邹贵娣　温冬艳　陈小凯

【摘要】 目的：探讨手工作业包在病房延伸训练中对脑卒中患者日常生活能力的改善价值。方法：选取2017年1-12月本院康复医学科收治的120例脑卒中患者作为研究对象，按随机数字表法将其分为试验组和对照组，每组60例。对照组给予常规康复治疗，试验组在此基础上给予手工作业包治疗。观察两组基线期及治疗后MBI评分变化情况。结果：治疗后3、5周，试验组MBI评分均明显高于对照组，差异均有统计学意义（P<0.05）。结论：手工作业包在病房延伸训练中应用，能提高脑卒中患者日常生活活动能力，值得在康复病房中推广应用。

【关键词】 脑卒中； 病房延伸训练； 手工作业包； 日常生活能力

Value of Handwork Package Bag in Ward Extension Training for Daily Life Activities of Cerebral Stroke Patients/ZOU Guidi，WEN Dongyan，CHEN Xiaokai.//Medical Innovation of China，2018，15（12）：141-143

【Abstract】 Objective：To discuss the improvement value of handwork package bag in ward extension training for daily life activities of cerebral stroke patients.Method：A total of 120 cerebral stroke patients admitted in the Department of Rehabilitation Medicine of our hospital from January to December 2017 were selected as the study objects.According to the random number table method，they were divided into experimental group and control group，60 cases in each group.The control group was given routine rehabilitation treatment，the experimental group was given handwork package bag treatment on this basis.The changes of Modi-fied Barthel Index scores in baseline phase and after treatment were observed in two groups.Result：After treatment 3 and 5 weeks，Modi-fied Barthel Index scores in the experimental group were higher than those in the control group，the differences were statistically significant（P<0.05）.Conclusion：The application of handwork package bag in ward extension training can effectively improve the ability of daily life activities of cerebral stroke patients，it is worth of promoting and applying in rehabilitative ward.

【Key words】 Cerebral stroke； Ward extension training； Handwork package bag； Daily life activities

First-authors address：The Third Peoples Hospital of Huizhou City，Huizhou 516002，China

doi：10.3969/j.issn.1674-4985.2018.12.041

腦卒中是一种急性脑血管疾病，以脑组织损伤为主要病理特征，患者通常遗留不同程度的功能障碍和躯体残疾[1-3]。随着我国人口老龄化进程进展，脑卒中发病率呈持续上升趋势，现阶段该病已成为危害我国中老年人生活质量和生存质量的主要疾病[4-6]。作业疗法是一种康复治疗手段，有学者采用量性研究证明，传统作业疗法有助于恢复脑卒中患者日常生活活动能力，提高患者生活质量和生存质量[7-9]。但是传统作业疗法在康复病房延伸训练中时常会遇到康复护士执行困难的问题，且训练动作及内容较为机械、被动、枯燥、乏味等，以致患者依从性差、自我否定、情绪障碍等等，因而干预效果不稳定。因此，基于传统作业疗法探寻一种标准化、易推广的干预新模式尤为迫切。为此，本院开展该研究，旨在探讨手工作业包在病房延伸训练中对脑卒中患者日常生活能力的影响。……