基于ICF设计的健康管理方案在脑卒中恢复期的应用及疗效观察  

Application and curative effect of health management program based on ICF design in convalescent stage of stroke

作　　者：孙李慧子 姚金佳 林丹丹 宋燮阳 王陈信子 胡军 Sun Lihuizi;Yao Jinjia;Lin Dandan(The Second Rehabilitation Hospital of Shanghai,Shanghai 200431,China)

机构地区：[1]上海市第二康复医院,上海200431

出　　处：《中国康复》2021年第8期456-460,共5页Chinese Journal of Rehabilitation

基　　金：上海市宝山区科学技术委员会科研项目(18-E-37),上海市宝山区医学特色专科项目(BSZK-2018-A01)。

摘　　要：目的:观察基于国际功能、残疾和健康分类(ICF)脑卒中核心要素下设计的健康管理小程序在脑卒中恢复期住院患者中使用后对其功能改善的影响分析。方法:40例脑卒中患者随机分为观察组和对照组各20例,2组均采用常规康复治疗方案,观察组在治疗后增加健康管理程序使用。2组在治疗前后分别进行认知功能(MOCA)、运动功能(MAS)和活动及参与能力(ICF)等评分的相关评价。结果:治疗40d后,2组MOCA及MAS评分均明显高于治疗前(均P<0.01),且观察组各项评分提高显著优于对照组(P<0.01,0.05)。2组治疗后ICF活动和参与评分较治疗前明显降低(均P<0.01),且观察组评分低于对照组(P<0.05)。结论:基于ICF脑卒中核心要素下健康管理策略的方案设计和小程序使用,能有效提高脑卒中患者恢复期认知功能、运动功能、日常生活活动和参与水平。Objective:To explore the effects of the health management program designed under the core elements of stroke based on International Classification of Functioning,Disability and Health(ICF)on the functional improvement of stroke inpatients in convalescent period.Methods:A total of 40 patients were randomly divided into experimental group and control group.Both groups were given routine treatment,and the experimental group received health management program after treatment additionally.The two groups were assessed with cognitive function,motor function,participation level before and 5 weeks after treatment.Results:After 5 weeks of intervention,the improvement of cognitive function score,motor function score,and the improvement of motor dysfunction were significantly better in the experimental group than those in the control group(P<0.01).After treatment,the ICF activity and participation scores were significantly lower,the improvement of the activity and participation ability was significantly better,and the improvement degree of obstacles of activity and participation ability was better in the experimental group than those in the control group(P<0.05).Conclusions:The design of health management strategies and the use of mini program can effectively improve cognitive function,motor function,activities of daily living and participation level in patients with stroke.

关 键 词：ICF核心要素 健康管理 作业治疗 健康处方 自我康复 

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