疗养因子对冠心病具有良好的防治作用。     

大连海滨综合疗养因子对神经衰弱的疗效观察

目的 大连海滨综合疗养因子对神经衰弱的疗效。方法 在大连小平岛海域采用日光、空气、景观、太极拳,放松性医疗体操等综合疗养因子治疗神经衰弱58例,观察治疗作用,并对其原理进行探讨。结果 58例神经衰弱,治愈39例（67．24％）,显效11例（18．96％）,好转6例（10．34％）,无例2例,总有效率达96．55％。结论 大连海滨综合疗养因子治疗神经衰弱疗效显著,方法简单,无副作用,宜于推广。     

高原官兵青岛海滨疗养的效果观察

目的观察高原官兵在青岛海滨疗养的效果。方法抽取来自海拔3000m以上地区的二炮部队官兵疗养员78例,其中保健疗养52例,康复疗养26例。两组在保持原有药物治疗的基础上采取空气浴、日光浴、海水浴、景观、理疗、体疗、合理膳食等综合疗养措施。问卷征询病史及临床症状并记录呼吸(R)、血压(SBP/DBP)、心率(HR)、体重,同时测定血氧饱和度(SaO2)、检查肝、肾功能、血常规、尿常规、心电图、超声心动图、X线等项目。结果两组疗养员疗养后原有的临床症状均有改善。两组疗养员HR、SaO2、红细胞(RBC)、血红蛋白(HGB)、血细胞比容(HCT)、血沉测量值与疗养前比较差异均有统计学意义(P0.05),康复疗养组高血压病、高原性心脏病SBP、DBP测量值与疗养前相比较差异有统计学意义(P0.01)。高原红细胞增多症RBC、HGB、HCT、血沉与疗养前比较差异有统计学意义(P0.01)。结论青岛海滨疗养因子对高原官兵疗养效果显著。     

大连海滨综合疗养因子治疗高血压病的临床研究

高血压病是一种常见的中老年病，患者血压升高，有不同程度的自觉症状和体征，并且常伴有动脉硬化。临床上，多采用各种降压和降脂药物治疗，但这些药物大多有不同程度的副作用。作者于1989年1月至2001年12月，采用海滨综合疗养因子治疗了210例高血压患者，收到较满意的疗效，现将结果报道如下。     

烟台海滨风景旅游区自然环境质量调查

目的 对烟台海滨风景旅游区环境质量状况调查分析,发掘利用保护自然疗养因子。方法 调查本区环境空气质量,水环境质量及声环境质量等环境资料并进行分析。结果 本区的环境空气、水、声环境质量均达到国家统一卫生标准。结论 烟台海滨风景旅游区环境质量达到国家统一卫生标准,是良好自然疗养环境。     

山地疗养环境对机体康复作用的相关性研究

目的研究山地疗养环境对机体康复效果的影响。方法通过查阅相关资料,调查分析山地气候特征及大气环境要素对机体的康复作用。结果山地气候具有大气压低、乏氧、太阳辐射强度大、紫外线丰富、空气清新且负氧离子含量高、夏季气温偏低等特点。对慢性病患者具有一定的康复效果,可提高机体的适应性和代偿能力,调整某些疾病的病理变化过程。结论根据自然疗养因子的分布情况,合理开发和科学利用山地疗养资源开展康复疗养,可取得巨大的社会效益和经济效益。     

Using ICF-Environment factors to enhance the continuum of outpatient ABI rehabilitation: An exploratory study

Purpose. This study utilized the Environment dimension of the ICF, to explore needs of outpatients and their family members in the context of system and professional needs in an outpatient rehabilitation unit.

Method. A two-phase qualitative exploration comprised structured workshops with outpatient rehabilitation unit professional staff and semi-structured interviews on two occasions with 18 outpatients and their significant others. Data was thematically analysed and categorized according to ICF Environment dimensions.

Results. The study found that the ICF Environment dimension was a worthwhile area for research, beneficial for outpatient professionals, relevant to patient and family members' concerns, and useful for conceptualizing intervention. The study found that key foci for outpatient assistance at the Environment level should include: psychosocial support and relationships; information transfer and communication in transition to outpatient rehabilitation; and subsequent connection with community, vocational and support services.

Conclusion. Research using the ICF Environment dimension provides a practical means of connecting some of the features of a community-oriented approach with hospital or centre-based outpatient rehabilitation.     

