Objectives:This study aimed to explore the effects of the“FuekFone(F.F.)home-based program”on the upper limb and cognitive function of ischemic stroke patients after discharge.Methods:A single group pre-and post-tes...Objectives:This study aimed to explore the effects of the“FuekFone(F.F.)home-based program”on the upper limb and cognitive function of ischemic stroke patients after discharge.Methods:A single group pre-and post-test design was conducted.A total of 40 patients with recovery after ischemic stroke were recruited from two university hospitals in Thailand.The study was conducted between June 2022 and January 2023.Participants underwent a six-week“F.F.home-based program,”which combined an upper limb and cognitive function rehabilitation device with Android games,including stationary barrel,adventure walk,adventure stroll,sliding barrel,sauce squeeze,and cut objects.Each game has different difficulty levels.Patients can perform corresponding exercises through the games according to their conditions under the guidance of medical staff.The patients played for 24 min per time,4 min each game,three days a week.The second week,let the patients play games for 30 min per time,5 min each game,3 days a week.Then,in the 3e6 weeks,let the patients play games for 1 h per time,10 min each game,5 days a week.At the pre-and post-intervention,the Thai version of the National Institutes of Health Stroke Scale(NIHSS),the Motor Assessment Scale,and the Montreal Cognitive Assessment(MoCA score)were administered to patients at discharge and at 2,4,and 6 weeksafter discharge,and the results were compared.Results:All participants completed this program.Participants had statistically improved upper limb function(upper arm function score,hand movements score,advanced hand activities score,total Motor Assessment Scale score)and MoCA score at 2,4,and 6 weeks after discharge(P<0.001).In the comparison of upper limb function and cognitive function at each of the study times,we found statistically improved upper limb function(upper arm function score,hand movements score,advanced hand activities score,total Motor Assessment Scale score)and MoCA score at 4,and 6 weeks after discharge when compared to after discharge and 2 weeks after discharge,respectively(P<0.05).Conclusions:Continuing care of patients post-stroke after discharge from hospital,such as F.F.homebased program should be applied at home to enhance upper limb and cognitive function.展开更多
目的探讨糖尿病合并格雷夫斯病的临床特点。方法选取2009—2011年在上海交通大学附属第六人民医院内分泌代谢科住院的糖尿病合并格雷夫斯病患者44例,按不同起病时间将患者分为糖尿病先起病组(A组,25例)、格雷夫斯病先起病组(B组,5例)、...目的探讨糖尿病合并格雷夫斯病的临床特点。方法选取2009—2011年在上海交通大学附属第六人民医院内分泌代谢科住院的糖尿病合并格雷夫斯病患者44例,按不同起病时间将患者分为糖尿病先起病组(A组,25例)、格雷夫斯病先起病组(B组,5例)、糖尿病合并格雷夫斯病同时起病组(C组,14例)。对3组患者的一般资料、糖尿病分型及胰岛β细胞功能〔空腹C肽(0 min CP)、餐后30 min C肽(30 min CP)、餐后2 h C肽(120 minCP)、餐后2 h C肽与空腹C肽差值(△CP)〕、血糖〔糖化血红蛋白(HbA1c)、糖化血清清蛋白(GA)〕、血脂〔总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)〕、格雷夫斯病症状及体征、甲状腺功能〔游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺素(TSH)〕及甲状腺自身抗体〔促甲状腺素受体抗体(TR-Ab)、抗甲状腺球蛋白抗体(TG-Ab)、抗甲状腺过氧化物酶抗体(TPO-Ab)〕及糖尿病急性并发症、格雷夫斯病并发症等进行回顾性分析比较。结果 3组患者的发病年龄、有格雷夫斯病家族史者比例、血TG水平、TG-Ab及TPO-Ab滴度比较,差异均有统计学意义(P<0.05);其中C组患者发病年龄、TG水平低于A组及B组,有格雷夫斯病家族史者比例、TG-Ab及TPO-Ab滴度均高于A组及B组,差异有统计学意义(P<0.05)。3组患者酮症酸中毒及格雷夫斯病并发症发生率比较,差异均无统计学意义(P>0.05)。结论糖尿病合并格雷夫斯病同时起病者较糖尿病先起病者及格雷夫斯病先起病者表现为年龄更轻、血TG水平更低,有格雷夫斯病家族史者更多,血TG-Ab、TPO-Ab滴度更高。展开更多
