Qian Hong, Chen Shuangxi, Chen Yarui, Chang Yunqian, Li Yihui, Dou Shiying, Chen Qianlan, Wang Gang, Xie Ming
Department of Neurology, The First Affiliated Hospital, University of South China, Hengyang.
Department of Rehabilitation, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Neurologist. 2022 May 1;27(3):89-94. doi: 10.1097/NRL.0000000000000375.
Intracerebral hemorrhage (ICH), a severe disorder with the high death rate, high recurrence rate and high disability rate, affected the quality of human life. Community-based rehabilitation (CBR) helps disabled people at both community and family levels. However, the effect of CBR on the recovery of people after ICH remains unclear.
Patients were treated with the CBR training program, subsequently, medication compliance test, clinical neural impairment measurements, functional comprehensive assessments, improved Barthel index score, and life qualities assessments were to performed at 3-month or 6-month intervention of CBR to evaluate the influence of CBR on the medication compliance, physical function and life quality of patients after ICH.
After the treatment of CBR, we observed that, the rate of medication compliance, motor function, functional comprehensive rating scale score, modified Barthel index score, and generic quality of life inventory-74 in the CBR-treated group were significantly higher than that in the control group; the neural impairment measure score in the CBR-treated group was significantly decreased in comparison to the control group.
CBR increased the medication compliance, promoted the recovery of the neurological function and improved the life qualities of ICH patients.
脑出血（ICH）是一种死亡率高、复发率高且致残率高的严重疾病，影响人类生活质量。社区康复（CBR）在社区和家庭层面帮助残疾人。然而，CBR对脑出血患者康复的影响仍不明确。
对患者进行CBR训练计划治疗，随后在CBR干预3个月或6个月时进行药物依从性测试、临床神经功能缺损测量、功能综合评估、改良Barthel指数评分和生活质量评估，以评估CBR对脑出血患者药物依从性、身体功能和生活质量的影响。
CBR治疗后，我们观察到，CBR治疗组的药物依从率、运动功能、功能综合评定量表评分、改良Barthel指数评分和一般生活质量量表-74均显著高于对照组；与对照组相比，CBR治疗组的神经功能缺损测量评分显著降低。
CBR提高了脑出血患者的药物依从性，促进了神经功能恢复，改善了生活质量。
