目的 探讨改良型音乐治疗对慢性精神分裂症患者临床康复效果的影响。方法 选取2010年4月—10月在我院住院的病情稳定的慢性精神分裂症患者76例,随机分为研究组和对照组各38例,两组患者在同等环境下维持原来的药物治疗和护理,研究组同时予以改良型音乐治疗,观察6个月,采用护士用住院病人观察量表(NOSIE)对两组进行评估。结果 两组经过治疗后,NOSIE各项因子分均较前有明显提高,差异有统计学意义;研究组 NOSIE总积极分、社会能力、社会兴趣、个人整洁等得分较对照组有明显提高,差异有统计学意义;总消极分激惹、精神病表现、迟缓、抑郁较对照组有较明显降低,差异统计学意义。结论 改良型音乐治疗,对慢性精神分裂症患者的临床康复有积极的促进作用。
Objective To explore the effect of modified music therapy on the rehabilitation of patients with chronic schizophrenia. Methods 76 patients with chronic schizophrenia who were hospitalized in our hospital from October to April of 2010 were randomly divided into study group and control group (38 cases). The patients in the two groups were treated with the same environment. The research group was treated with modified music. The two groups were evaluated by using the observation scale (NOSIE). Results Two groups after treatment, the NOSIE of the factors were significantly improved, the difference was statistically significant; the study group NOSIE total score, social ability, social interest, personal cleanliness, etc, compared with the control group were significantly improved. The difference was statistically significant; the total negative score, mental disease, depression, and the control group were significantly lower than the control group, the difference was statistically significant. Conclusion Modified music therapy has a positive effect on the rehabilitation of patients with chronic schizophrenia.
目的 了解脑卒中患者对社区康复的认知和需求情况。方法 对广州市从化区街口街社区475例脑卒中患者进行问卷调查,调查患者对社区康复认知和需求等相关内容。结果 对脑卒中社区康复知晓者293人,知晓率为61.7%。对社区康复有需求者258人,需求率为54.3%。在对社区康复知晓人群中,文化程度在中学以上、家庭经济≥5000元/月、付费方式为非自费者知晓率较高(P<0.05); 年龄及性别因素无差异(P>0.05)。在对社区康复有需求的人群中,年龄<60岁、男性、文化程度中学以上、家庭经济≥5000元/月、付费方式为非自费者需求率较高(P<0.05)。需求内容最多的是日常活动支持,达100%,需求内容最少的为专业器械支持,仅为26.0%。功能障碍程度越高的脑卒中患者对心理支持、药物支持、专业人员及专业器械支持的需求越高(P<0.05)。结论 脑卒中患者对社区康复的知晓和需要情况一般,仍需多方面的共同努力,促进脑卒中社区康复的开展和发展。
目的 观察康复路径在髋关节置换术后的临床应用效果,探讨其临床应用价值 。方法 将广州市第一人民医院2014年10月—2015年10月收治行髋关节置换术患者100例为研究对象,随机分为对照组与观察组各50例。对照组采取常规围手术期护理,观察组按照康复路径护理,比较两组患者术后并发症、住院时间、费用、患肢功能以及日常生活自理能力。结果 观察组住院时间和住院费用均少于对照组(P<0.01);两组术后并发症发生率、患肢功能评分及日常生活自理能力比较,差异均有统计学意义(P<0.01 )。结论 康复计划护理用于髋关节置换术后效果显著,可明显降低患者术后并发症,缩短住院时间,降低住院费用,有利于促进患者术后功能以及自理能力的恢复。
Objective To observe the effect of clinical application of rehabilitation in the path of a hip replacement, and to explore its clinical application value. Methods October 2014 to October 2015 in Guangzhou First People's Hospitalhip arthroplasty cases werecollected of 100 patients as the research object, randomly divided into control group and observation group with 50 cases in each group. The control group adopted conventional perioperation period nursing care, observation group in accordance with the recovery paths. We compared two groups of patients complications, hospitalization time, expense, limb function and activities of daily living. Results In the observation group, the hospitalization time and cost of hospitalization were significantly less than that of the control group (P<0.01); The incidence of limb function score, ability of daily living and postoperative complications were compared between the two groups, the differences were statistically significant (P<0.01). Conclusion Rehabilitation nursing care plans for after hip replacement effect is significant. It can significantly reduce the postoperative complications, shorten the time of hospitalization, reduce hospitalization expenses, and is beneficial to the recovery of the function of promoting postoperative and self-care ability.