康复训练对先天性心脏病患儿术后恢复的影响

根据康复医学训练原理，自行编制７节康复操。通过对８３例４～１２岁先天性心脏病患儿康复训练对比观察发现，康复训练组患儿术后撤离呼吸机时间、监护时间、平均住院时间与对照组相比差异有显著意义。康复训练组患儿术后撤呼吸机时间比对照组提前了７．３４ｈ，监护及住院时间分别提前了２．０４日和３．２４日。     

青岛地区自然疗养因子结合运动疗法对关节病的康复作用

目的研究青岛海滨疗养因子结合运动疗法对疗养员关节疾病的康复作用。方法选择320例有关节疼痛疾病的疗养员,其中特勤疗养员224例,干部疗养员96例,给予青岛海滨疗养因子结合运动疗法平均治疗4周,观察治疗前后关节疼痛缓解程度。结果 320例关节疼痛患者痊愈39例,好转251例,无效30例,总有效率90.6%。结论海滨自然疗养因子结合运动疗法可有效减轻关节疼痛症状,改善关节功能。     

杭州疗养因子对老年人血压、血脂的影响

目的探讨杭州疗养因子对老年人血压、血脂的影响。方法随机选择来院疗养的老年人146名,采用规律饮食、自然疗养因子、药物、运动疗法、景观疗养等综合治疗措施,比较疗养前和疗养15d后血压、血脂变化情况。结果治疗15d后与治疗前比较,血压、血脂有所降低。结论杭州疗养因子对老年人血压、血脂有降低作用。     

品管圈活动在康复期精神病患者特色康复中的应用

目的 探讨品管圈活动在康复期精神病患者特色康复中的应用效果.方法 成立品管圈,确立"提高康复期精神病患者工娱疗参与率"为主题,分析现状,设立目标,针对原因制定改进措施并实施,统计患者在特色康复中工娱疗参与率,评价圈员综合素质和能力,同时采用护士用住院患者观察量表(Nurses'Observation Scale for Inpatient Evaluation,NOSIE)在活动前及活动开展第24周末进行疗效评定.结果 观察组患者工娱疗参与率由活动前68.52%提高到92.59% (P<0.01),完成了既定目标,目标达标率116.49%,圈员整体素质显著提升,两组患者NOSIE各因子分比较,差异有统计学意义(P<0.05).结论 品管圈活动在精神病患者特色康复中的应用,可有效提高工娱疗参与率,极大改善精神病患者的康复技能,有利于更好地恢复社会功能,同时增强了护士参与质量管理的意识和能力.     

Development of a measure of receptivity of the physical environment

Purpose. New models of disability identify the importance of measuring the influence of the environment (environmental barriers) on the performance of persons with disabilities. The objective of this paper is to present a new measure of the receptivity of the physical environment for persons with mobility impairments and to offer preliminary information about its psychometric properties.

Methods. The measure, The Community Health Environment Checklist (CHEC), was developed and validated in a community setting with a group of persons with mobility impairments. Sixty-three destinations (buildings, recreational areas or facilities) were assessed using the CHEC.

Results. Using Cronbach's alpha, the CHEC was found to have an internal consistency reliability of 0.95. The content validity of the CHEC was assured by the development procedure.

Conclusion. The CHEC offers a brief, easily administered measure of receptivity of the physical environment for persons with mobility impairments that is psychometrically sound.     

Development of a measure of receptivity of the physical environment

Purpose. New models of disability identify the importance of measuring the influence of the environment (environmental barriers) on the performance of persons with disabilities. The objective of this paper is to present a new measure of the receptivity of the physical environment for persons with mobility impairments and to offer preliminary information about its psychometric properties.

Methods. The measure, The Community Health Environment Checklist (CHEC), was developed and validated in a community setting with a group of persons with mobility impairments. Sixty-three destinations (buildings, recreational areas or facilities) were assessed using the CHEC.

Results. Using Cronbach's alpha, the CHEC was found to have an internal consistency reliability of 0.95. The content validity of the CHEC was assured by the development procedure.

Conclusion. The CHEC offers a brief, easily administered measure of receptivity of the physical environment for persons with mobility impairments that is psychometrically sound.     

Nature and the natural environment as health facilitators: the need to reconceptualize the ICF environmental factors

Purpose: This work examines the environmental factors component of the International Classification of Functioning, Disability, and Health (ICF) relative to current health-facilitating evidence about natural environmental factors. We argue that the environmental factors component warrants reconceptualization in order to offer an extended and more systematic framework for identifying and measuring health-facilitating natural environmental factors. Method: Current evidence highlighting the potential health-facilitating benefits of natural environmental factors is synthesized and considered in the context of the ICF framework and its coding system. Results: In its current form, the ICF’s conceptual framework and coding system are inadequate for identifying and measuring natural environmental factors in individuals and groups with and/or without health conditions. Conclusion: The ICF provides an advanced framework for health and disability that reflects contemporary conceptualizations about health. However, given the scope of emerging evidence highlighting positive health and well-being outcomes associated with natural environmental factors, we believe the environmental factors component requires further advancement to reflect this current knowledge. Reconceptualizing the environmental factors component supports a more holistic interpretation of the continuum of environmental factors as both facilitators and barriers. In doing so, it strengthens the ICF’s utility in identifying and measuring health-facilitating natural environmental factors.

Implications for Rehabilitation

• Natural environmental factors constitute salient features of the environment with implications to health and disability, not simply aesthetic qualities.

• Fostering contact with nature and the natural environment may provide opportunities for respite and promote health benefits for individuals who experience a range of disability.

• Positive human-nature-health relationships may contribute to the maintenance and promotion of health at the population level.