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。
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 enrolhnent, 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.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2009年第10期934-937,共4页
Chinese Journal of Rehabilitation Medicine
关键词
脑卒中
社区康复
功能
生存质量
stroke
community-based rehabilitation
function
quality of life
