早期日常生活能力训练对脑卒中患者生活质量的影响

目的探讨早期强化日常生活活动能力(ADL)训练对脑卒中偏瘫患者生活质量(QOL)的影响。方法将60例首发脑卒中偏瘫患者分成ADL训练组和物理治疗组各30例。两组患者入院后均接受神经内科常规治疗和物理治疗,ADL训练组除接受上述治疗外,在不同阶段进行相应的ADL强化训练。然后在不同阶段比较两组QOL总分值,第1次QOL测定在入院后1周,以后每个月测定1次,观测6个月。结果入院后1周和治疗后1个月时两组QOL总分值比较无统计学意义(P>0.05),治疗2个月后经比较开始出现显著性差异。结论早期强化脑卒中偏瘫患者ADL训练,对患者的QOL有明显提高,值得康复医学工作者重视。

The influence of early daily life training on the quality of life of cerebral apoplexy patients

Objective To probe into the influence of early exercises of activity of daily living on the quality of life (QOL) of cerebral apoplexy patients. Methods 60 patients at first onset of cerebral apoplexy were grouped into ADL group and physical therapy group equally, all receiving routine and physical therapies. Besides, the former received intense exercises of ADL at different stages. The grades of QOL at different stages between the groups were compared. The first test was conducted a week after hospitalization and the following tests were done once a month, lasting 6 months. Results There found no significant difference in comparison of the grades at the first and second test (P>0.05), but it was totally reversed from the second month. Conclusion Early enhancement of ADL exercises in cerebral apoplexy patients can evidently increase their QOL, worth attention from restorative medical staff.