文摘Objectives:This study aimed to explore the effects of the“FuekFone(F.F.)home-based program”on the upper limb and cognitive function of ischemic stroke patients after discharge.Methods:A single group pre-and post-test design was conducted.A total of 40 patients with recovery after ischemic stroke were recruited from two university hospitals in Thailand.The study was conducted between June 2022 and January 2023.Participants underwent a six-week“F.F.home-based program,”which combined an upper limb and cognitive function rehabilitation device with Android games,including stationary barrel,adventure walk,adventure stroll,sliding barrel,sauce squeeze,and cut objects.Each game has different difficulty levels.Patients can perform corresponding exercises through the games according to their conditions under the guidance of medical staff.The patients played for 24 min per time,4 min each game,three days a week.The second week,let the patients play games for 30 min per time,5 min each game,3 days a week.Then,in the 3e6 weeks,let the patients play games for 1 h per time,10 min each game,5 days a week.At the pre-and post-intervention,the Thai version of the National Institutes of Health Stroke Scale(NIHSS),the Motor Assessment Scale,and the Montreal Cognitive Assessment(MoCA score)were administered to patients at discharge and at 2,4,and 6 weeksafter discharge,and the results were compared.Results:All participants completed this program.Participants had statistically improved upper limb function(upper arm function score,hand movements score,advanced hand activities score,total Motor Assessment Scale score)and MoCA score at 2,4,and 6 weeks after discharge(P<0.001).In the comparison of upper limb function and cognitive function at each of the study times,we found statistically improved upper limb function(upper arm function score,hand movements score,advanced hand activities score,total Motor Assessment Scale score)and MoCA score at 4,and 6 weeks after discharge when compared to after discharge and 2 weeks after discharge,respectively(P<0.05).Conclusions:Continuing care of patients post-stroke after discharge from hospital,such as F.F.homebased program should be applied at home to enhance upper limb and cognitive function.
文摘目的探讨糖尿病合并格雷夫斯病的临床特点。方法选取2009—2011年在上海交通大学附属第六人民医院内分泌代谢科住院的糖尿病合并格雷夫斯病患者44例,按不同起病时间将患者分为糖尿病先起病组(A组,25例)、格雷夫斯病先起病组(B组,5例)、糖尿病合并格雷夫斯病同时起病组(C组,14例)。对3组患者的一般资料、糖尿病分型及胰岛β细胞功能〔空腹C肽(0 min CP)、餐后30 min C肽(30 min CP)、餐后2 h C肽(120 minCP)、餐后2 h C肽与空腹C肽差值(△CP)〕、血糖〔糖化血红蛋白(HbA1c)、糖化血清清蛋白(GA)〕、血脂〔总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)〕、格雷夫斯病症状及体征、甲状腺功能〔游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺素(TSH)〕及甲状腺自身抗体〔促甲状腺素受体抗体(TR-Ab)、抗甲状腺球蛋白抗体(TG-Ab)、抗甲状腺过氧化物酶抗体(TPO-Ab)〕及糖尿病急性并发症、格雷夫斯病并发症等进行回顾性分析比较。结果 3组患者的发病年龄、有格雷夫斯病家族史者比例、血TG水平、TG-Ab及TPO-Ab滴度比较,差异均有统计学意义(P<0.05);其中C组患者发病年龄、TG水平低于A组及B组,有格雷夫斯病家族史者比例、TG-Ab及TPO-Ab滴度均高于A组及B组,差异有统计学意义(P<0.05)。3组患者酮症酸中毒及格雷夫斯病并发症发生率比较,差异均无统计学意义(P>0.05)。结论糖尿病合并格雷夫斯病同时起病者较糖尿病先起病者及格雷夫斯病先起病者表现为年龄更轻、血TG水平更低,有格雷夫斯病家族史者更多,血TG-Ab、TPO-Ab滴度更高。
