基于PEO模式的作业疗法对脑卒中后偏瘫患者的效果分析  

Effect Analysis of Occupational Therapy Based on PEO Model on Patients with Hemiplegia after Stroke

作　　者：张真真 ZHANG Zhenzhen(Department of Rehabilitation Medicine,Jinan Third People’s Hospital,Jinan 250000,China)

机构地区：[1]山东省济南市第三人民医院康复医学科,山东济南250000

出　　处：《中国伤残医学》2025年第7期111-114,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨基于人-环境-作业(PEO)模式的作业疗法用于脑卒中后偏瘫患者的效果。方法:选取2021年8月—2023年12月济南市第三人民医院收治的80例脑卒中后偏瘫患者为研究对象,按随机数字表法将其分为对照组与研究组,各40例。对照组予以常规干预,研究组予以基于PEO模式的作业疗法干预。两组均干预3个月。对比两组肢体运动功能、日常生活能力、生活质量。结果:干预后,两组Fugl-Meyer运动功能评定量表、Barthel指数评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组生活质量综合评定问卷-74评分中躯体功能、心理功能、社会功能、物质生活状态评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论:基于PEO模式的作业疗法应用于脑卒中后偏瘫患者,可改善其肢体运动功能及日常生活能力,能够有效提高患者的生活质量。Objective:To investigate the effect of occupational therapy based on Person-Environment-Operation(PEO)model in patients with hemiplegia after stroke.Methods:A total of 80 patients with hemiplegia after stroke treated in Jinan Third People’s Hospital from August 2021 to December 2023 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group received routine intervention,and the study group received occupational therapy intervention based on PEO model.Both groups were treated for 3 months.The limb motor function,daily living ability and quality of life were compared between the two groups.Results:After intervention,the Fugl-Meyer Assessment Scale and Barthel Index scores in both groups were higher than those before intervention,and the study group were higher than the control group,the differences were statistically significant(P<0.05).After intervention,the scores of physical function,psychological function,social function and material life status in Generic Quality of Life Inventory-74 in both groups were higher than those before intervention,and the study group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:The application of occupational therapy based on PEO model in patients with hemiplegia after stroke can improve their limb motor function and daily living ability,and can effectively improve the quality of life of patients.

关 键 词：脑卒中后偏瘫 基于PEO模式的作业疗法 肢体运动功能 日常生活能力 

分 类 号：R[医药卫生]