目的 研究低视力儿童“学校-社区-家庭”三位一体综合康复干预工作的具体效果。方法 2013年1月,选择广州市盲人学校新入学80名低视力儿童,随机分为两组,为期二年的跟踪研究。其中A组执行“学校-社区-家庭”三位一体综合康复干预,B组执行传统康复干预。就知识积累、心理健康、生活能力三个方面对两组儿童的具体数据收集,研究“学校-社区-家庭”三位一体综合康复干预与传统干预方式之间的区别。结果 A组低视力儿童较B组儿童的文化知识积累与生活能力训练成绩均有提高,两者差距在正常分布带内,A组低视力儿童的心理素质优于B组低视力儿童。A组低视力儿童的综合评价效果高于B组儿童。结论 低视力儿童“学校-社区-家庭”三位一体综合康复干预工作的具体效果优于传统康复干预方式。
目的 探讨护理质量持续改进对康复医学科护理质量管理的影响。方法 制定康复医学科护理管理标准,比较改进前后护理专业基本技能评分和护患关系情况评分。结果 经过持续质量改进,康复医学科的护理质量显著提高。基础护理、护理文书和消毒隔离的评分显著提高,与改进前相比较,两组间的差异有统计学意义。护患关系融洽度和患者满意率提高,与改进前相比较,两组间差异有统计学意义;护理纠纷发生率降低,两组间差异有统计学意义。结论 在康复医学科护理管理中引进持续质量改进,可有效地提高护理质量,确保护理安全。
本文从康复治疗学专业课程体系、实践教学、学生创新能力和职业素养的培养、考核体系四个方面对康复治疗学本科人才培养模式的构建进行探讨,以期为丰富康复治疗学专业教学实践提供思路。
This paper is to investigate the construction of undergraduate educational talent cultivation mode of rehabilitation therapeutics from the following aspects: Curriculum system, practice teaching, cultivating students' innovative ability and professional quality and the assessment system, aimed to provide a reference for rehabilitation therapeutics teaching practice.
目的 探索协助式农疗对慢性精神分裂症患者社会功能的影响。方法 选取住院5年以上的慢性精神分裂症患者64例,随机分为研究组32例和对照组32例,实施室外农艺园艺方面的职业康复训练,并实行协助式管理新模式,康复训练前与训练后的第1、3、6月末分别采用护士用住院病人观察量表(NOSIE)对患者进行评价。结果 患者通过协助式农疗后,NOSIE总积极分、社会能力、社会兴趣、个人整洁等得分有明显提高,有统计学意义;总消极分激惹、精神病表现、迟缓、抑郁出现降低,有统计学意义。结论 慢性精神病患者在工作人员协助下参加农艺和园艺技术培训治疗,其症状和社会功能有较显著的改善。
Objective To explore the impact of assisted farming and gardening therapy on social function of patients with chronic schizophrenia. Methods 64 patients with chronic schizophrenia were randomly and equally divided into research group and control group, with 32 cases implemented outdoor farming and gardening vocational rehabilitation training in new management mode. Observe scale evaluation (NOSIE) was applied to assess the patients at the time before the training, one month after the training, three month after the training, and six month after the training. Results Patients received assisted farming therapy scored higher in total positive points, social ability, social interest, individual tidy. The difference was statistically significant. The scores of total negative points irritability, mental performance, slow, depression had reduced with statistical significance. Conclusion Assisted farming and gardening therapy can relieve patients' symptoms and improve patients' function.
