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目的:观察社区康复对海洛因脑病患者生活质量的影响。方法:将21例符合入选标准的海洛因脑病患者随机分成康复治疗组11例和随访指导组10例,采用FIM和SF-36分别评定日常生活活动能力和生活质量,分别在出院时、出院后3个月、出院后6个月时进行评价。结果:各组患者入选时FIM和SF-36评分无显著性差异;在出院后3个月时,康复训练组FIM和SF-36评分均有明显改善(P<0.01),随访指导组FIM和SF-36评分亦有改善,但较出院时无显著性差异(P>0.05),与康复治疗组比有显著性差异。出院后6个月时,康复治疗组2个量表评分进一步改善,随访指导组量表评分无改善(P>0.05)。结论:海洛因脑病患者在社区接受系统、规范、持续的康复服务,能有效改善日常生活活动能力,提高患者生活质量。
Objective: To observe the impact of community rehabilitation on quality of life in patients with heroin encephalopathy. Methods: Twenty-one cases of heroin encephalopathy who met the inclusion criteria were randomly divided into rehabilitation therapy group (n = 11) and follow-up guidance group (n = 10). FIM and SF-36 were used to assess daily living activities and quality of life. Months, 6 months after discharge evaluation. Results: The FIM and SF-36 scores of each group were not significantly different at the time of enrollment. FIM and SF-36 scores of rehabilitation training group were significantly improved at 3 months after discharge (P <0.01) SF-36 score also improved, but no significant difference compared with discharge (P> 0.05), compared with the rehabilitation group was significantly different. At 6 months after discharge, the scores of two scales in the rehabilitation group were further improved. There was no improvement in the scale of the follow-up instruction group (P> 0.05). Conclusion: Patients with heroin encephalopathy receive systematic, standardized and continuous rehabilitation services in the community, which can effectively improve the activities of daily living and improve the quality of life of patients.