基于ICF框架下PEO模式的治疗性作业活动对脑卒中患者康复效果临床研究

Clinical Study on the Effect of Therapeutic Activity Based on Peo Model Under Icf Framework on the Rehabilitation of Stroke Patients

目的:探讨基于ICF框架下,应用PEO模式设计治疗性作业活动对脑卒中患者康复临床效果的影响。方法:本研究共选取脑卒中患者共60例,采用单盲随机分为对照组和治疗组各30例。2组均接受治疗性作业活动训练,治疗组在常规康复治疗基础上增加ICF框架下PEO模式治疗性作业活动训练。2组患者于治疗前、治疗4周后采用改良Barthel指数(MBI)、加拿大作业活动行为评估(COPM)训练进行评定。结果:治疗组患者治疗后MBI指数及COPM表现分及满意度显著优于对照组(P<0.01)对照组治疗前后MBI指数及COPM表现分及满意度无明显差异(P>0.05)。结论:基于ICF框架下应用PEO模式设计治疗性作业活动能明显提升患者的基础性日常生活活动能力(BADL),有利于提高患者对日常生活能力(BADL)和生活满意度。

Objective:To explore the effect of therapeutic activities designed by PEO model on the clinical effect of rehabilitation in patients with stroke based on the framework of ICF.Methods:A total of 60 patients with stroke were randomly divided into control group(n=30)and treatment group(n=30).Both groups received therapeutic activity training,while the treatment group received therapeutic activity training based on PEO mode under the framework of ICF on the basis of routine rehabilitation treatment.The patients in the two groups were evaluated with modified Barthel index(MBI)and Canadian activity assessment(COPM)training before and 4 weeks after treatment.Results:After treatment,the scores of MBI index and COPM performance and satisfaction in the treatment group were significantly better than those in the control group.There was no significant difference in MBI index and COPM performance score and satisfaction in the control group before and after treatment.Conclusion:The application of PEO mode to design therapeutic activities based on ICF framework can significantly improve patients'basic activities of daily living(BADL)and improve patients'activities of daily living(BADL)and life satisfaction.