五位一体康复模式对老年脑卒中病人日常生活能力和运动功能的影响  

Effects of five-in-one rehabilitation model on the ability of daily life and motor function in elderly stroke patients

作　　者：蔡娇艳 李中 孟思进[2] CAI Jiao-yan;LI Zhong;Meng Si-jin(Department of Rehabilitation,Suqian Ruinian Rehabilitation Hospital,Suqian 223800,China;Wuhan Sports University,Wuhan 430070,China)

机构地区：[1]宿迁瑞年康复医院康复科,江苏省宿迁市223800 [2]武汉体育学院,湖北省武汉市430070

出　　处：《实用老年医学》2021年第10期1101-1103,共3页Practical Geriatrics

摘　　要：目的观察五位一体康复模式对老年脑卒中病人的日常生活能力和运动功能的影响。方法64例首次发病的老年脑卒中病人随机分为试验组(32例)和对照组(32例),对照组采用常规康复模式进行干预,试验组采用“医生-治疗师-护士-病人-陪护”五位一体的康复治疗模式进行干预,2组均干预2个月。分别于干预前和干预后采用Barthel指数(Barthel index,BI)量表和Brunnstrom偏瘫功能分级量表对2组病人的日常生活能力和运动功能进行评定。结果2组干预后上肢、手和下肢的Brunnstrom偏瘫功能分级与干预前相比,差异均具有统计学意义(P<0.01)。干预后,2组BI评分均显著高于干预前(P<0.01),且试验组显著高于对照组(P<0.01)。结论五位一体康复模式能更好地改善老年脑卒中病人的日常生活能力和躯体运动功能。Objective To observe the effects of five-in-one rehabilitation model on the ability of daily life and motor function in the elderly stroke patients.Methods Sixty-four elderly patients with first-attact of stroke were randomly divided into observation group(32 cases)and control group(32 cases).The control group was intervened by conventional rehabilitation mode,while the observation group was intervened by five-in-one rehabilitation mode of"doctor-therapist-nurse-patient-escort".Barthel Index(BI)scale and Brunnstrom Stage scale were used to evaluate the ability of daily life and motor function of the two groups before and after intervention.Results After intervention,the grades of Brunnstrom hemiplegia function of upper limbs,hands and lower limbs in both groups were significantly better than those before treatment(P<0.01),and the scores of BI in both groups were significantly higher than those before treatment(P<0.01),especially in the observation group(P<0.01).Conclusions The five-in-one rehabilitation model can better improve the ability of daily life and motor function of elderly stroke patients.

关 键 词：五位一体模式 老年人 脑卒中 日常生活能力 运动功能 

分 类 号：R493[医药卫生—康复医学]