首页|脑卒中患者采取数字OT训练系统与作业疗法干预对上肢功能和生活自理能力的影响分析

脑卒中患者采取数字OT训练系统与作业疗法干预对上肢功能和生活自理能力的影响分析

扫码查看
目的:探讨数字OT训练系统与作业疗法在脑卒中疾病中联合应用,对生活自理能力(ADL)评分和上肢功能的影响.方法:选取2020年5月—2021年5月天津市宝坻区人民医院收治的68例脑卒中患者作为研究对象,按照随机数表法分为对照组和观察组,每组各34例.对照组采取作业疗法,观察组采取作业疗法联合数字OT训练系统疗法.对比两组患者康复效果、训练配合度、ADL评分、肢体运动功能(Fugl-Meyer)评分、神经功能(NIHSS)评分、认知功能(MoCA)评分、健康生活质量(SF-36)评分等指标.结果:观察组患者临床康复效果高于对照组,差异有统计学意义(x2=5.100,P>0.05).观察组患者训练配合度明显高于对照组,差异有统计学意义(x2=4.220,P>0.05).干预后,观察组患者ADL评分、上肢功能评分高于对照组,差异有统计学意义(t=7.035、3.475,P<0.05).干预后,观察组患者NIHSS评分低于对照组、MoCA评分高于对照组,差异有统计学意义(t=15.561、2.552,P<0.05).干预后,观察组患者生活质量评分显著高于对照组,差异有统计学意义(t=8.457、7.053、4.750、3.534、7.755、3.782、7.559、4.507,P<0.05).结论:脑卒中患者采取数字OT训练系统与作业疗法联合干预的效果明显,可改善其认知、神经功能,经合理训练后其上肢功能恢复明显,提升患者日常ADL、生活质量及训练配合度.
Analysis of the Effect of Adopting Digital OT Training System and Occupational Therapy Intervention on Upper Limb Function and ADL in Stroke Patients
Objective:To investigate the effects of a digital OT training system in combination with occupational therapy on au-tonomy of daily life(ADL)scores and upper extremity function in stroke disease.Methods:68 cases of stroke patients admitted to the hospital from May 2020 to May 2021 were selected as the study subjects and were divided into control group and observation group according to the random number table method,with 34 cases in each group.The control group took occupational therapy,and the observation group took occupational therapy combined with digital OT training system therapy.The rehabilitation effect,training cooperation,ADL score,limb motor function(Fugl-Meyer)score,neurological function(NIHSS)score,cognitive function(MoCA)score,and healthy quality of life(SF-36)score were compared between the two groups.Results:The clinical rehabilitation of the observation group was higher than that of the control group,and the difference was statistically significant(x2=5.100,P<0.05).The training cooperation of the observation group was significantly higher than that of the control group,and the difference was statistically significant(x2=4.220,P<0.05).After the intervention,the ADL score and upper limb function score of the observa-tion group were higher than those of the control group,and the difference was statistically significant(t=7.035,3.475,P<0.05).Af-ter the intervention,the NIHSS score of the observation group was lower than that of the control group,and the MoCA score was higher than that of the control group,and the difference was statistically significant(t=15.561,2.552,P<0.05).After the interven-tion,the quality of life scores of the observation group were significantly higher than those of the control group,and the difference was statistically significant(t=8.457,7.053,4.750,3.534,7.755,3.782,7.559,4.507,P<0.05).Conclusion:The effect of the com-bined intervention of digital OT training system and occupational therapy in stroke patients is obvious,which can improve their cog-nitive and neurological functions,and the recovery of their upper limb functions is obvious after reasonable training,which im-proves the patients'ADL,quality of life,and the degree of cooperation in training.

StrokeDigital OT training systemOccupational therapyUpper limb functionAutonomy of daily life

王梦露、尔兆娟、肖中兴

展开 >

天津市宝坻区人民医院康复医学科,天津 301800

脑卒中 数字OT训练系统 作业疗法 上肢功能 生活自理能力

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(3)
  • 13