基于脑卒中居家康复APP的远程指导对患者出院后的疗效研究

Study on the effects of remote guidance through a home rehabilitation APP for stroke patients after discharge

中文关键词: 老年  脑卒中  居家康复  互联网+  远程康复指导

英文关键词: elderly  stroke  home rehabilitation  internet+  remote rehabilitation guidance

中文摘要:

      目的 观察脑卒中居家康复APP的远程指导对患者出院后肢体功能、日常生活能力、心理状况、社会支持的疗效.方法 选取2022年8月—2023年9月从上海市浦东新区周浦医院康复医学科出院后的脑卒中患者100例,随机分成对照组50例、观察组50例.对照组进行常规居家康复治疗,观察组在居家康复APP远程指导下进行康复治疗,共3个月.干预前后,采用简化Fugl-Meyer运动功能量表(FMA)、Tinetti平衡与步态量表、改良Barthel指数(MBI)、汉密尔顿抑郁量表(HAMD17)、照顾者压力指数(CSI)进行评估.结果 干预前FMA、Tinetti、MBI、HAMD17、CSI 2组患者评分比较,均无显著性差异(P＞0.05);干预第1、第3个月后,2组FMA、Tinetti、MBI、HAMD17、CSI评分与干预前相比均有显著性差异(P＜0.05);干预第1个月后,2组间FMA-上肢、Tinetti-步态、MBI、CSI无显著差异(P＞0.05),但2组间 FMA-下肢、Tinetti-平衡、HAMD17 差异显著(P＜0.05);干预第 3 个月后,2 组间 FMA、Tinetti、MBI、HAMD17、CSI差异显著(P＜0.05),有统计学意义.结论 脑卒中居家康复APP远程指导可有效改善出院后脑卒中患者肢体功能状况和日常生活能力,并降低心理抑郁状况和缓解社会压力.

英文摘要:

      Objective To investigate the effects of remote guidance through a stroke home rehabilitation APP on limb function,daily living ability,psychological status,and social support of patients after discharge.Methods 100 stroke patients discharged from Department of Rehabilitation Medicine,Zhoupu Hospital in Pudong New District from August 2022 to Septem-ber 2023 were selected and randomly divided into control group(50 cases)and observation group(50 cases).The control group received common home rehabilitation treatment,and the observation group received rehabilitation treatment under the re-mote guidance of home rehabilitation APP.Both groups were treated for 3 months.Before and after intervention,the Simpli-fied Fugl Meyer Motor Function Scale(FMA),Tinetti Balance and Gait Scale,Modified Barthel Index(MBI),Hamilton De-pression Scale(HAMD17),and Caregiver Stress Index(CSI)were used for evaluation.Results There were no significant differences in the scores of FMA,Tinetti,MBI,HAMD17 and CSI between the two groups before treatment(P＞0.05).Af-ter the first and third month of intervention,the scores of FMA,Tinetti,MBI,HAMD17 and CSI of the two groups were sig-nificantly different from those of the same group before intervention(P＜0.05).After the first month of intervention,there was no significant difference in the scores of FMA(upper limb),Tinetti(gait),MBI,and CSI between the two groups(P＞0.05),but there was significant differences in the scores of FMA(lower limb),Tinetti(balance),and HAMD17 between the two groups(P＜0.05).After the third month of intervention,there were significant differences in the scores of FMA,Tinetti,MBI,HAMD17 and CSI between the two groups,with statistical significance(P＜0.05).Conclusion Remote guidance through the stroke home rehabilitation APP can effectively improve the limb function and daily living abilities of stroke patients after discharge,reduce their psychological depression,and alleviate their social pressure.