目的 探讨ICF指导下的作业治疗对脑卒中偏瘫患者日常生活活动能力的影响。方法 选取2013年5月至11月,住院脑卒中偏瘫患者60例随机分成观察组和对照组,各30例。两组均接受常规康复治疗,对照组采取常规作业治疗,观察组以ICF理论为基础,结合个案的功能、主观诉求及环境因素,制定个性化的作业治疗方案。治疗前及治疗40 d后采用改良Barthel指数(MBI)进行评定。结果 两组患者治疗后MBI各项目评分均显著升高(t>14.86, P<0.001),观察组评分显著高于对照组(t>18.65, P<0.001)。结论 ICF指导下个性化作业治疗能更有效提高脑卒中偏瘫患者的日常生活活动能力。
Objective To investigate the effects of occupational therapy based on International Classification of Functioning, Disability and Health (ICF) on activities of daily living of patients with hemiplegia after stroke. Methods From May to November, 2013, 60 patients with hemiplegia after stroke were randomly divided into observation group (n=30) and control group (n=30). Both groups received routine treatment, while the control group received routine occupational therapy and the observation group received occupational therapy based on ICF. They were assessed with modified Barthel Index before and 40 days after treatment. Results The scores of items of MBI improved after treatment in both groups (t>14.86, P<0.001), and improved more in the observation group than in the control group (t>18.65, P<0.001). Conclusion The occupational therapy based on ICF can further improve the activities of daily living of patients with hemiplegia after stroke.
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