社区康复对海洛因脑病患者生活质量的影响

Effect of community rehabilitation on quality of life of patients with heroin-assosiated encephalopathy

目的:观察社区康复对海洛因脑病患者生活质量的影响。方法:将21例符合入选标准的海洛因脑病患者随机分成康复治疗组11例和随访指导组10例,采用FIM和SF-36分别评定日常生活活动能力和生活质量,分别在出院时、出院后3个月、出院后6个月时进行评价。结果:各组患者入选时FIM和SF-36评分无显著性差异;在出院后3个月时,康复训练组FIM和SF-36评分均有明显改善(P<0.01),随访指导组FIM和SF-36评分亦有改善,但较出院时无显著性差异(P>0.05),与康复治疗组比有显著性差异。出院后6个月时,康复治疗组2个量表评分进一步改善,随访指导组量表评分无改善(P>0.05)。结论:海洛因脑病患者在社区接受系统、规范、持续的康复服务,能有效改善日常生活活动能力,提高患者生活质量。

Objective To investigate effect of community rehabilitation on life quality of patients with heroin-assosiated encephalopathy(HE).Methods A total of 21 HE were randomly divided into the community rehabilitation training group(treatment group,n=11) and followed-up group(the control group,n=10).FIM and QOL were used to evaluate the activities of daily living and quality of life before,3 months and 6 months after intervention respectively.Results There was no significantly difference in scores of FIM and QOL between the two groups.Both FIM and QOL improved in 3 months after intervention in rehabilitation treatment group(P<0.01),and the improved further 6 months after intervention,while follow-up group had no improvement.Conclusion Systematic,standard,and ongoing community rehabilitation management can improve FIM and QOL of patients with HE.