家庭康复对海洛因脑病患者功能独立性评分的影响

目的:探讨家庭康复训练对海洛因脑病患者日常生活活动能力的影响。方法:将56例海洛因脑病患者分为康复组30例与对照组26例,采用功能独立性评分(FIM)量表分别比较出院时及出院后3,6和12个月时的日常生活活动能力。结果:康复组在出院后家庭康复3,6,12个月时的FIM均显著高于同时间的对照组(79.5±16.3 vs62.3±14.6,88.2±20.0 vs 65.5±13.4,99.6±21.2 vs 68.7±15.8,均P<0.05)。康复组家庭康复后3,6,12个月时的FIM较本组出院时逐渐提高(P<0.01)。结论:家庭康复能有效改善海洛因脑病患者的生活自理能力。

Effect of home-based rehabilitation on functional independence measures in patients with heroin-associated encephalopathy

Objective: To investigate effect of home-based rehabilitation on performance in a functional independence measure(FIM) in patients with heroin-associated encephalopathy(HE). Methods: A total of 56 patients with HE were divided into a family rehabilitation management group(treatment group,n=30) and a control group(n=26).The patients in the home-based rehabilitation management group were put on a rehabilitation program and then followed-up;those in the control group were only followed-up.Both groups were evaluated with FIM at discharge and 3,6,and 12 months after discharge. Results: FIM in the treatment group was remarkably better than that in the control group at 3,6,12 months after discharge(79.5±16.3 vs 62.3± 14.6,88.2±20.0 vs 65.5±13.4,99.6±21.2 vs 68.7±15.8;all P< 0.05).In the rehabilitation group,FIM of the patients receiving 3,6,and 12 months of rehabilitation therapy was significantly higher than that at the time of discharge(P<0.01). Conclusion: Home-based rehabilitation management has significant effect on the FIM in patients with HE.