目的 观察动静平衡康复训练对胫骨平台骨折术后患者平衡和行走功能的影响。方法 将2012年7月—2014年12月100例胫骨平台骨折患者,随机分为两组,每组50例。对照组术后展开常规康复训练,观察组实施动静平衡康复训练,观察两组膝关节功能、康复效果以及肌力恢复情况。结果 观察组患者的膝关节功能优良率为98.0%,高于对照组的60.0%,差异有统计学意义(P＜0.05)。观察组患者的Lysholm评分,高于对照组(P＜0.05)。观察组患者的肌力恢复情况,优于对照组(P＜0.05)。结论 基于“动静平衡”理念针对胫骨平台骨折患者实施术后康复指导与训练,有利于促进患者关节功能以及肌力恢复,巩固康复疗效,在训练过程中实现动态平衡,具有积极的临床意义。
Objective To investigate the static and dynamic balance rehabilitation training on the tibial plateau fracture patients balance and walking functions. Methods 100 cases of patients with tibial plateau fractures from July 2012 to December 2014, were randomly divided into two groups, 50 cases of each group. The control group was launched conventional rehabilitation, observation group received static and dynamic balance rehabilitation training. The knee function, rehabilitation and muscle recovery of the two groups were observed and statistically analyzed. Results The knee function excellent rate of observation group was 98.0%, significantly higher than control group 60.0%, there was statistical significance(P＜0.05). Lysholm score of observation group was higher than control group(P＜0.05). Muscle recovery of observation group was better than control group(P＜0.05). Conclusion Based on the “static and dynamic balance” concept for tibial plateau fractures postoperative rehabilitation for patients with guidance and training, and it will be promoting joint function in patients with muscle recovery and consolidate the recovery effect, to achieve dynamic equilibrium in the training process, with positive clinical significance.
目的 分析呼吸康复治疗对农村地区慢性阻塞性肺疾病(COPD)稳定期患者BODE评分系统的影响。方法 将我院收治的60例COPD稳定期患者作为研究对象,随机分为对照组与观察组,每组30例。对照组常规治疗,观察组则给予呼吸康复治疗方案。比较两组患者治疗前后BOBE评分系统的变化。结果 治疗后,观察组BMI、FEV1%、MMRC分级、6MWD分别为(22.4±1.1)kg/m2,(68.6±3.6)%,(1.3±0.2)级,(256.3±36.3)m,BODE指数评分降低至(3.4±1.0)分,ADL为(78.2±6.4)分,QOL为(67.8±2.6)分,与对照组相比差异有统计学意义(P<0.05);且观察组炎性因子水平下降幅度高于对照组(P<0.05)。结论 在农村地区COPD稳定期患者的临床治疗中,采用呼吸康复治疗方案,患者BODE评分系统指标改善显著,值得推广。
Objective To analyze the influence of respiratory rehabilitation treatment on BODE coring system of patients with chronic obstructive pulmonary disease (COPD) in stable phase in rural areas. Methods 60 patients with COPD in stable phase admitted into the hospital were selected as the research object and were randomly divided into control group and observation group with 30 cases in each. The control group received conventional treatment while the observation group received respiratory rehabilitation treatment. The changes of BOBE coring system in the two groups before and after the treatment were compared. Results After the treatment, BMI, FEV1% MMRC classification and 6MWD of the observation group were (22.4±1.1) kg/m2, (68.6±3.6)%, (1.3±0.2) and (256.3±36.3) m respectively. The BODE index score decreased to (3.4±1.0), ADL (78.2±6.4), and QOL (67.8 + 2.6).compared with those of the control group, the difference was statistically significant (P< 0.05). And the decline level of inflammatory factors in the observation group was significantly higher than that of the control group (P<0.05). Conclusion In the clinical treatment of patients with COPD in stable phase in rural areas, respiratory rehabilitation treatment were adopted, the improvement of BOBE coring system indexes is significant. It is worthy to be popularized.
