| 王冉,张英,郝赤子,龚瑜,廖维靖.远程康复系统对脑卒中出院患者上肢功能的影响[J].中国康复,2020,35(10):522-525 |
| 远程康复系统对脑卒中出院患者上肢功能的影响 |
| Effect of telerehabilitation system on upper extremity function of discharged stroke patients |
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| DOI： |
| 中文关键词: 脑卒中 远程康复 上肢功能 |
| 英文关键词: stroke telerehabilitation upper extremity function |
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| 中文摘要: |
| 目的：观察远程康复系统对脑卒中出院患者上肢功能的影响。方法：将38例脑卒中出院患者随机分为研究组（n=19）和对照组（n=19）。研究组接受远程康复系统方案，对照组给予常规家庭康复方案，治疗4周，随访4周。在出院时、治疗后和随访时（治疗结束4周后），采用上肢Fugl-Meyer评分法（FMA-UE）、Caroll上肢功能测试（UEFT）和改良Barthel指数（MBI）评定患者上肢功能和日常生活能力，同时采用Zarit护理者负担量表（ZBI）评定患者家属的照顾负担。结果：治疗后和随访时，2组患者FMA-UE与UEFT评分的时间效应和交互效应显著（P<0.05），MBI与ZBI评分的时间效应显著（P<0.05）。2组患者FMA-UE、UEFT和MBI评分均较出院时呈持续增高（均P<0.05），ZBI评分均较出院时呈持续下降（均P<0.05）；研究组FMA-UE在治疗后和随访时均优于对照组（均P<0.05），研究组UEFT评分在随访时优于对照组（P<0.05）。结论：远程康复系统可有效改善脑卒中出院患者的上肢功能。 |
| 英文摘要: |
| Objective: To investigate the effect of telerehabilitation system on upper extremity function of discharged stroke patients. Methods: Thirty-eight discharged stroke patients were randomly assigned into experiment group (n=19) and control group (n=19), respectively receiving telerehabilitation program and routine family rehabilitation program for 4 weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Upper Extremity Functional Test (UEFT) and Modified Barthel Index (MBI). The families of patients were evaluated with Zarit Caregiver Burden Interview (ZBI) before discharge, after 4 weeks of treatment (after treatment) and during the follow-up period. Results: There was significant difference in time effect and interaction effect of FMA UE and UEFT scores in both groups (P<0.05). And time effect of MBI and ZBI scores in both groups also had statistically significant difference (P<0.05). FMA-UE, UEFT and MBI scores of patients in two groups were continuously increased (all P<0.05), and ZBI scores were continuously decreased (both P<0.05). FMA-UE scores in the experiment group were improved as comperde with those in the control group after treatment and during the follow-up period (both P<0.05), and UEFT scores in the experiment group were improved as comperde with those in the control group during the follow-up period (P<0.05). Conclusion: The telerehabilitation system can effectively improve the upper extremity function of discharged stroke patients. |
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