| 王赛华,莫贺龙,孙莹,施加加.加拿大作业表现量表在偏瘫患者作业活动康复中的应用观察[J].中国康复,2020,35(7):348-351 |
| 加拿大作业表现量表在偏瘫患者作业活动康复中的应用观察 |
| Application of Canadian Occupational Performance Measures in occupational activities of hemiplegic patients after stroke |
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| DOI： |
| 中文关键词: 偏瘫 加拿大作业表现量表 作业疗法 作业活动 |
| 英文关键词: hemiplegia Canadian Occupational Performance Measures occupational therapy occupational activities |
| 基金项目:昆山市社会发展科技项目（KS18099） |
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| 中文摘要: |
| 目的：观察基于加拿大作业表现量表（COPM）评估结果开展的作业治疗对偏瘫患者作业活动和生活质量的影响。方法：将符合入选标准的脑卒中后偏瘫患者48例，随机分为观察组和对照组各24例。2组患者均接受为期3个月的常规康复治疗，对照组在此基础上接受常规日常生活活动训练，观察组在常规康复的基础上辅以COPM评估患者在日常生活活动、生产活动和休闲活动方面的功能障碍，并以COPM评估结果为依据实施针对性的作业活动康复。于治疗前和治疗3个月后分别采用改良 Barthel指数(MBI)、世界卫生组织生活质量测定量表简表(WHOQOL-BREF)和COPM对2组患者进行评估。结果：治疗3个月后，2组MBI评分、WHOQOL前28项得分和第103项得分较治疗前均明显提高（均P＜0.01），且观察组MBI评分、WHOQOL前28项得分和第103项得分均明显高于对照组（均P＜0.05）；观察组COPM表现得分和满意度得分较治疗前和对照组均明显提高（P＜0.01，0.05），对照组治疗前后COPM表现得分和满意度得分比较差异均无统计学意义。结论：在脑卒中后偏瘫患者常规康复中辅以加拿大作业表现量表应用（评估和康复干预），可以明显改善患者的基础性日常生活活动能力，并提升患者的住院期间作业活动恢复的满意度。 |
| 英文摘要: |
| Objective: To evaluate and treat the disturbance of occupational activities in hemiplegic patients by the Canadian Occupational Performance Measures (COPM), then to observe occupational activities and quality of life. Methods: Forty-eight patients with hemiplegia after stroke who met the inclusion criteria were randomly divided into treatment group and control group, each with 24 cases. The patients in both groups received 3 months of conventional rehabilitation treatment, and the control group received routine daily activity training on this basis. The treatment group was supplemented with the Canadian Work Performance Scale (COPM) to assess patients’ daily life Functional dysfunction in activities, production activities and leisure activities, and based on the results of COPM assessment the targeted rehabilitation of work activities was implemented. Before and after 3 months of treatment, two groups of patients were evaluated using the modified Barthel index (MBI), the World Health Organization Quality of Life Scale (WHOQOL-BREF) and COPM. Results: After 3 months of treatment, the MBI scores, the top 28 WHOQOL scores and the 103rd scores of the two groups were significantly higher than those before treatment (all P<0.01), and the MBI scores, the top 28 WHOQOL scores and the 103rd scores of the treatment group were significantly higher than those of the control group (all P<0.05). The COPM performance score and satisfaction score in the treatment group were significantly higher than those in the control group before and after treatment (P<0.01, 0.05). There were no statistically significant differences in the COPM performance score and satisfaction score before and after treatment in control group. Conclusion: The COPM is used in the routine rehabilitation of hemiplegic patients that can significantly improve the basic activities of daily living and improve the patients’ satisfaction. |
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