个性化家庭康复方案对脑卒中病人日常生活活动能力的影响

陈丽华; 何霏; 袁海新

doi:10.13898/j.cnki.issn.1000-2200.2019.05.022

个性化家庭康复方案对脑卒中病人日常生活活动能力的影响

Effect of personalized family rehabilitation program on the ability of daily life in patients with stroke

摘要

摘要:
目的探索个性化家庭康复方案对脑卒中病人的日常生活活动能力的影响。
方法60例脑卒中病人随机分为个性化康复指导组（观察组，n=30）和常规康复指导组（对照组，n=30）。出院后，观察组接受个性化的视频家庭康复方案，对照组接受书面化常规家庭康复方案。分别于出院时和出院后1个月采用改良Barthel指数（MBI）及功能综合性评定量表（FCA量表）对各组病人的综合活动能力和日常生活活动能力进行评价。
结果出院时，2组病人MBI评分及FCA量表评分组间比较差异均无统计学意义（P>0.05），出院后1个月随访时，观察组病人MBI及FCA量表评分均较出院时高（P < 0.01）；组内比较，对照组病人MBI及FCA量表评分出院时和出院1个月后差异无统计学意义（P>0.05），观察组的MBI及FCA量表评分出院1个月后均高于出院时（P < 0.01）。
结论脑卒中的个性化家庭康复通过资源整合，提高了服务效能，是一种值得推广的家庭康复服务模式。

Abstract:
ObjectiveTo explore the effects of personalized family rehabilitation program on the ability of daily life of stroke patients.
MethodsSixty patients with cerebral stroke were randomly divided into the observation group and control group(30 cases each group).The observation group and control group were nursed with personalized family rehabilitation program and visualized formal family rehabilitation program, respectively.After discharge and after 1 month of discharge, the comprehensive activity and daily life activity in two groups were evaluated using Modified Barthel Index(MBI) and Functional Comprehensive Assessment(FCA).
ResultsAt discharge, the differences of the MBI and FCA scores between two groups were not statistically significant(P>0.05).After 1 month of discharge, the scores of MBI and FCA in observation group were significantly improved compared with those at discharge(P < 0.01).The differences of the scores of MBI and FCA in control group between at discharge and after 1 month of discharge were not statistically significant(P>0.05), and the scores of MBI and FCA in observation group after 1 month of discharge were higher than those at discharge(P < 0.01).
ConclusionsThe personalized family rehabilitation program can improve the service efficiency, it is a good family rehabilitation service mode, and worthy of promotion.

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