脑卒中患者居家远程康复指导效果的观察

doi:10.3969/j.issn.1006-9771.2021.07.012

Abstract

Abstract:

Objective To explore the effects of home-based telerehabilitation guidance on physical function and activities of daily living for stroke patients.

Methods From September, 2015 to March, 2018, 240 stroke recovering patients from three community health service centers in Fengtai District, Beijing for outpatient rehabilitation were randomly divided into control group (n = 120) and tele-rehab group (n = 120). Both groups accepted routine rehabilitation for six months, while the tele-rehab group received telerehabilitation guidance in addition. They were assessed with Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) before and after treatment.

Results The scores of FMA and MBI improved after treatment in both groups (|t| > 14.536, P< 0.001), and improved more in the tele-rehab group than in the control group (|t| > 2.200, P< 0.05).

Conclusion Home-based telerehabilitation guidance may enhance the effect of community-based outpatient rehabilitation for stroke patients.

Key words: stroke, community-based rehabilitation, telerehabilitation, home-based rehabilitation

CLC Number:

R743.3

LIU Hui-lin,ZHOU Bin,ZHAO Zheng,YANG Yan,LÜ Xue-qin,WANG Yue,YU Ting. Home-based Telerehabilitation Guidance for Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 807-811.

Figures/Tables 4

References 36

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组别	n	性别(男/女, n)	年龄(岁)	病程(月)	卒中类型(出血/梗死, n)	偏瘫侧(左/右, n)
对照组	114	68/46	63.79±11.14	3.44±1.49	48/66	58/56
远程组	108	52/56	65.70±13.06	3.59±1.30	58/50	70/38
χ²/t值		1.477	-0.908	-0.580	1.495	2.206
P值		0.224	0.366	0.563	0.221	0.137

组别	n	治疗前	治疗后	t值	P值
对照组	114	18.70±9.70	33.60±10.09	-14.536	< 0.001
远程组	108	17.22±9.99	38.04±11.17	-20.391	< 0.001
t值		0.792	-2.200
P值		0.430	0.030

组别	n	治疗前	治疗后	t值	P值
对照组	114	13.47±5.30	20.63±4.75	-16.273	< 0.001
远程组	108	14.35±5.00	23.07±5.27	-16.984	< 0.001
t值		-0.896	-2.567
P值		0.372	0.012

组别	n	治疗前	治疗后	t值	P值
对照组	114	31.32±11.52	56.04±11.36	-26.376	< 0.001
远程组	108	29.19±12.05	65.46±11.21	-18.788	< 0.001
t值		0.952	-4.399
P值		0.343	< 0.001

Home-based Telerehabilitation Guidance for Stroke Patients

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