摘要
目的探讨加拿大作业表现量表(COPM)在脑卒中偏瘫患者作业治疗中的应用效果。方法纳入脑卒中患者63例,将其分成观察组(n=31)和对照组(n=32)。治疗前对两组患者进行Fugl-Meyer上肢运动功能评分(FMA)、改良Barthel指数(MBI)和简易认知状态评价量表(MMSE)评定。对照组患者采用常规康复治疗,观察组在此基础上辅以COPM的评估,进行活动分析并实施针对性的作业康复治疗。治疗8周后对观察组患者再次进行COPM评估,同时对两组患者进行FMA、MBI和MMSE评估,评价康复疗效。结果与治疗前比较,治疗8周后观察组患者COPM表现度和满意度较治疗前明显提高[(20.95±10.52)分vs.(42.79±14.19)分、(20.14±11.04)分vs.(47.11±15.83)分,P<0.05]。治疗后两组患者FMA、MBI、MMSE评分较治疗前均有提高,且观察组得分明显高于对照组[(43.74±21.39)分vs.(31.91±19.49)分、(63.81±21.57)分vs.(50.41±18.95)分、(21.00±5.83)分vs.(17.78±6.35)分,P<0.05]。结论应用COPM有助于为脑卒中患者制订个性化作业治疗方案,改善患者亟需解决的作业活动目标,可提高患者肢体运动功能和日常生活活动能力及认知功能。
Objective To investigate the application efficacy of the Canadian Occupational Performance Measure(COPM)in the occupational therapy of the patients with stroke hemiplegia.Methods A total of 63 patients with stroke were enrolled and randomly divided into the observation group(n=31)and control group(n=32).Before treatment,the cases were evaluated by the upper limb motion function score of the Fugl-Meyer Scale(FMA),modified Barthel index(MBI)and mini-mental state examination(MMSE).The patients in the control group adopted the conventional rehabilitation treatment,and the observation group was supplemented with the COPM assessment on this basis,and conducted the targeted occupational rehabilitation therapy.After 8-week treatment,the observation group was evaluated by COPM again,meanwhile the two groups were assessed by FMA,MBI and MMSE for evaluating the rehabilitation effect.Results The COPM performance and satisfaction after 8-week treatment in the observation group were significantly increased compared with those before treatment[(20.95±10.52)points vs.(42.79±14.19)points,(20.14±11.04)points vs.(47.11±15.83)points,P<0.05];the FMA,MBI and MMSE scores after treatment in the two groups were significantly increased compared with those before treatment,moreover the scores of the observation group were significantly higher than those of the control group[(43.74±21.39)points vs.(31.91±19.49)points,(63.81±21.57)points vs.(50.41±18.95)points,(21.00±5.83)points vs.(17.78±6.35)points,P<0.05].Conclusion The application of COPM is helpful to formulate the individualized occupational therapy plan for stroke patients,improve the occupational activity goals that patients urgently need to solve,and can improve the patient′s limb motor function,activity ability of daily living and cognitive function.
作者
孙妙璇
周颖
林玲
朱艳艳
周成业
SUN Miaoxuan;ZHOU Ying;LIN Ling;ZHU Yanyan;ZHOU Chengye(Department of Rehabilitation,First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325015,China)
出处
《重庆医学》
CAS
2021年第10期1733-1736,共4页
Chongqing medicine
基金
浙江省温州市科技局科技基础研究项目(Y2020302)。
关键词
脑卒中
加拿大作业表现量表
作业治疗
常规康复治疗
效果分析
stroke
Canadian occupational performance measure
occupational therapy
conventional rehabilitation
effect analysis
