远程康复系统在脑卒中患者病房延续训练中的应用疗效研究

关键词：国际功能、残疾和健康分类  脑卒中  远程康复  病房延续训练

Keywords:international classification of functioning,disability and health  stroke  telerehabilitation  ward extension training

摘要：

      摘要 目的：采用《国际功能、残疾和健康分类》（ICF）脑卒中核心分类组合评价远程康复系统在脑卒中患者病房延续训练中的疗效。 方法：将80例脑卒中患者随机分为试验组与对照组各40例。两组患者除接受常规康复治疗外，通过远程康复系统为试验组分配病房延续训练内容和指导视频，对照组仅提供口头任务分配。通过单盲设计评估并对比两组为期20天的治疗前后Fugl-Meyer运动功能评估量表（FMA）、蒙特利尔量表（MoCA）、健康状况调查简表（SF-36）得分。 结果：20天治疗后，试验组各项评分均较前显著改善，差异有显著性意义（P<0.05）。对照组除去SF-36的躯体疼痛（BP）、精力（VT）、社会功能（SF）、情感职能（RE）、精神健康（MH）5个维度无明显改善外（P>0.05），其他评分均有改善，差异有显著性意义（P<0.05）。组间对比，试验组在FMA、SF-36生理机能（PF）与生理职能（RP）维度得分明显高于对照组，差异有显著性意义（P<0.05）。 结论：远程康复系统在脑卒中患者病房延续训练中，具有提升躯体运动功能、认知功能、改善生存质量等作用。

Abstract:

      Abstract Objective: To evaluate the effect of telerehabilitation system in ward extension training of stroke patients using the international classification of functioning, disability and health (ICF) core sets for stroke. Method: Eighty stroke patients were randomly divided into an experimental group (n=40) and a control group (n=40). Both groups received routine rehabilitation treatment. Professional therapists assigned ward extension training content and guidance videos to patients in the experimental group through telerehabilitation system, while patients in the control group were only provided with oral task assignments. The patients were assessed using the Fugl-Meyer assessment (FMA), Montreal cognitive assessment (MoCA), and the Short Form 36 Health Survey Questionnaire (SF-36) before and after treatment (20 days) through single-blind design. Result: After 20 days of treatment, FMA, MoCA, and SF-36 of the experimental group were significantly improved, and the differences were statistically significant (P<0.05). Bodily pain (BP), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH) dimensions of SF-36 in the control group were not significantly improved (P>0.05), while other scores were significantly improved, and the differences were statistically significant (P<0.05). The scores of FMA, physical functioning (PF), and role physical (RP) in SF-36 of the experimental group were significantly higher than those in the control group (P<0.05). Conclusion: The telerehabilitation system can improve physical motor function, cognitive function and quality of life in ward extension training of stroke patients.