摘要
目的观察医院-家庭康复模式对脑卒中偏瘫患者运动功能及日常生活活动能力的影响。方法观察入选的100例首次发病的脑卒中偏瘫患者,随机分为治疗组和对照组,其中治疗组53例,对照组47例。两组均在医院进行早期康复治疗。治疗组出院时由康复团队针对患者病情制定详细、个体化的家庭康复治疗方案,并对其家属进行康复技能指导培训,确保出院后患者在家中严格按照方案进行康复训练,并定期到医院复诊、评估及调整方案;对照组出院后常规按医嘱进行家庭自我康复,并规定门诊随访时限。两组于出院时、出院后6个月、12个月分别对患者的运动功能(Fugl-Meyer运动功能评分)及日常生活活动能力(改良Barthel指数评分)进行评定。结果出院时两组患者的Fugl-Meyer运动功能评分、改良Barthel指数评分基线水平对比无明显差异(P>0.05)。出院后6个月治疗组上肢、手、下肢Fugl-Meyer运动功能评分、改良Barthel指数评分改善均优于对照组,差异有统计学意义(P<0.05);出院后12个月治疗组上肢、下肢Fugl-Meyer运动功能评分、改良Barthel指数评分改善均优于对照组,差异有统计学意义(P<0.05)。结论医院-家庭康复模式可显著改善脑卒中偏瘫患者的运动功能及日常生活活动能力,不失为一种行之有效的康复治疗延续模式,值得研究探索。
Objective To observe the effect of hospital-family rehabilitation plan on motor function and activities in daily living of stroke patients with hemiplegia.Methods One hundred patients with hemiplegia who suffered from stroke for the first time were randomly divided into the treatment group（53 cases） and the control group（47 cases）.Both groups were in our hospital for early rehabilitation.The treatment group was discharged after rehabilitation team built a detailed,individualized family rehabilitation program for the patients and taught their families the rehabilitation skills to ensure that patients could complied strictly with the program rehabilitation training after home and regular visited hospitals in order to assess and adjust program;Control group were given regular routine medical advices about family self-rehabilitation,and were restricted the times for follow-up visits.Motor function（Fugl-Meyer motor assessment FMA） and activities in daily lives（modified Barthel index MBI） were assessed after 6 months and 12 months by us.Results There was no significant difference in FMA and MBI between two groups at baseline（P〈0.05）.After 6 months of treatment,The FMA of the upper extremity,hand and lower limb and the MBI in the treatment group were better than those in the control group（P〉0.05）.After 12 months of treatment,The FMA of the upper extremity,lower limbs and the MBI were better than those in the control group（P〈0.05）.Conclusion Hospital-family rehabilitation plan can significantly improve the motor function and activities in daily lives of stroke patients.after all,it is a well-established rehabilitation model and is worthy of study and exploration.
出处
《新疆医学》
2016年第10期1247-1251,共5页
Xinjiang Medical Journal
基金
新疆维吾尔自治区人民医院院内科研项目(20130260)
关键词
医院—家庭康复
脑卒中
偏瘫
运动功能
Hospital-family rehabilitation plan
Stroke
Hemiplegia
Motor function
