摘要
目的:分析社区康复治疗脑卒中后遗症期患者的疗效,初步探讨符合我国国情的社区康复模式。方法:选择脑卒中发病后6个月—3年进入后遗症期患者284例,随机分为康复组(145例)和对照组(139例)。分别在入组时、康复干预1、3、6个月时采用Fugl-Meyer运动功能量表评定肢体运动功能;改良Barthel指数、FCA量表评定日常生活活动能力;总体满意感量表(SWLS)评定生存质量。结果:①肢体运动功能:治疗前后康复干预组患者Fugl-Meyer运动功能量表评定无明显改善;对照组患者Fugl-Meyer运动功能量表评定有退步趋势。②日常生活活动能力:康复组患者在康复干预1个月时的ADL能力有明显提高,但随病程延长至康复干预3、6个月时,提高幅度减小;对照组患者改良Barthel指数、FCA量表无明显改善。③生活满意度:治疗组患者在康复干预1个月时生活满意度有提高,但随病程延长至康复干预3、6个月时,提高幅度减小;对照组患者生活满意度无提高。结论:社区康复治疗对脑卒中后遗症期患者的运动功能恢复效果不明显,但可以提高其日常生活自理能力,提高生活满意度。
Objective： To analyze the effects of community rehabilitation in sequela stage of stroke patients and initially discuss the proper community rehabilitation model in current situation. Method： Two hundred and eightyforty cases of stroke patients in sequela stage （6 months--3 years after onset） were selected and randomly divided into rehabilitation group （145 cases） and control group （139 cases）. Motion functions of extremities were assessed with Fugl-Meyer Assessment （FMA）, Modified Barthel Index （MBI） and Functional Comprehensive Assessment（FCA）. The life quality and satisfaction were assessed with Satisfaction with Life Scale （SWLS）. All assessments were conducted before and at the end of 1st month, 3rd month and 6th month of intervention respectively. Result： ① The results of FMA did not improve significantly in rehabilitation group, while that in control group presented a tendency of decline. ②ADL ability in rehabilitation group increased sharply after 1 month intervention; however, after 3 months even 6 months intervention, the extent of improvement was limited. On the other hand, MBI and FCA of patients remained at the same level. ③ The life satisfaction of patients in rehabilitation group grew gradually after 1 months intervention, while after 3 to 6 months intervention life satisfaction elevated relatively slowly. Conversely, in control group life satisfaction leveled off. Conclusion： Community rehabilitation treatment have no apparent effect on motion function of stroke patients, in sequelae stage, but can improve activity of daily living and life satisfaction of patients.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2008年第6期527-529,共3页
Chinese Journal of Rehabilitation Medicine
基金
上海市重点社区项目(市级课题051005)
关键词
社区康复
脑卒中后遗症
日常生活活动能力
运动功能
生存质量
community-based rehabilitation
sequela of stroke
activity of daily living
motor function
quality oflife
