互联网+背景下社区主导的居家康复模式对脑卒中患者的疗效研究  

Study on the efficacy of community-led home rehabilitation model on stroke patients under the background of Internet plus

作　　者：石淑霞[1] 徐伟伟 刘晓 黄俊 郭彦[1] 付丽 金骅 SHI Shuxia;XU Weiwei;LIU Xiao;HUANG Jun;GUO Yan;FU Li;JIN Hua(Anhui Medical College,Hefei,Anhui 230000,China;Hefei Tongxing Rehabilitation Hospital,Hefei,Anhui 230000,China;Hefei Jingu Rehabilitation Hospital,Hefei,Anhui 230000,China;Hefei Kanghua Rehabilitation Hospital,Hefei,Anhui 230000,China)

机构地区：[1]安徽医学高等专科学校,安徽合肥230000 [2]合肥同行康复医院,安徽合肥230000 [3]合肥金谷康复医院,安徽合肥230000 [4]合肥康华康复医院,安徽合肥230000

出　　处：《现代医药卫生》2022年第17期2904-2907,共4页Journal of Modern Medicine & Health

基　　金：安徽省高校优秀青年人才支持项目(gxyq2019191);安徽医学高等专科学校科研课题项目(2019xjzr03);2019年度高校(学科)拔尖人才学术资助项目(gxbjZD67)。

摘　　要：目的探讨互联网+背景下社区主导的居家康复模式对脑卒中患者运动功能、日常生活能力、生活质量和焦虑情绪的影响。方法选取2020年8月至2021年4月在安徽医学高等专科学校医院、合肥同行康复医院、合肥金谷康复医院、合肥康华康复医院门诊或住院治疗的脑卒中患者60例,按首次就诊时间顺序随机分组,单号纳入研究组,双号纳入对照组,每组30例。研究组以互联网+为依托、以社区为主导建立互联网+居家康复模式,康复团队全程参与、全程监督,对照组进行常规居家康复治疗,2组患者均持续干预6个月。采用简化Fugl-Meyer评估量表(FMA)、改良Barthel指数评定量表(MBI)、生活质量指数(QLI)、焦虑自评量表(SAS)比较2组患者干预前,干预3、6个月后运动功能、日常生活能力、生活质量和焦虑情绪。结果2组患者干预前FMA、MBI、QLI、SAS评分比较,差异均无统计学意义(P>0.05);研究组患者干预3、6个月后FMA、MBI、QLI评分均明显高于对照组,SAS评分均明显低于对照组,差异均有统计学意义(P<0.05)。结论互联网+背景下社区主导的居家康复模式可有效改善脑卒中患者运动功能、日常生活能力和生活质量,并减轻脑卒中患者的焦虑情绪。Objective To explore the influence of community-led home rehabilitation model on motor function,activity of daily living,quality of life and anxiety of stroke patients under the background of Internet plus.Methods A total of 60 stroke patients treated in the rehabilitation outpatient or inpatient settings of the four hospitals from August 2020 to April 2021 were selected and randomly divided into the experimental group and the control group according to the time of first visit,with 30 cases in each group.The treatment of patients in the experimental group adopted the Internet plus and home rehabilitation model,based on internet plus and led by the community.The rehabilitation team participated in and supervised the whole process.The patients in the control group were treated with conventional home rehabilitation.The intervention lasted for 6 months in both groups.The motor function,activities of daily living,quality of life and anxiety of the two groups were compared with simplified Fugl-Meyer assessment scale(FMA),modified Barthel index(MBI),quality of life index(QLI)and self-rating anxiety scale(SAS)before intervention,3 months after intervention and 6 months after intervention respectively.Results There were no significant differences in FMA,MBI,QLI and SAS scores between the two groups before intervention(P>0.05).The FMA,MBI and QLI scores in the experimental group after 3 and 6 months of intervention were higher than those in the control group,while SAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Community-led home rehabilitation model under the background of Internet plus can effectively improve the motor function,activity of daily living,and quality of life,and reduce anxiety of stroke patients.

关 键 词：互联网+ 社区主导 居家康复 卒中 治疗结果 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]