深圳市重度残疾人居家康复体育活动的健康效益

doi:10.3969/j.issn.1006-9771.2024.05.013

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (5): 586-590.doi: 10.3969/j.issn.1006-9771.2024.05.013

深圳市重度残疾人居家康复体育活动的健康效益

杨亚茹¹^,², 杨剑¹^,²(), 邱服冰²^,³, 宋贝贝⁴, 王少璞⁵, 肖晓飞⁶, 彭一峰⁷

1.华东师范大学体育与健康学院，上海市 200241
2.世界卫生组织国际分类家族合作中心，北京市 100068
3.深圳大学体育学院，广东深圳市 518060
4.武汉体育学院运动医学院，湖北武汉市 430079
5.广东体育职业技术学院，广东广州市 510663
6.滨州医学院康复医学院，山东烟台市 264003
7.深圳多维康复研究院，广东深圳市 518116

收稿日期:2023-11-20 修回日期:2023-11-27 出版日期:2024-05-25 发布日期:2024-06-12
通讯作者: 杨剑(1970-)，男，汉族，江苏徐州市人，博士，教授，世界卫生组织国际分类家族合作中心专家委员，中国心理学会康复心理学专委会副主任委员，中国残疾人康复协会残疾分类研究专业委员会副主任委员，主要研究方向：儿童青少年体育与健康、儿童青少年健康、ICF、康复科学、健康心理学、锻炼心理学、康复心理学、残疾研究。E-mail： yangjianxz@sina.com
作者简介:杨亚茹(1997-)，女，汉族，北京市人，博士，世界卫生组织国际分类家族合作中心成员，中国心理学会康复心理学专业委员会委员，中国残疾人康复协会残疾分类研究专业委员会常务委员，主要研究方向：康复心理学、ICF、特殊教育、康复科学、健康心理学、锻炼心理学、残疾研究。
基金资助:
中国残疾人联合会残疾人辅助器具专项研究课题(2023CDPFAT-29);中国残疾人联合会残疾人辅助器具专项研究课题(2022CDPFAT-24)

Health benefits of home-based exercise rehabilitation for people with severe disabilities in Shenzhen, China

YANG Yaru¹^,², YANG Jian¹^,²(), QIU Fubing²^,³, SONG Beibei⁴, WANG Shaopu⁵, XIAO Xiaofei⁶, PENG Yifeng⁷

1. College of Physical Education and Health, East China Normal University, Shanghai 200241, China
2. WHO-FIC Collaborating Center in China, Beijing 100068, China
3. Physical Education College, Shenzhen University, Shenzhen, Guangdong 518060, China
4. School of Sports Medicine, Wuhan Sports University, Wuhan, Hubei 430079, China
5. Guang‐dong Vocational Institute of Sports, Guangzhou, Guangdong 510663, China
6. School of Rehabilitation Medicine, Binzhou Medical University, Yantai, Shandong 264003, China
7. Shenzhen Duowei Rehabilitation Research Institute, Shenzhen, Guangdong 518116, China

Received:2023-11-20 Revised:2023-11-27 Published:2024-05-25 Online:2024-06-12
Contact: YANG Jian, E-mail: yangjianxz@sina.com
Supported by:
China Disabled Persons' Federation on Assistive Devices for the Disabled Research Project(2023CDPFAT-29);China Disabled Persons' Federation on Assistive Devices for the Disabled Research Project(2022CDPFAT-24)

摘要/Abstract

摘要：

目的分析残疾人居家健身的需求和活动现状，制定不同类型残疾人居家康复健身服务实施方案，评估重度残疾人居家康复体育活动的健康效益。

方法以世界卫生组织(WHO)《2018-2030年促进身体活动全球行动计划：加强身体活动，造就健康世界》《WHO关于身体活动和久坐行为的指南》为依据，为重度残疾人制定功能定向、个别化的居家康复健身活动方案。2023年5月，对37例重度残疾人进行康复体育活动干预6个月。干预前后，采用国际身体活动问卷(IPAQ)、WHO残疾评定量表(WHODAS 2.0)、WHO生活质量量表简表(WHOQOL-BREF)进行评定。

