以ICF为指导的作业治疗对脑卒中患者ADL影响的临床研究

Effects of occupational therapy guided by ICF on ADL of stroke patients

目的:探讨以ICF的核心要素为指导,制定有针对性的个体化作业康复目标、治疗计划,观察其对脑卒中患者ADL的影响。方法:选择60例脑卒中患者,对患者的活动与参与采用改良巴氏指数、健康调查表健康调查简表(SF-36)进行综合性评定,然后随机分成观察组和对照组,每组30例。2组均给予常规康复治疗,观察组加入运用中国版简明《国际功能残疾和健康分类》(ICF)核心要素量表进行评估,其结果做相关分析后制定个体化治疗方案。治疗前后采用健康调查简表(SF-36)、改良Barthel指数(MBI)、中国版简明核心ICF要素量表进行评价。结果:治疗8周后,2组患者SF-36、MBI评分均明显提高(P<0.05),ICF总分明显降低(P<0.05),观察组改善幅度均明显优于对照组(P<0.05)。结论:以ICF理念和量表作为指导,以患者的诉求为中心,制定个性化的作业治疗方案,能更有成效更有针对性的达到康复目标,从而更有效的改善脑卒中患者的日常生活能力。

Objective：To discuss how to use the core elements of ICF as aguide in stroke operation treatment to develop targeted,individualized effective occupational therapy plan and rehabilitation goals,and observe its influence on the ADL of stroke patients.Method：Sixty patients with stroke were selected and the activity and participation in stroke patients were evaluated by modified Barthel index（MBI）and SF-36 Health Survey.Patients were divided randomly into two groups（n=30each）.The experimental groups were assessed with the Chinese version of brief ICF Core Sets additionally,and then individualized treatments were established according to the results of the assessment,and those in the control group according to the conventional treatment process,involved in training routine treatment.After 8weeks of treatment,all the patients were evaluated again.Result：After 8weeks,the SF-36,MBI and ICF assessment scores in the two groups were significantly improved（P〈0.05）,and there was significant difference between two groups（P〈0.05）.Conclusion：With the guide of ICF and scale,developing personalized treatment with the demand of the patients as the center,can achieve more productive and more targeted rehabilitation goals.