家庭康复对海洛因脑病患者功能独立性评分的影响

Effect of home-based rehabilitation on functional independence measures in patients with heroin-associated encephalopathy

目的:探讨家庭康复训练对海洛因脑病患者日常生活活动能力的影响。方法:将56例海洛因脑病患者分为康复组30例与对照组26例,采用功能独立性评分(FIM)量表分别比较出院时及出院后3,6和12个月时的日常生活活动能力。结果:康复组在出院后家庭康复3,6,12个月时的FIM均显著高于同时间的对照组(79.5±16.3 vs62.3±14.6,88.2±20.0 vs 65.5±13.4,99.6±21.2 vs 68.7±15.8,均P<0.05)。康复组家庭康复后3,6,12个月时的FIM较本组出院时逐渐提高(P<0.01)。结论:家庭康复能有效改善海洛因脑病患者的生活自理能力。

Objective： To investigate effect of home-based rehabilitation on performance in a functional independence measure （FIM） in patients with heroin-associated encephalopathy （HE）. Methods： A total of 56 patients with HE were divided into a family rehabilitation management group （treatment group, n=30） and a control group （n=26）. The patients in the home-based rehabilitation management group were put on a rehabilitation program and then followed-up; those in the control group were only followed-up. Both groups were evaluated with FIM at discharge and 3, 6, and 12 months after discharge. Results： FIM in the treatment group was remarkably better than that in the control group at 3, 6, 12 months after discharge （79.5±16.3 vs 62.3± 14.6, 88.2±20.0 vs 65.5±13.4, 99.6±21.2 vs 68.7±15.8; all P〈 0.05）. In the rehabilitation group, FIM of the patients receiving 3, 6, and 12 months of rehabilitation therapy was significantly higher than that at the time of discharge （P〈 0.01）. Conclusion： Home-based rehabilitation management has significant effect on the FIM in patients with HE.