自制穿衣训练器在脑卒中手指精细功能恢复中的应用  

Application of a home-made dressing training device on recovery of fine finger function in stroke patients

作　　者：姜李[1] 高岩[1] 赵慧[1] 姚吴刚 孙师[1] Jiang Li;Gao Yan;Zhao Hui;Yao Wugang;Sun Shi(Rehabilitation Centre of Shengjing Hospital,China Medical University,Shenyang 110000,China)

机构地区：[1]中国医科大学附属盛京医院康复医学治疗中心

出　　处：《护理学杂志》2019年第22期84-87,共4页Journal of Nursing Science

摘　　要：目的探讨自制穿衣训练器在脑卒中手指精细功能恢复中的应用效果。方法将80例脑卒中手指精细功能障碍患者随机分为对照组与干预组各40例。对照组采用常规治疗室内康复训练方法(运动疗法、作业疗法、物理疗法等);干预组在对照组基础上使用自制穿衣技能训练器进行训练。比较两组患者干预前及干预4周后手功能Fugl-Meyer运动功能评定(手指部分、协调能力与速度)、简易上肢机能检查、改良Barthel指数和满意度。结果干预组患者的Fugl-Meyer运动功能评分(手指部分、协调能力与速度)、简易上肢机能检查得分、改良Barthel指数能力评分及满意度显著高于对照组(均P<0.01)。结论使用穿衣技能训练器的脑卒中患者能够改善手指精细运动功能与协调能力,提高患者日常活动能力,从而提高患者满意度。Objective To investigate the effect of a home-made dressing training device on recovery of fine finger function in stroke patients.Methods Eighty patients with impaired finger dexterity after stroke were randomized into two groups,with 40 in each.The control group was subjected to conventional rehabilitation training including exercise,occupational and physical therapy,etc.,while the intervention group additionally received training by employing a home-made dressing training device.The Fugl-Meyer Assessment Scale(finger part,tests for coordination and speed),Simple Test for Evaluating Hand Function(STEF),the modified BI Index were used to evaluate the effect before and 4 weeks after the intervention.And satisfaction of the patient was also measured.Results The intervention group scored significantly higher on the 4 parameters compared with the control group after the intervention(P<0.01 for all).Conclusion The use of home-made dressing training device can improve fine motor function and coordination of the finger after stroke,enhance patient′s ability of daily living activity,thus to promote patient satisfaction.

关 键 词：脑卒中 手指精细功能 穿衣训练器 康复训练 日常生活活动能力 运动功能 协调功能 

分 类 号：R473.5[医药卫生—护理学]