首页|基于环境评估的远程康复对脑卒中患者功能独立性及平衡功能的影响

基于环境评估的远程康复对脑卒中患者功能独立性及平衡功能的影响

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目的 探讨基于环境评估的远程康复对脑卒中患者功能独立性及平衡功能的影响.方法 将40 例脑卒中患者根据随机数字表法分为对照组和观察组,每组 20 例.对照组出院后给予常规电话指导;观察组出院后,在常规指导基础上,基于居家环境评估结果,拍摄功能训练视频,指导远程康复治疗.分别于患者出院时、出院 1 个月和出院3 个月,对两组患者的功能独立性(functional indenpendence measure,FIM)及平衡功能(Fugl-Meyer assessment,FMA)进行比较.结果 出院后 1 个月、3 个月,两组患者FIM和FMA评分均较出院时提高(P<0.01),且观察组 FIM和 FMA 评分较对照组高,差异有统计学意义(P<0.01).结论 基于环境评估的远程康复可有效提高脑卒中患者功能独立性及平衡功能.
Influence of remote rehabilitation on functional independence and balance function of stroke patients based on environmental assessment
Objective To explore the influence of remote rehabilitation on functional independence and balance function of stroke patients based on environmental assessment.Methods Forty stroke patients were divided into a control group and an observation group according to random number table method,with 20 cases in each group.The control group was given regular telephone guidance after discharge,and the observation group was given filmed functional training videos to guide tele-rehabilitation therapy based on the home environment assessment.Functional independence measure(FIM score)and Fugl-Meyer assessment scale(FMA score)were compared between the 2 groups at the time of discharge,1 month after discharge,and 3 months after discharge.Results At 1 month and 3 months after discharge,FIMand FMA scores in both groups were higher than those at discharge(P<0.01),and FIM and FMA scores in the observation group were more significantly higher than those in the control group,with statistical significance(P<0.01).Conclusion Remote rehabilitation therapy based on environmental assessment can effectively improve functional independence and balance function of stroke patients.

strokeenvironmental assessmenttele-rehabilitationfunctional independencebalancing function

姚宇、刘卫庭、彭娴莺

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邵阳市中心医院 康复医学科,湖南 邵阳,422000

脑卒中 环境评估 远程康复 功能独立性 平衡功能

邵阳市科技局项目

2021068ZD

2024

邵阳学院学报(自然科学版)
邵阳学院

邵阳学院学报(自然科学版)

影响因子:0.286
ISSN:1672-7010
年,卷(期):2024.21(1)
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