文章摘要
席艳玲,邓晓雪,刘鹏,严会荣,田冲,库尔班乃木·卡合曼,朱琳,黄海霞.加拿大作业表现量表在脑卒中康复中的应用和调查分析[J].中国康复,2013,28(1):23-25
加拿大作业表现量表在脑卒中康复中的应用和调查分析
Application of Canadian occupational performance measure in the rehabilitation therapy of stroke patients
  
DOI:
中文关键词: COPM  作业活动  脑卒中  调查问卷
英文关键词: COPM  occupational activity  stroke  investigation
基金项目:山东省交通厅科技计划资助项目[2008Y023(4)]
作者单位
席艳玲 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
邓晓雪 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
刘鹏 广州中山大学附属第一医院康复医学科,广州 510000 
严会荣 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
田冲 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
库尔班乃木·卡合曼 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
朱琳 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
黄海霞 新疆医科大学第一附属医院康复医学科,乌鲁木齐 830054 
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中文摘要:
  目的:采用加拿大作业表现量表(COPM)分析脑卒中后肢体功能障碍患者作业活动需求,实施以患者为中心的治疗模式,观察疗效;并调查患者和康复治疗师应用COPM的体会。方法:脑卒中患者51例,均在入院时应用COPM全面评测作业活动需求,以此制定康复目标和治疗计划,实施以患者为中心的作业治疗模式;比较治疗前后作业活动的表现和满意度;同时发放调查问卷,调查患者和治疗师应用COPM的体会。结果:患者自理活动需求明显多于生产和休闲活动需求(P<0.01);作业活动表现评分和满意度评分均较治疗前明显提高(P<0.05);调查表明COPM涉及的问题更加细致、全面和实际,能够确认患者亟待解决的作业活动问题。结论:COPM简单易行,能确认患者亟待解决的作业活动,对临床治疗有指导意义。
英文摘要:
  Objective:To observe the effect of the application of Canadian occupational performance measure (COPM) on the rehabilitation therapy of stroke patients and analyze the feedback of patients and therapists.Methods:COPM was applied to evaluate occupational needs for 51 stroke patients in hospital,and rehabilitation aim and plan were made to carry out the patients-centered occupational therapy.The performance and degree of satisfaction of the occupational therapy were compared.The patients and therapists were investigated.Results:The problems of self-care activities were more than those of productive activities and leisure activities (P<0.01).The scores of performance and satisfaction of occupational therapy were significantly increased after rehabilitation therapy (P<0.05).Investigation showed the content of COPM was more careful,comprehensive and practical,and COPM could better solve the problems of occupational activities in stroke patients.Conclusion:COPM is easy to operate,helpful to solve the problems of occupational activities,which can guide the clinical practice.
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