结果干预后，重度残疾人IPAQ低强度休闲身体活动时长显著提高。WHODAS 2.0认知、活动性、自我照护、与他人相处、与生活相关的各项活动、社会参与各维度的评分和总分显著下降，WHOQOL-BREF生理领域、心理领域、独立性领域和环境领域评分和总分显著提高。

结论功能定向和个别化重度残疾人居家康复健身活动方案能有效提升重度残疾人活动水平，减轻功能障碍，提高生活质量。

关键词: 重度残疾人, 居家康复, 康复体育活动, 健康效益

Abstract:

Objective To analyze the needs and current situation of home-based exercise rehabilitation for people with disabilities, develop service plans for different types of disabilities, and assess its health benefits for people with severe disabilities.

Methods Based on the World Health Organization (WHO) Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World and WHO Guidelines on Physical Activity and Sedentary Behavior, functional and individualized home-based exercise rehabilitation plans for people with severe disabilities were developed. Begining from May, 2023, a six-month intervention was conducted for 37 people with severe disabilities. They were assessed with International Physical Activity Questionnaire (IPAQ), WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), WHO Quality of Life (WHOQOL-BREF) before and after intervention.

Results The time of low-intensity leisure physical activity of IPAQ increased after intervention, while the scores of domains of cognition, mobility, self-care, getting along, life activities and participation, and total score of WHODAS 2.0 decreased, and the scores of physical health, psychological health, independence, and environment dimensions, and total score of WHOQOL-BREF increased.

Conclusion The functioning-oriented and individualized home exercise rehabilitation program can improve the level of physical activity, enhance the level of activity and boost the quality of life for people with severe disabilities.

Key words: people with severe disabilities, home-based rehabilitation, exercise rehabilitation, health benefits

中图分类号:

G812.49

杨亚茹, 杨剑, 邱服冰, 宋贝贝, 王少璞, 肖晓飞, 彭一峰. 深圳市重度残疾人居家康复体育活动的健康效益[J]. 《中国康复理论与实践》, 2024, 30(5): 586-590.

YANG Yaru, YANG Jian, QIU Fubing, SONG Beibei, WANG Shaopu, XIAO Xiaofei, PENG Yifeng. Health benefits of home-based exercise rehabilitation for people with severe disabilities in Shenzhen, China[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 586-590.

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领域	n	干预前	干预后	t值	P值
认知	37	54.46±26.89	34.86±14.31	8.359	< 0.001
活动性	37	61.49±26.62	46.28±20.91	8.204	< 0.001
自我照护	37	63.78±23.61	45.95±19.07	7.554	< 0.001
与他人相处	37	65.54±25.24	51.58±15.94	6.591	< 0.001
与生活相关的各项活动(1)	37	73.24±23.69	53.78±12.99	7.106	< 0.001
与生活相关的各项活动(2)	37	60.62±20.80	45.75±12.31	6.970	< 0.001
社会参与	37	68.58±14.25	47.07±9.72	13.094	< 0.001
总分	37	21.62±3.56	12.34±2.03	8.311	< 0.001

领域	n	干预前	干预后	t值	P值
生理	37	13.84±1.18	15.33±0.72	-8.688	< 0.001
心理	37	14.38±1.74	16.99±0.93	-10.261	< 0.001
独立性	37	18.54±2.43	23.84±1.09	-12.868	< 0.001
环境	37	14.68±2.15	19.66±1.05	-16.718	< 0.001
总分	37	11.57±2.12	16.92±1.46	-14.704	< 0.001

深圳市重度残疾人居家康复体育活动的健康效益

Health benefits of home-based exercise rehabilitation for people with severe disabilities in Shenzhen, China

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