Influence of family rehabilitation on limb function and quality of life in patients after stroke

doi:10.3877/cma.j.issn.1674-0785.2017.19.001

Abstract

Abstract:

Objective

To evaluate the influence of family rehabilitation on limb function and quality of life in patients after stroke and to compare family rehabilitation with inpatient rehabilitation and outpatient guidance.

Methods

Forty-five patients after stroke were randomly divided into three groups to receive family rehabilitation, inpatient rehabilitation, and outpatient guidance, respectively, with 15 cases in each group. All the three groups were given conventional comprehensive rehabilitation treatment. After hospital discharge, the family rehabilitation group was given training guidance for family rehabilitation, and the outpatient guidance group was followed on an outpatient basis once a month. At three and six months after treatment, the Fugl-Meyer Assessment (FMA), the Modified Barthel Index (MBI), and the MOS 36-item short from health survey (SF-36) were used for evaluations and comparisons. Average medical expense was also compared among the three groups.

Results

Before treatment, the FMA, MBI, and SF-36 scores in the three groups had no significant difference (P>0.05). At three and six months after treatment, the family rehabilitation group and inpatient rehabilitation group had significantly improved FMA, MBI, and SF-36 scores compared with the scores before treatment (P<0.05). There was no significant difference in the FMA, MBI, or SF-36 score between the family rehabilitation group [three months: (60.26±10.46), (66.36±9.25), and (62.55±12.95); six months: (74.58±11.58), (77.12±12.78), and (79.52±11.32), respectively] and the inpatient rehabilitation group [three months: (63.28±12.59), (68.21±11.35), and (79.52±11.32); six months: (76.16±12.63), (79.12±12.54), and (80.41±12.26), respectively] (P>0.05). After three or six months of treatment, the outpatient guidance group had no significant improvement with regard to the above three scores (P>0.05). There was a significant difference in the above three scores between the outpatient guidance group and the other two groups (P<0.05). Average medical expense was significantly lower in the family rehabilitation group and outpatient guidance group than in the inpatient rehabilitation group.

Conclusion

Family rehabilitation can improve the limb function and quality of life and reduce the medical expense in patients after stroke.

Key words: Stroke, Quality of life, Family rehabilitation

Ming Zhang, Shugang Li, Qian Zhu, Jie Hu, Qiong Wu, Kang Liu. Influence of family rehabilitation on limb function and quality of life in patients after stroke[J]. Chinese Journal of Clinicians(Electronic Edition), 2017, 11(19): 2253-2258.

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References 20

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组别	例数	性别（例）		年龄（岁，±s）	病程（d，±s）	脑卒中类型（例）		偏瘫侧（例）
组别	例数	男	女	年龄（岁，±s）	病程（d，±s）	脑梗死	脑出血	左侧	右侧
家庭康复组	15	9	6	54.53±10.51	62.34±11.54	10	5	8	7
住院康复组	15	8	7	55.56±9.14	65.85±12.14	11	4	9	6
门诊随访组	15	10	5	55.12±10.54	64.38±10.16	10	5	9	6

组别	例数	性别（例）		年龄（岁，±s）	病程（d，±s）	脑卒中类型（例）		偏瘫侧（例）
组别	例数	男	女	年龄（岁，±s）	病程（d，±s）	脑梗死	脑出血	左侧	右侧
家庭康复组	15	9	6	54.53±10.51	62.34±11.54	10	5	8	7
住院康复组	15	8	7	55.56±9.14	65.85±12.14	11	4	9	6
门诊随访组	15	10	5	55.12±10.54	64.38±10.16	10	5	9	6

组别	FMA评分	MBI评分
家庭康复组（15例）	?	?
治疗前	43.21±8.25	39.32±7.51
治疗3个月后	60.26±10.46^ab	66.36±9.25^ab
治疗6个月后	74.58±11.58^ab	77.12±12.78^ab
住院康复组（15例）	?	?
治疗前	42.56±8.71	38.24±9.27
治疗3个月后	63.28±12.59^ab	68.21±11.35^ab
治疗6个月后	76.16±12.63^ab	79.12±12.54^ab
门诊随访组（15例）	?	?
治疗前	43.93±9.95	39.11±8.26
治疗3个月后	45.23±9.47	44.12±10.52
治疗6个月后	48.12±10.27	50.12±11.55

组别	FMA评分	MBI评分
家庭康复组（15例）	?	?
治疗前	43.21±8.25	39.32±7.51
治疗3个月后	60.26±10.46^ab	66.36±9.25^ab
治疗6个月后	74.58±11.58^ab	77.12±12.78^ab
住院康复组（15例）	?	?
治疗前	42.56±8.71	38.24±9.27
治疗3个月后	63.28±12.59^ab	68.21±11.35^ab
治疗6个月后	76.16±12.63^ab	79.12±12.54^ab
门诊随访组（15例）	?	?
治疗前	43.93±9.95	39.11±8.26
治疗3个月后	45.23±9.47	44.12±10.52
治疗6个月后	48.12±10.27	50.12±11.55

组别	生理机能	生理职能	躯体疼痛	总体健康	精神健康
家庭康复组（15例）	?	?	?	?	?
治疗前	55.12±6.45	49.26±9.56	52.56±10.92	41.12±11.65	36.82±9.52
治疗3个月后	65.23±9.53^ab	59.69±9.24^ab	63.54±11.25^ab	50.28±10.11^ab	47.56±9.24^ab
治疗6个月后	83.69±11.21^ab	71.35±11.36^ab	81.59±13.15^ab	61.25±11.43^ab	60.21±10.56^ab
住院康复组（15例）	?	?	?	?	?
治疗前	54.24±5.11	48.37±9.25	50.41±10.19	43.12±11.34	37.18±9.51
治疗3个月后	66.12±7.47^ab	59.37±9.37^ab	64.14±10.92^ab	51.12±10.63^ab	46.08±9.92^ab
治疗6个月后	84.29±7.31^ab	72.35±10.25^ab	83.31±12.71^ab	63.14±11.43^ab	59.17±10.42^ab
门诊随访组（15例）	?	?	?	?	?
治疗前	53.56±6.65	50.16±9.15	50.12±9.78	40.67±10.26	35.68±9.87
治疗3个月后	56.23±8.76	54.75±9.56	54.95±9.83	44.75±9.84	36.82±9.52
治疗6个月后	60.78±9.12	59.58±8.69	58.67±9.14	41.57±10.58	42.45±10.27
组别	精力	社会功能	情感职能	总评分
家庭康复组（15例）	?	?	?	?
治疗前	42.18±9.56	54.53±9.95	43.56±8.31	51.98±10.11
治疗3个月后	53.26±10.51^ab	64.38±11.13^ab	55.56±9.96^ab	62.55±12.95^ab
治疗6个月后	65.11±12.65^ab	76.19±13.52^ab	67.19±12.65^ab	79.52±11.32^ab
住院康复组（15例）	?	?	?	?
治疗前	43.19±9.64	53.19±10.51	42.17±7.34	50.19±10.05
治疗3个月后	52.89±12.64^ab	62.71±12.35^ab	53.27±9.31^ab	63.19±11.33^ab
治疗6个月后	64.92±11.74^ab	74.12±12.25^ab	64.16±8.14^ab	80.41±12.26^ab
门诊随访组（15例）	?	?	?	?
治疗前	43.89±10.38	52.76±10.13	41.83±9.42	50.83±9.46
治疗3个月后	46.43±10.69	56.53±9.95	45.95±7.95	53.76±8.13
治疗6个月后	53.18±9.16	62.31±9.57	49.16±10.17	59.18±10.14

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