基于ICF理论的个性化指导在脑卒中患者家庭康复中的效果分析

Effect of personalized guidance based on ICF theory in family rehabilitation of stroke patients

目的探讨基于ICF理论的个性化家庭康复计划对脑卒中患者预后效果、生活能力和质量的影响。方法160例脑卒中出院患者分为观察组和对照组各80例,分别接受个性化家庭康复指导和常规康复。记录居家康复期间患者的服药依从性、血压(BP)、糖化血红蛋白(HbAlc)、低密度脂蛋白(LDL)的达标率、改进的BAT指数(MBI)、功能综合评定量表(FCA)和生活质量调查表(SF-36)评分,比较2组在出院时和出院后6周的预后效果、综合生活活动能力和生活质量。结果出院时,2组MBI、FCA、SF-36评分无显著性差异(P>0.05);出院6周后,观察组的MBI、FCA、SF-36评分均增加,差异有统计学意义(P<0.001),而对照组无显著变化(P>0.05)。结论基于ICF理论的个人家庭康复能提高脑卒中患者的的预后和生活质量。

Objective To investigate the impact of a personalized family rehabilitation program based on ICF theory on the prognosis,capacity and quality of life among stroke patients.Methods A total of 160 patients with stroke were divided into the observation group(n=80)and control group(n=80).They received personalized family rehabilitation guidance and routine rehabilitation,respectively.Medication compliance,blood pressure(BP),glycated hemoglobin(HbAlc),low-density lipoprotein(LDL),modified BAT index(MBI),functional composite assessment scale(FCA)and quality of life questionnaire(SF-36)scores were recorded during the home rehabilitation.The prognosis,comprehensive activity of life and quality of life were compared between the two groups at discharge and six weeks after hospital discharge.Results There was no significant difference in the scores of MBI,FCA,and SF-36 between the two groups at discharge(P>0.05).Six weeks after hospital discharge,the scores of MBI,FCA,and SF-36 increased significantly in the observation group(P<0.001),but there was no significant change in the control group(P>0.05).Conclusions Family rehabilitation based on ICF theory can improve the prognosis and quality of life of stroke patients.