文章摘要
徐建扬,杨玉慧,闫彦宁,王晓晗.“生活重建”理念在出院偏瘫患者功能恢复中的应用[J].中国康复,2018,33(6):458-461
“生活重建”理念在出院偏瘫患者功能恢复中的应用
Application of “Occupational Lifestyle Redesign Programme” Concept in Functional Recovery of Discharged Stroke Patients
  
DOI:
中文关键词: 脑卒中  生活重建  家庭康复  上肢功能  作业治疗
英文关键词: Stroke  Occupational lifestyle redesign programme  Home based rehabilitation  Upper extreme  Occupational therapy
基金项目:
作者单位
徐建扬 河北省人民医院康复医学科石家庄 050051 
杨玉慧 河北省人民医院康复医学科石家庄 050051 
闫彦宁 河北省人民医院康复医学科石家庄 050051 
王晓晗 河北省人民医院康复医学科石家庄 050051 
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中文摘要:
  目的:探讨“生活重建”的作业治疗理念在偏瘫患者出院后功能恢复中的应用效果。方法:选取脑卒中偏瘫患者40例,随机分为观察组和对照组各20例,观察组在患者出院时给予以“生活重建”作业治疗理念为指导的出院训练计划,对照组给予普通运动功能训练计划,分别评价2组患者在出院时与出院1个月时日常生活能力(BI)、简化Fugl-Meyer运动功能评分(FMA)和卒中病人运动功能评估表(MAS)得分并进行比较。结果:出院1个月时,2组BI、FMA及MAS各项总分分别与出院时比较均有明显提高(P<0.05),且观察组FMA及MAS总分明显优于对照组(P<0.05);BI总分2组间比较差异无统计学意义。出院1个月时,2组BI、FMA及MAS评分中与下肢功能相关项目得分与出院时比较均有明显提高(P<0.05),但2组间各项相关评分比较均无明显差异。出院1个月时,观察组FMA及MAS评分中与上肢相关项目得分与出院时及对照组比较均有明显提高(P<0.05);对照组FMA及MAS评分中与上肢相关项目得分干预前后比较差异无统计学意义。结论:对脑卒中偏瘫患者出院时给予基于“生活重建”作业治疗理念的出院指导对上肢功能改善具有更好的实用价值。
英文摘要:
  Objective: To investigate the effects of occupational lifestyle redesign programme on the motor function recovery of stroke patients who discharged from hospital. Methods: Forty stroke discharged patients were chosen and randomly divided into experimental group (n=20, discharged training plan based on occupational lifestyle redesign programme) and control group (n=20, traditional discharged training plan). All patients were assessed with Barthel Index (BI), Fugl-Meyer Assessment (FMA) and Motor Assessment Scale (MAS) at the day when they discharged and one month after discharging. Results: One month after discharging, BI, FMA and MAS scores were significantly elevated in all patients as compared with those before discharging (P<0.05). The overall scores of FMA and MAS in experimental group were significantly increased as compared with those in control group (P<0.05). At 1st month after discharging, lower extreme related scores of BI, FMA and MAS were significantly higher than those at the discharging day (P<0.05), but there was no significant difference between the two groups. The upper extreme related scores of FMA and MAS in the experimental group were obviously increased one month after discharging as compared with those immediate after leaving hospital and in the control group (P<0.05), but the difference in those scores in the control group between the discharging day and one month after discharging had no statistically significant difference. Conclusion: The training plan after discharging from hospital which based on occupational life redesign programme is more efficient in upper extreme function recovery of stroke patients.
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