| 顾琦,孙莹,施加加.加拿大作业表现量表在脊髓损伤患者作业活动康复中的应用[J].中国康复,2019,34(4):207-210 |
| 加拿大作业表现量表在脊髓损伤患者作业活动康复中的应用 |
| Application of Canadian Occupational Performance Measures in Occupational Activities of Patients with Spinal Cord Injury |
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| DOI： |
| 中文关键词: 脊髓损伤 作业活动 加拿大作业表现量表 |
| 英文关键词: Spinal cord injury Occupational activities Canadian Occupational Performance Measures |
| 基金项目:苏州市科技计划项目（SY201785）；昆山市社会发展科学计划项目（KS1771）；昆山市社会发展科学计划项目（KS18099） |
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| 中文摘要: |
| 目的：观察加拿大作业表现量表在T12~L4平面脊髓损伤（C~D级）患者作业活动康复中的应用。方法：招募T12~L4平面外伤性脊髓损伤（C~D级）患者64例，随机区组法分为观察组和对照组，各32例。每组患者均接受为期6个月的脊髓损伤常规康复治疗，其中观察组辅以加拿大作业表现量表为指导的作业活动康复，主要是对患者自身提出的作业活动问题和康复需求进行相应的分析与治疗。分别于治疗前和治疗6个月后使用改良Barthel指数 (MBI)、加拿大作业表现量表（COPM）和脊髓功能独立性评估量表Ⅲ (SCIM-Ⅲ)分别对2组患者的作业活动能力进行评估。结果：治疗6个月后，2组患者的COPM的表现和满意度得分、MBI和SCIM-Ⅲ得分均较组内治疗前均有明显提高 (均P<0.05)，且观察组各项得分均更高于对照组(均P<0.05)。结论：在T12~L4平面脊髓损伤（C~D级）患者的常规康复中辅以加拿大作业表现量表应用可以明显改善患者完成作业活动的能力。 |
| 英文摘要: |
| Objective: To observe the application of Canadian Occupational Performance Measures (COPM) in occupational activities of patients with spinal cord injury (C-D grade) at the level of T12-L4. Methods: All 64 patients with spinal cord injury (C-D grade) at the level of T12-L4 were recruited and divided into the observation group and the control group by randomized block group, with 32 cases in each group. All patients received routine rehabilitation of spinal cord injury for a period of 6 months. Additionally, the observation group was given the COPM for the rehabilitation of occupational activities, aiming to evaluate and treat the patients' occupational activity problems and rehabilitation needs. Before and 6 months after treatment, the occupational activities of the two groups were evaluated with the COPM, MBI and SCIM-Ⅲ. Results: After treatment for 6 months, COPM, MBI and SCIM-Ⅲ scores in two groups were significantly increased as compared with those before treatment (P<0.05), significnatly higher in the obsrvation group than in the control group (P<0.05). Conclusion: The application of COPM in routine rehabilitation can significantly improve occupational activities of patients with spinal cord injury (C-D grade) at the level of T12-L4. |
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