关键词: 脑血管意外, 偏瘫, 上肢, 康复护理

Abstract:

Objective To study the effects of task-oriented training based on occupation-based analysis in upper limb functions of stroke patients with hemiplegia. Methods Sixty stroke patients admitted from January 2019 to November 2020 were randomly divided into control group (n=30) and observation group (n=30) by means of random number table. The patients in control group received regular neurology drug therapy and conventional rehabilitation therapy based on acupuncture and moxibustion therapy including traditional occupational therapy. The patients in observation group completed task-oriented occupational therapy after receiving traditional occupational therapy in the occupational therapy department on the basis of therapy in the control group. Canadian Occupational Performance Measure (COPM), Fugl-Meyer Motor Assessment Scale upper limb part (FMA-UE) and nine-hole socket test were used to assess the upper limb performance, motor function, finger flexibility and coordination of patients before and four weeks after treatment. Results COPM satisfaction scores, COPM expressivity scores, FMA-UE and nine-hole insert test results of patients in two groups were better after treatment than before treatment. The differences in the COPM expressivity scores, COPM satisfaction scores, FMA-UE scores and nine-hole insert test results of observation group were better than those of control group (P<0.05). Conclusion The task-oriented training based on occupational analysis can improve upper limb motor function and finger flexibility in convalescent stroke patients and improve the performance and satisfaction of patients' occupational activities.

Key words: cerebrovascular accident, hemiplegia, upper limb, rehabilitation nursing