| 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. |
