脑卒中患者居家远程康复指导效果的观察  

Home-based Telerehabilitation Guidance for Stroke Patients

作　　者：刘惠林[1,2] 周斌[1,2] 赵政 杨岩[4] 吕雪琴 王月 于婷 LIU Hui-lin;ZHOU Bin;ZHAO Zheng;YANG Yan;Lü Xue-qin;WANG Yue;YU Ting(Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China;Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Fengtai Hospital,Beijing 100071,China;Xincun Com‐munity Healthcare Center,Beijing 100070,China;Shandong Xiehe University,Ji'nan,Shandong 250100,China)

机构地区：[1]中国康复研究中心北京博爱医院,北京市100068 [2]首都医科大学康复医学院,北京市100068 [3]北京丰台医院,北京市100071 [4]北京丰台区新村社区卫生服务中心,北京市100070 [5]山东协和学院,山东济南市250100

出　　处：《中国康复理论与实践》2021年第7期807-811,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京市丰台区卫生计生系统科研项目(No.2015-01)。

摘　　要：目的探索居家远程康复指导模式,及其对脑卒中患者身体功能和日常生活活动能力的影响。方法2015年9月至2018年3月在北京市丰台区3家社区卫生服务中心门诊康复的脑卒中恢复期患者240例,随机分为对照组和远程组各120例。两组均接受门诊康复6个月;远程组接受远程康复指导。治疗前后采用Fugl-Meyer评定量表(FMA)和改良Barthel指数(MBI)进行评定。结果治疗后,两组各项评分均显著提高(|t|>14.536,P<0.001);远程组评分高于对照组(|t|>2.200,P<0.05)。结论脑卒中患者社区门诊康复时接受居家远程康复指导能提高康复效果。Objective To explore the effects of home-based telerehabilitation guidance on physical function and activities of daily living for stroke patients.Methods From September,2015 to March,2018,240 stroke recovering patients from three community health service centers in Fengtai District,Beijing for outpatient rehabilitation were randomly divided into control group(n=120)and tele-rehab group(n=120).Both groups accepted routine rehabilitation for six months,while the tele-rehab group received telerehabilitation guidance in addition.They were assessed with Fugl-Meyer Assessment(FMA)and modified Barthel Index(MBI)before and after treatment.Results The scores of FMA and MBI improved after treatment in both groups(|t|>14.536,P<0.001),and improved more in the tele-rehab group than in the control group(|t|>2.200,P<0.05).Conclusion Home-based telerehabilitation guidance may enhance the effect of community-based outpatient rehabilitation for stroke patients.

关 键 词：脑卒中 社区康复 远程康复 居家康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]