人-环境-作业模式促进脑卒中后手和上肢功能的康复  

Rehabilitation of hand and upper extremity function in post-stroke patients under the guidance of personenvironment-occupation model

作　　者：周欢霞[1] 于小明[1] 刘倩雯[2] 王宏林[1] 王川 吴萍 詹青[3] 

机构地区：[1]上海中医药大学附属第七人民医院康复治疗科,上海200137 [2]上海中医药大学康复医学院作业治疗教研室,上海201203 [3]上海中医药大学附属第七人民医院神经内科,上海200137

出　　处：《神经病学与神经康复学杂志》2016年第4期181-185,共5页Journal of Neurology and Neurorehabilitation

基　　金：上海中医药大学附属第七人民医院"七院新星"项目(编号:XX2016-09)~~

摘　　要：一侧肢体功能障碍是脑卒中后的典型症状,其中手和上肢功能障碍严重影响着作业表现,使患者的生活受到不同程度的限制。本文基于人-环境-作业(personenvironment-occupation,PEO)模式,从人、环境、作业活动和作业表现等方面,探讨脑卒中患者手和上肢功能的康复治疗,以期提升人们对中国脑卒中患者作业治疗内涵的理解。通过作业治疗,可以改善患者的行为表现,减轻功能受限程度,增强日常生活的活动能力,从而提高患者的生活质量。Hemiplegia is a typical dysfunction induced by stroke. The dysfunction of hand and upper extremity can severely influence the occupational performance and restrict the living ability of the patients. Based on person-environment-occupation(PEO) model, this paper discusses the rehabilitation of hand and upper extremity function from several aspects including factors related to person, environment and occupation, in order to improve the understanding of occupational therapy in China, improve the behavior performance,decrease the degree of function limitation and raise the living ability in routine life, ultimately resulting in the improved quality of life.

关 键 词：卒中 康复 职业疗法 人-环境-作业模式 手功能 上肢功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]