| 王 涛,倪朝民,范文祥,陈 进,陈 瑾,韩 瑞.社区康复对脑卒中患者功能和生存质量的远期疗效观察[J].中国康复医学杂志,2009,24(10):934~937 |
| 社区康复对脑卒中患者功能和生存质量的远期疗效观察 点此下载全文 |
| 王 涛 倪朝民 范文祥 陈 进 陈 瑾 韩 瑞 |
| 安徽医科大学附属省立医院康复医学科，合肥，230001 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 2469 |
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| 摘要： |
| 目的：应用功能综合评定量表(FCA)和WHO生存质量测定简式量表(WHOQOL-BREF)中文版研究社区康复（CBR）对脑卒中患者功能和生存质量(QOL)的远期疗效。方法：80例脑卒中患者随机分为社区康复组(40例)和对照组(40例)，社区康复组进行康复治疗和随访，对照组只进行随访。于入组时、5个月末和17个月末，采用FCA、WHOQOL-BREF中文版对两组患者进行评定。结果：入组时两组患者FCA和WHOQOL-BREF评分差异无显著意义（P＞0.05），治疗5个月后，社区康复组和对照组的FCA和WHOQOL-BREF评分比较，康复组效果优于对照组（P＜0.05），17个月后康复组有进一步提高（P＜0.05），而对照组改善不明显（P＞0.05）。结论：社区康复治疗对提高脑卒中患者FCA和WHOQOL-BREF作用显著；社区康复治疗介入时间越早,脑卒中患者功能和生存质量恢复的作用越明显。 |
| 关键词：脑卒中 社区康复 功能 生存质量 |
| Long-term effect of community-based rehabilitation on function and quality of life in stroke patients Download Fulltext |
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| The Center of Rehabilitation Medicine，the Second Affiliated Hospital of Anhui College of Traditional Chinese Medicine，Hefei, 230061 |
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| Abstract: |
| Objective: To study long-term effect of community-based rehabilitation(CBR) on function and quality of life(QOL) in stroke patients by using functional comprehensive assessment(FCA)and World Health Organization quality of life assessment instrument brief version (WHOQOL-BREF). Method: Eighty stroke patients were randomly divided into control group (n=40) and rehabilitation group (n=40). The rehabilitation group were treated with community-based rehabilitation and regular following-up, functional assessment, while the control group only treated with following-up and functional assessment, no rehabilitation. FCA and WHOQOL-BREF were applied to assess patients at the beginning of enrollment, after 5 and 17 months. Result: At the beginning of enrollment，the difference in scores of FCA and WHOQOL-BREF between two groups was not obvious(P>0.05). There was significant difference in scores between two groups 5 and 17 months later(P<0.05).The rehabilitation group had a better outcome compared with control group. The control group had no significant difference in scores from the 5th month to the 17th month(P>0.05). Conclusion: Community-based rehabilitation has long-term effect on function and QOL in stroke patients. The earlier the patients receive CBR, the better the improvement on function and QOL will be acquired. |
| Keywords:stroke community-based rehabilitation function quality of life |
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