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目的:应用社区康复治疗指导脑卒中患者开展康复训练,并评价其应用效果。方法:在2013年11月1日~2014年12月31日期间,选取嘉善县魏塘、姚庄、惠民三个社区的100例脑卒中患者进行研究,将这些患者随机分成对照组和观察组。对照组患者给予常规治疗模式,而观察组患者在常规治疗基础上实施社区康复治疗模式。分别对两组患者在不同阶段的生存质量进行比较分析,采用生存质量评定量表,对患者生存质量进行客观准确评分。与此同时,对两组患者采用不同的治疗模式后,其神经恢复与日常生活活动能力进行比较。结果:对照组患者日常生活活动能力评分在不同的阶段均明显低于观察组,P<0.05。对照组患者生存质量评分在不同阶段均明显低于观察组,P<0.05。且随着治疗时间的延长,对照组患者生活质量评分与观察组患者评分差距越大,对照组患者的神经恢复效果明显比观察组差,P<0.05。结论:将社区康复治疗模式应用到脑卒中患者临床效果显著,能够有效提高患者的生存质量,改善神经功能,提高日常生活能力。
Objective: To apply community-based rehabilitation therapy to guide stroke patients in rehabilitation training and to evaluate their application effect. Methods: From November 1, 2013 to December 31, 2014, 100 stroke patients in three communities of Weitang, Yaozhuang and Huimin in Jiashan County were selected and randomly divided into control group and observation group group. Patients in the control group were given conventional treatment and patients in the observation group were treated with CBR on the basis of routine treatment. The quality of life of two groups of patients at different stages were compared and analyzed respectively, and the quality of life assessment scale was used to objectively and accurately evaluate the quality of life of patients. At the same time, after comparing the two groups of patients with different treatment modalities, their nerve recovery and daily living activity were compared. Results: The activities of daily living in patients in the control group were significantly lower than those in the observation group in different stages (P <0.05). The quality of life scores of patients in control group were significantly lower than those in observation group at different stages (P <0.05). And with the extension of treatment time, the difference between the quality of life score of the control group and the scores of the patients in the observation group was greater, and the recovery effect of the control group was significantly lower than that of the observation group (P <0.05). Conclusion: The application of CBR model to patients with stroke has significant clinical effect, which can effectively improve patients’ quality of life, improve neurological function and improve their daily living ability.