ICF理念下的作业训练对老年脑卒中偏瘫患者日常生活能力及生存质量的影响  

The effects of occupational therapy guided by ICF theory on the ADL in elderly hemiplegic stroke patients

作　　者：陈宇岚 陆兴华 史庭璋 陈文华[2] 

机构地区：[1]上海市虹口区四川北路街道社区卫生服务中心,上海市200080 [2]上海市第一人民医院康复科,上海市200080

出　　处：《老年医学与保健》2016年第3期-,共3页Geriatrics & Health Care

基　　金：上海市虹口区卫生和计划生育委员会科研课题计划资助(虹卫1302-23);上海市卫生和计划生育委员会"治未病"预防保健服务体系建设项目(ZY3-FWMS-1-1001-KYZC-06)

摘　　要：目的探讨ICF(International Classification of Functioning,Disability and Health,国际功能、残疾和健康分类)理念下的作业治疗对脑卒中偏瘫患者日常生活活动能力(ability of daily living,ADL)及生存质量的影响。方法将60例老年脑卒中偏瘫患者随机分为观察组与对照组各30例,观察组采用ICF理念下的作业治疗进行干预,对照组采用传统作业治疗,两组患者均接受常规康复治疗。入选时和治疗6个月后分别采用Barthel指数(Barthel Index,BI)、功能综合评定量表(Functional Comprehensive Assessment,FCA)及SF-36生活质量调查表进行评定。结果治疗6个月后,同组比较BI、FCA评分均较治疗前有提高(P<0.05),治疗后观察组BI、FCA及SF-36评分均高于对照组(P<0.05)。结论相较于传统作业治疗,ICF理念下的作业治疗有助于进一步改善脑卒中偏瘫患者的ADL能力,提高生活生存质量。Objective To investigate the effects of ICF(International Classification of Functioning,Disability and Health) directed occupational therapy on Activity of Daily Living(ADL) and quality of life in elder hemiplegic stroke patients.Methods Sixty patients with hemiplegic stroke were randomly divided into observation group(n= 30) and the control group(n= 30).Both groups were treated with routine rehabilitation training.Patients in observation group were treated with ICF occupational therapy additionally.All patients were assessed with Barthel index(BI),functional comprehensive assessment(FCA) and life quality(using SF-36) before and after six months treatment.Results BI and FCA improved significantly after six months treatment within groups(P<0.05).BI and FCA in observation group increased significantly compared with control group(P<0.05).Conclusion Compared to traditional occupational therapy,occupational therapy guided by ICF theory can significantly improve ADL and life quality in patients with hemiplegic stroke.

关 键 词：脑卒中 作业治疗 功能综合评定量表 

分 类 号：R743.3[医药卫生—神经病学与精神病学]