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基于ICF设计的健康管理方案在脑卒中恢复期的应用及疗效观察
引用本文:孙李慧子,姚金佳,林丹丹,宋燮阳,王陈信子,胡军.基于ICF设计的健康管理方案在脑卒中恢复期的应用及疗效观察[J].中国康复,2021,36(8):456-460.
作者姓名:孙李慧子  姚金佳  林丹丹  宋燮阳  王陈信子  胡军
作者单位:上海市第二康复医院,上海 200431
基金项目:上海市宝山区科学技术委员会科研项目(18-E-37),上海市宝山区医学特色专科项目(BSZK-2018-A01)
摘    要:目的:观察基于国际功能、残疾和健康分类(ICF)脑卒中核心要素下设计的健康管理小程序在脑卒中恢复期住院患者中使用后对其功能改善的影响分析.方法:40例脑卒中患者随机分为观察组和对照组各20例,2组均采用常规康复治疗方案,观察组在治疗后增加健康管理程序使用.2组在治疗前后分别进行认知功能(MOCA)、运动功能(MAS)和...

关 键 词:ICF核心要素  健康管理  作业治疗  健康处方  自我康复

Application and curative effect of health management program based on ICF design in convalescent stage of stroke
Abstract:Objective: To explore the effects of the health management program designed under the core elements of stroke based on International Classification of Functioning, Disability and Health (ICF) on the functional improvement of stroke inpatients in convalescent period. Methods: A total of 40 patients were randomly divided into experimental group and control group. Both groups were given routine treatment, and the experimental group received health management program after treatment additionally. The two groups were assessed with cognitive function, motor function, participation level before and 5 weeks after treatment. Results: After 5 weeks of intervention, the improvement of cognitive function score, motor function score, and the improvement of motor dysfunction were significantly better in the experimental group than those in the control group (P<0.01). After treatment, the ICF activity and participation scores were significantly lower, the improvement of the activity and participation ability was significantly better, and the improvement degree of obstacles of activity and participation ability was better in the experimental group than those in the control group (P<0.05). Conclusions: The design of health management strategies and the use of mini program can effectively improve cognitive function, motor function, activities of daily living and participation level in patients with stroke.
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