康复教育模式对脑卒中康复疗效的影响

Effects of Model of Rehabilitation Education on Recovery of Stroke

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。

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 treat ment, and the incidence of complications were investigated. Results The FIM grade in all patients increased significantly after treat- ment （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 Ⅱthan that in the group I （P〈0.05）. Conclusion Improving the model of rehabilitation education can improve the efficacy of stroke rehabilitation.