摘要
目的:了解定期家庭访视方式对脑梗死出院患者日常生活能力及运动功能的影响,评估脑卒中后三级康复干预的实用性。方法:将2001-10/2003-10福建医科大学附属第一医院神经内科160例出院脑梗死患者按出院顺序随机分成家庭访视组与对照组各80例。定期家庭访视内容包括对家庭康复环境的布置和改造指导、康复训练指导、日常生活能力训练指导、心理康复指导和疾病康复相关知识的认知教育,对照组不作家庭访视。访视频度前3个月每周1次,3个月后每半个月1次,每次一两个小时,共访视1年。治疗前后采用Fugl-Meyer运动功能评分方法(FMA)及改良的Barthel指数评估两组患者的运动功能及日常生活活动(ADL)能力。结果:两组治疗前上肢运动功能、下肢运动功能和FMA总分相差不明显(P均>0.05),1年后两组上述3种因子评分均明显高于治疗前,同时访视组治疗后各项FMA(上肢因子、下肢因子、总分)评分也明显高于对照组(P均<0.01～0.05);两组治疗前ADL分项评估差异无显著性意义(P均>0.05)。治疗后两组ADL在排尿、排便、修饰、用厕、进食、转移、活动(步行)、穿衣、上下楼梯、洗澡等分项评分明显高于治疗前(P均<0.05)。同时家庭访视组治疗后ADL(修饰、用厕、进食、转移、活动步行、洗澡等)分项评分也均明显高于对照组(P均<0.01～0.05)。?
AIM:To comprehend the influence of family visit on motor function and activities of daily(ADL) life in patients with cerebral infarction after discharge, and evaluate the practicability of the third rehabilitative intervention after stroke. METHODS:Totally 163 patients with stroke discharged from the Department of Neurology,First Affiliated Hospital of Fujian Medical University from October 2001 to October 2003,were divided into 2 groups according to the time of discharge:81 patients for the observation group and 82 patients for the control group.Family visit included designation of family rehabilitation environment,instruction of rehabilitation training,ADL and psychological rehabilitation,health education of relevant knowledge of rehabilitation.Family visit was carried out only in the observation group,once a week for the first three months and then every 15 days after the first three months,lasting for one year and once for 1- 2 hours.The motor function and ADL in all patients were measured with Fugl- Meyer assessment(FMA) and modified Bathel Index (MBI) both before and after family visit. RESULTS:The scores on the motor function of upper limbs,lower limbs and FMA had no difference between the two groups before family visit(P >0.05). After one year's family visit,the scores of the three indexes mentioned were significantly higher than those before family visit in both groups.The scores on the three indexes in the observation group were significantly higher than those in the control group(P< 0.01- 0.05).The scores of ADL had no difference between the two groups before family visit(P >0.05).The scores on miction,defecation,making- up,going to toilet,eating,moving, action(walking),dressing,stair activity and bathing in both groups were significantly higher after visit as compared with before visit(P< 0.05).The scores of the ten indexes in the observation group were significantly higher than those in the control group(P< 0.01- 0.05). CONCLUSION:Regular family visit is an effective method for the third rehabilitation after stroke.It can improve both the motor function and ADL in stroke patients after discharge and help them come back to society.
出处
《中国临床康复》
CAS
CSCD
北大核心
2005年第9期4-5,共2页
Chinese Journal of Clinical Rehabilitation
基金
福建省医学创新课题基金资助项目(2003-CX-6)~~
