加拿大作业表现量表在脑卒中康复中的应用和调查分析  

Application of Canadian occupational performance measure in the rehabilitation therapy of stroke patients

作　　者：席艳玲[1] 邓晓雪[1] 刘鹏[2] 严会荣[1] 田冲[1] 库尔班乃木.卡合曼[1] 朱琳[1] 黄海霞[1] 

机构地区：[1]新疆医科大学第一附属医院康复医学科,乌鲁木齐830054 [2]广州中山大学附属第一医院康复医学科,广州510000

出　　处：《中国康复》2013年第1期23-25,共3页Chinese Journal of Rehabilitation

摘　　要：目的:采用加拿大作业表现量表(COPM)分析脑卒中后肢体功能障碍患者作业活动需求,实施以患者为中心的治疗模式,观察疗效;并调查患者和康复治疗师应用COPM的体会。方法:脑卒中患者51例,均在入院时应用COPM全面评测作业活动需求,以此制定康复目标和治疗计划,实施以患者为中心的作业治疗模式;比较治疗前后作业活动的表现和满意度;同时发放调查问卷,调查患者和治疗师应用COPM的体会。结果:患者自理活动需求明显多于生产和休闲活动需求(P<0.01);作业活动表现评分和满意度评分均较治疗前明显提高(P<0.05);调查表明COPM涉及的问题更加细致、全面和实际,能够确认患者亟待解决的作业活动问题。结论:COPM简单易行,能确认患者亟待解决的作业活动,对临床治疗有指导意义。Objective： To observe the effect of the application of Canadian occupational performance measure （COPM） on the rehabilitation therapy of stroke patients and analyze the feedback of patients and therapists. Methods：COPM was applied to evaluate occupational needs for 51 stroke patients in hospital,and rehabilitation aim and plan were made to carry out the patients centered occupational therapy. The performance and degree of satisfaction of the occupational therapy were compared. The patients and therapists were investigated. Results：The problems of self-care activities were more than those of productive activities and leisure activities （P〈0.01）. The scores of performance and satisfaction of occupational therapy were significantly increased after rehabilitation therapy （P〈0.05）. Investigation showed the content of COPM was more careful, comprehensive and practical, and COPM could better solve the problems of occupational activities in stroke patients. Conclusion：COPM is easy to operate,helpful to solve the problems of occupational activities, which can guide the clinical practice.

关 键 词：COPM 作业活动 脑卒中 调查问卷 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]