一侧肢体功能障碍是脑卒中后的典型症状,其中手和上肢功能障碍严重影响着作业表现,使患者的生活受到不同程度的限制。本文基于人-环境-作业（person-environment-occupation,PEO）模式,从人、环境、作业活动和作业表现等方面,探讨脑卒中患者手和上肢功能的康复治疗,以期提升人们对中国脑卒中患者作业治疗内涵的理解。通过作业治疗,可以改善患者的行为表现,减轻功能受限程度,增强日常生活的活动能力,从而提高患者的生活质量。
Abstract
Hemiplegia is a typical dysfunction induced by stroke. The dysfunction of hand and upper extremity can severely influence the occupational performance and restrict the living ability of the patients. Based on person-environment-occupation (PEO) model, this paper discusses the rehabilitation of hand and upper extremity function from several aspects including factors related to person, environment and occupation, in order to improve the understanding of occupational therapy in China, improve the behavior performance, decrease the degree of function limitation and raise the living ability in routine life, ultimately resulting in the improved quality of life.
关键词
卒中 /
康复 /
职业疗法 /
人-环境-作业模式 /
手功能 /
上肢功能
Key words
Stroke /
Rehabilitation /
Occupational therapy /
Person-environment-occupation model /
Hand function /
Upper extremity function
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 何予工, 张天. 强化坐-站训练对脑卒中偏瘫患者平衡及步行能力的影响[J]. 中华物理医学与康复杂志, 2012, 34(8):596-599.
[2] KWAKKEL G, KOLLEN B J, VAN DER GROND J, et al.Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke[J]. Stroke, 2003, 34(9):2181-2186.
[3] COLE M B.Applied theories in occupational therapy: a practical approach[M]. Thorofare: SLACK Incorporated, 2008.
[4] 林志萍, 林威. 脑卒中后患者心理变化的分期与护理[J]. 中国实用医药, 2008, 3(55):180-181.
[5] BURSON K A, BARROWS C, CLARK C, et al.Specialized knowledge and skills in mental health promotion, prevention and intervention in occupational therapy practice[J]. Am J Occup Ther, 2010, 64(6_suppl):S30-S43.
[6] 恽晓平, 欧阳多利, 黄丽萍, 等. 从113例不同疾病患者的活动障碍分析看作业治疗的必要性[J]. 中国康复理论与实践, 1995, 1(1):15-19.
[7] 胡军. 作业治疗学[M]. 北京: 人民卫生出版社, 2012:42-43.
基金
上海中医药大学附属第七人民医院“七院新星”项目（编号：XX2016-09）
PDF(1544 KB)
