小组模式康复训练对脑外伤偏瘫患者的影响

Effect of Group Rehabilitation Training on Patients with Cerebral Trauma and Hemiplegia

目的:探讨小组模式康复训练对脑外伤偏瘫患者自护能力、肢体功能及生活质量的影响。方法:将2015年5月~2017年5月收治的100例脑外伤偏瘫患者随机分为观察组和对照组各50例,对照组实施常规性康复训练,观察组实施小组模式康复训练,分别于干预前后应用自护能力量表、改良Barthel指数、Fugl-Meyer运动评分量表及生活质量综合评定问卷(GQOLI-74)对两组患者自护能力、肢体功能及生活质量进行评价。结果:干预后,观察组自护能力各维度评分及总评分、改良Barthel指数、FuglMeyer运动评分、生活质量各维度评分及总评分均高于对照组(P<0.05)。结论:小组模式康复训练有助于提高脑外伤偏瘫患者自护能力,改善患者肢体运动功能,提高患者生活质量。

Objective： To explore the effect of group rehabilitation training on self-care ability,extremity function and quality of life in patients with cerebral trauma. Methods： A total of 100 traumatic hemiplegia patients who were admitted between May 2015 and May 2017 were randomly divided into observation group and control group,50 cases in each group. The control group performed routine rehabilitation training,and the observation group performed group mode rehabilitation training. The self-care ability,limb function and quality of life of the two groups were evaluated before and after the intervention using the self-care ability scale,the modified Barthel index,the Fugl-Meyer motor score scale and the quality of life comprehensive assessment questionnaire（GQOLI-74）. Results： After the intervention,the scores and total scores of the self-care ability of the observation group,the improved Barthel index,the Fugl-Meyer exercise score,the quality of life scores and the total score were higher than the control group（P〈0. 05）. Conclusion： Group rehabilitation training can help improve the self-care ability of patients with traumatic hemiplegia,improve the motor function and the quality of life of patients.