《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (01): 63-64.

• 临床研究 • 上一篇    下一篇

康复教育模式对脑卒中康复疗效的影响

吕政;李春磊;张春梅;高敏   

  1. 哈尔滨医科大学附属第一医院康复科,黑龙江哈尔滨市 150001
  • 收稿日期:2008-10-07 出版日期:2009-01-01 发布日期:2009-01-01

Effects of Model of Rehabilitation Education on Recovery of Stroke

Lü Zheng, LI Chun-lei, ZHANG Chun-mei, et al   

  1. Department of Rehabilitation, The First Affiliated Hospital, Harbin Medical University, Harbin 150001, Heilongjiang, China
  • Received:2008-10-07 Published:2009-01-01 Online:2009-01-01

摘要: 目的 研究不同的康复教育模式对脑卒中康复效果的影响。方法 脑卒中患者分为模式一组(35例)、模式二组(40例),给予相同的康复治疗,同时各组按照各自的康复教育模式进行康复教育。两组患者在治疗前和治疗后进行功能独立性评定(FIM),并在治疗后统计常见症状的发生情况。结果 治疗后两组FIM评分皆增加(P<0.05);治疗后模式二组FIM值比模式一组增加更多(P<0.05)。治疗后模式二组肩痛/肩关节半脱位、偏瘫侧手足肿胀、肌肉萎缩等发生率比模式一组减低(P<0.05)。结论 改进康复教育模式可以提高脑卒中的康复疗效。

关键词: 脑卒中, 康复教育, 模式

Abstract: Objective To observe the effects of different models of rehabilitation education on stroke rehabilitation. Methods There were 35 stroke patients in group Ⅰ,40 patients in group Ⅱ. All the patients received the same rehabilitation treatment, but different model of rehabilitation education. They were evaluated with Functional Independence Measure (FIM) before and after treatment, and the incidence of complications were investigated. Results The FIM grade in all patients increased significantly after treatment (P<0.05), and increased more in the group Ⅱ (P<0.05). The incidence of shoulder pain/ shoulder subluxation, edema in hemiplegic extremity, muscle atrophy were a lower in the group Ⅱ than that in the groupⅠ (P<0.05). Conclusion Improving the model of rehabilitation education can improve the efficacy of stroke rehabilitation.

Key words: stroke, rehabilitation education, model