日常活动管理对脑卒中患者生活能力恢复的影响

Effects of the daily activities management on the recovery of ADL ability of the patients with stroke

目的:探讨日常活动管理对脑卒中患者生活能力恢复的影响。方法:将40例脑卒中患者随机分为观察组和对照组各20例。2组患者均给予常规康复训练,在非治疗时间内对观察组患者的日常活动进行管理。2组患者均于治疗前和治疗6周后采用Brunnstrom分期和改良Barthel指数(MBI)中的穿衣、转移、步行、上下楼梯评分项目进行评估。结果:治疗6周后,2组患者的Brunnstrom分期,MBI中穿衣、转移、步行、上下楼梯评分均较治疗前明显提高(P<0.01),且观察组下肢Brunnstrom分级及MBI指标改善幅度均优于对照组(P<0.05)。结论:日常活动管理可进一步促进脑卒中患者日常生活能力的提高,该方法简单,便于推广应用。

Objective：To explore the effect of the daily activities management on the recovery of activity of daily living（ADL）of the patients with stroke.Methods：Forty cases of stroke were randomized into a control group（20cases）and an observation group（20cases）.Two groups both were given routine treatment,and the daily activities of the observation group were managed during the daily living time.Both groups were assessed in the items of dressing,transfer,walking,up and down stairs with Brunnstrom grading and Modified Barthel Index（MBI）before and6 weeks after training.Results：After treatment for 6weeks,Brunnstrom grading and scores of dressing,transfer,walking,up and down stairs of MBI were significantly improved in both two groups as compared with those before treatment（P〈0.01）,more obviously in the observation group than in the control group in Brunnstrom grading of lower limb and items of BMI（P〈0.05）.Conclusion：Daily living management can further improve the ADL of patients with stroke,and the method is simple and convenient to spread and use.