社区“四位一体”连续性康复改善肢体残疾者生活能力的研究

Study of the improvement of the community “four in one” continuous rehabilitation on the life ability of the physical disabilities

目的 :研究社区"四位一体"连续性康复方式,评价肢体残疾者康复训练效果。方法:采用整群抽样,共抽取96例四肢麻痹、畸形的功能丧失或功能障碍者,分为康复组50例和对照组46例。康复组实施"四位一体"康复训练,对照组按照肢体残疾者自愿采取的康复方式训练,两组观察6个月,采用Barthel指数进行评估。结果:6个月后,康复组的Barthel指数为(60.90±19.68)分,对照组为(50.10±20.53)分,康复组日常生活活动能力改善高于对照组(P<0.01)。结论:采用"四位一体"的连续性康复训练能改善肢体残疾者日常生活能力,模式简单便捷,适宜在社区推广。

Objective： To study the community ＂four in one＂ continuous rehabilitation mode and evaluate the rehabilitation training effect of the physical disabilities. Methods： With the cluster sampling method 96 cases of limb paralysis, deformity of loss or impairment of function were selected totally and divided into the rehabilitation group with 50 cases and the control group with 46 cases. The rehabilitation group implemented ＂four in one＂ rehabilitation training and the control group adopted the rehabilitation training according to the voluntary of the physical disabilities. The two groups were observed for six months and evaluated with Barthel index. Results： After six months, the Barthel index of the rehabilitation group was （60.90±19.68）, and the one of the control group （50.10±20.53）. The activities of the daily living of the rehabilitation group improved were higher than those of the control group （P〈0.01）. Conclusion： ＂Four in one＂ continuous rehabilitation training can improve the activities of the daily living of the physical disabilities, and this model is simple and convenient which is suitable for promotion in the community.