日常生活能力系统干预对脑卒中患者的运动功能及生活质量的影响

Influence of ADL system intervention on movement function and quality of life of stroke patients

目的:探讨日常生活能力(ADL)的系统干预对脑卒中患者运动功能及生活质量的影响,阐明其提高患者生活质量的作用。方法:以在河北省唐山工人医院神经内科住院符合纳入标准的脑卒中患者为研究对象,根据"不平衡指数最小的原则",将100例患者随机分为干预组和对照组,每组50例。2组患者均接受神经内科常规治疗和护理,在此基础上干预组给予规范的ADL系统干预,干预6周后比较2组患者的运动功能和生活质量。结果:2组患者入组时Fugl-Meyer运动功能评分(FMA)比较差异无统计学意义(P>0.05),系统干预6周后2组得分均有提高,干预组提高幅度大于对照组,与对照组比较差异有统计学意义(P<0.05);系统干预前2组患者在生活质量的各个维度和总体生活质量方面比较差异无统计学意义(P>0.05),系统干预6周后,干预组患者除记忆与思维、交流维度外,生理问题、情感、ADL能力、移动能力、手功能、参与维度和总体生活质量均优于对照组(P<0.01)。结论:ADL系统干预可以改善脑卒中患者的运动功能和生活质量。

Objective To study the influence of activities of daily living(ADL)system intervention on the movement function and quality of life of stroke patients,and clarify its improvement on the quality of life of the patients.Methods The patients with stroke who fit the criteria were selected.According to unbalance index minimum principle,100 patients were randomly divided into control group(n=50)and intervention group(n=50).The patients in two groups received conventional therapy and nursing in Department of Neurology.Based on this,the patients in intervention group were given ADL system intervention.After 6 weeks intervention,the quality of life and their movement function in two groups were compared.Results The FMA of patients in two groups when they were selected had no significant difference(P>0.05).After 6 weeks system intervention,the FMA in two groups were increased,there was significant difference between intervention group and control group(P<0.05);the quality of life of each dimension and the overall quality of life of patients in two groups before intervention had no statistically significant differences(P>0.05).After 6 weeks system intervention,except memory,thinking and communication,the physical dimensions,emotion,ability,mobile ability,hand function,participating in dimension and the overall quality of life of patients in intervention group were better than those in control group(P<0.01).Conclusion ADL system intervention is helpful to the movement function and quality of life of stroke patients.