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目的探讨家庭康复治疗对脑卒中患者日常生活能力(activitiesofdailyliving,ADL)的影响。方法对吉林市中心医院5年间收治的177例脑卒中患者提供指导性家庭康复治疗方法,并进行跟踪观察,日常生活能力采用Barthel指数(MBI)评定,肢体运动功能采用Fugl-Meyer(FMA)积分评定。结果家庭康复治疗对177例脑卒中患者均有效,FMA评分和MBI评分均较治疗前提高(P<0.05),而病史时间的长短对其ADL能力改善影响不大(P>0.05);但年龄因素对其改善有一定影响(P<0.05)。结论家庭康复治疗,对不同时期的偏瘫患者在提高日常生活能力方面有着显著性作用,但随着年龄增加,其生活质量改善作用渐差。
Objective To investigate the effect of home rehabilitation on activities of daily living (stroke) patients with ADL. Methods 177 cases of stroke patients admitted to Jilin Central Hospital for 5 years were followed up for follow-up observation. The daily living ability was assessed by Barthel Index (MBI). The motor function of limbs was assessed by Fugl-Meyer (FMA) assessment. Results Family rehabilitation therapy was effective in 177 stroke patients. The FMA score and MBI score were significantly higher than those before treatment (P <0.05), while the duration of illness had no significant effect on ADL ability improvement (P> 0.05) Factors have some impact on their improvement (P <0.05). Conclusion Family rehabilitation treatment has significant effect on hemiplegia patients in different periods in improving their daily living ability, but their quality of life improvement gradually deteriorates with age.