目的 探讨综合康复训练对脑卒中后轻度认知障碍患者的应用效果及认知功能影响。方法 选取2022年2月—2023年2月暨南大学附属广州红十字会医院收治的80例脑卒中后轻度认知障碍患者展开前瞻性研究，应用抽签法将其分为综合康复组与常规组，各40例。常规组实施常规干预，综合康复组在常规组基础上增加综合康复训练，对比其认知功能，简易智能精神状态检查量表（MMSE）、美国国立卫生院卒中量表（NIHSS）评分变化，运动功能与平衡功能，日常生活能力与生活质量。结果 干预后综合康复组患者洛文斯顿作业疗法认知量表评分注意力为（3.36±0.42）分、思维运动为（17.34±2.31）分、定向力为（13.19±1.24）分，均高于常规组，且两组干预后高于干预前（P＜0.05）；干预后综合康复组患者MMSE评分为（25.58±4.12）分高于常规组，且两组干预后高于干预前，NIHSS评分为（14.53±2.62）分，低于常规组，且两组干预后低于干预前（P＜0.05）；干预后综合康复组患者Fugl-Meyer运动功能评定量表评分为（14.51±3.23）分、手臂动作调查测试表评分为（26.86±5.25）分、平衡量表评分为（43.06±5.13）分，高于常规组，且两组干预后高于干预前（P＜0.05）；干预后综合康复组患者日常生活活动能力量表评分为（53.02±4.43）分、脑卒中专用生活质量量表评分为（97.11±12.23）分，高于常规组，且两组干预后高于干预前（P＜0.05）。结论 针对脑卒中后轻度认知障碍患者采取综合康复训练可促进患者认知功能恢复，提升患者运动功能及机体平衡功能，改善患者智力水平与神经功能，进一步提升患者日常生活能力与生活质量。
Objective To explore the effect of comprehensive rehabilitation training on cognitive function in patients with mild cognitive impairment after stroke．Methods A prospective study was conducted on 80 patients with mild cognitive impairment after stroke，who admitted to the hospital from February 2022 to February 2023．They were divided into a comprehensive rehabilitation group and a control group using a lottery method，with 40 patients in each group．The control group received routine intervention，while the comprehensive rehabilitation group received additional comprehensive rehabilitation training on the basis of the control group．Their cognitive function，Mini Mental State Examination Scale（MMSE），National Institutes of Health Stroke Scale in the United States（NIHSS）score changes，motor function and balance function，daily living ability and quality of life were compared．Results After intervention，the Lowenstein Occupational Therapy Cognitive Scale scores of attention（3.36±0.42），thinking and motor（17.34±2.31），and orientation（13.19±1.24）in the comprehensive rehabilitation group were higher than those in the control group，and both groups had higher scores after intervention than before（P＜0.05）．After intervention，the MMSE score（25.58±4.12）of patients in the comprehensive rehabilitation group was higher than that of the control group，and both groups had higher scores after intervention compared to those before intervention．The NIHSS score（14.53±2.62）was lower than that of the control group，and both groups had lower scores after intervention compared to those before intervention（P＜0.05）．After intervention，the Fugl Meyer Assessment score（14.51±3.23），Arm Movement Survey Test Form score（26.86±5.25），and Balance Scale score（43.06±5.13）in the comprehensive rehabilitation group were higher than those in the control group，and both groups had higher scores after intervention than before（P＜0.05）．After intervention，the Basic Activity of Daily Living score（53.02±4.43）and stroke specific quality of life score（97.11±12.23）in the comprehensive rehabilitation group were higher than those in the control group，and both groups had higher scores after intervention than before（P＜0.05）．Conclusions Comprehensive rehabilitation training for patients with mild cognitive impairment after stroke can promote cognitive function recovery，improve motor function and balance function，enhance intelligence and neurological function，and further improve daily living ability and quality of life．
