早期神经床边康复干预对脑卒中患者日常生活活动恢复的影响。

IF 1.7 4区 医学 Q4 NEUROSCIENCES
Kaiqi Huang, Ying Li, Xizhen Jie, Cui Liu, Huijuan Jie
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引用次数: 0

摘要

背景:脑卒中是一种常见的神经系统疾病,可导致严重的功能损害和生活质量下降。早期床边康复在患者康复中起着至关重要的作用,但对其有效性的研究有限。方法:本研究旨在评估早期床边康复对脑卒中患者的影响。150例患者随机分为干预组(n = 75)和对照组(n = 75)。干预组在脑卒中发生后48小时内接受物理治疗、职业治疗和言语治疗。对照组接受标准治疗。评估包括日常生活活动(ADL)、运动功能、认知功能和生活质量。结果:干预组在ADL、运动功能、认知功能和生活质量方面均明显优于对照组。干预组Barthel指数、改良Rankin量表、Fugl-Meyer量表、Montreal认知评估(MoCA)和脑卒中特异性生活质量量表(SS-QOL)得分较高(p)。结论:早期神经内科床边康复治疗显著改善脑卒中患者的康复,包括ADL、运动功能、认知功能和生活质量。这些发现强调了早期康复和综合多学科方法在卒中护理中的重要性,这可以改善康复结果和整体护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early neurological bedside rehabilitation intervention on the recovery of activities of daily living in stroke patients.

Background: Stroke is a common neurological disorder that leads to severe functional impairments and reduced quality of life. Early bedside rehabilitation plays a crucial role in recovery, but research on its effectiveness is limited.

Methods: This study aimed to assess the impact of early bedside rehabilitation on stroke patients. A total of 150 patients were randomly assigned to an intervention group (n = 75) and a control group (n = 75). The intervention group received physical therapy, occupational therapy, and speech therapy within 48 h of stroke onset. The control group received standard care. Assessments included activities of daily living (ADL), motor function, cognitive function, and quality of life.

Results: The intervention group showed significantly better outcomes in ADL, motor function, cognitive function, and quality of life compared to the control group. The intervention group had higher Barthel Index, modified Rankin Scale, Fugl-Meyer Assessment, Montreal Cognitive Assessment (MoCA), and Stroke-Specific Quality of Life Scale (SS-QOL) scores (p < 0.001).

Conclusion: Early bedside rehabilitation in the neurology department significantly improves stroke patients' recovery, including ADL, motor function, cognitive function, and quality of life. These findings highlight the importance of early rehabilitation and a comprehensive, multidisciplinary approach in stroke care, which can improve recovery outcomes and overall quality of care.

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来源期刊
CiteScore
5.10
自引率
0.00%
发文量
132
审稿时长
2 months
期刊介绍: The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders.  The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.
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