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Management status for hemophiliacs in Korea: the importance of comprehensive rehabilitational approach.

Ha, Kyeung Hee , Lee, Bum Suk , Rah, Ueon Woo , Cho, Kyoung Ja
Journal of the Korean Academy of Rehabilitation Medicine 1991;15(3):353-360.
Department of Rehabilitation Medicine, Yonsei University College of Medicine
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As life long bleeding occurs in hemophiliacs, current concepts in the management of hemophilia is a continuous multidisciplinary team approach.

The purpose of this study is to explore the status of rehabilitation of hemophiliac patients in Korea and emphasize the importance of multidisciplinary team approach.

The study was done retrospectively through a medical record research of 120 hemophiliac patients admitted to Severance Hospital, Seoul, Korea between Jan. 1, 1986 and Dec. 31, 1990.

Since recent rehabilitation medicine was introduced to this hospital, the comprehensive multidisciplinary approach team has been consisted of the hemophiliac patient, his family, physiatrist, orthopedic surgeon, pediatrist, nurse, physical therapist, clinical psychologist and social worker.

Even though deficient coagulating factor replacement, continuous exercise, early mobilization after bleeding event, psychosocial support are the important components of a comprehensive rehabilitation program, patients are seldom managed by a multidisciplinary team. Therefore, education for comprehensive multidisciplinary rehabilitational management is required for the physician, hemophiliac patient and his family.

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