脑卒中居家康复效果的Meta分析
Meta-Analysis of the Effects of Home-Based Rehabilitation for Stroke
DOI: 10.12677/ns.2026.153084, PDF,    科研立项经费支持
作者: 吕梅芬, 刘华丽, 叶 芳, 杨丽娜, 李石秀, 杨 敏, 温荣爱, 孟李叶, 杨永花, 颜 娜*：云南省曲靖中心医院康复医学科，云南 曲靖
关键词: 脑卒中；居家康复；Meta分析；运动功能；生活质量；Stroke； Home-Based Rehabilitation； Meta-Analysis； Motor Function； Quality of Life
摘要: 目的：系统评价脑卒中患者居家康复对运动功能、日常生活活动能力及生活质量的影响。方法：检索中国知网、万方、PubMed、Cochrane Library等数据库中建库至2024年12月的随机对照试验(RCT)，采用RevMan5.3和Stata17.0进行Meta分析。结果：共纳入28篇RCT (总样本量3,520例)。Meta分析显示，居家康复能显著改善患者运动功能(SMD = 0.82, 95% CI: 0.65~1.02)、日常生活活动能力(ADL) (SMD = 0.76, 95% CI: 0.58~0.94)及生活质量(SMD = 0.71, 95% CI: 0.53~0.89)。亚组分析表明，干预周期 ≥ 12周、结合远程技术的康复方案效果更优。结论：居家康复是脑卒中患者有效的康复模式，建议结合个体化方案与远程监测技术推广应用。
Abstract: Objective: To systematically evaluate the effects of home-based rehabilitation on motor function, activities of daily living (ADL), and quality of life in stroke patients. Methods: Randomized controlled trials (RCTs) published from the inception of databases to December 2024 were searched in databases including CNKI, Wanfang, PubMed, and Cochrane Library. Meta-analysis was conducted using RevMan 5.3 and Stata 17.0. Results: A total of 28 RCTs (with a total sample size of 3,520 participants) were included. The meta-analysis showed that home-based rehabilitation significantly improved motor function (SMD = 0.82, 95% CI: 0.65-1.02), activities of daily living (ADL) (SMD = 0.76, 95% CI: 0.58-0.94), and quality of life (SMD = 0.71, 95% CI: 0.53-0.89). Subgroup analysis indicated that rehabilitation programs with an intervention duration of ≥ 12 weeks and those incorporating remote technology were more effective. Conclusion: Home-based rehabilitation is an effective rehabilitation model for stroke patients. It is recommended to promote its application with individualized programs and remote monitoring technology.
文章引用：吕梅芬, 刘华丽, 叶芳, 杨丽娜, 李石秀, 杨敏, 温荣爱, 孟李叶, 杨永花, 颜娜. 脑卒中居家康复效果的Meta分析[J]. 护理学, 2026, 15(3): 186-197. https://doi.org/10.12677/ns.2026.153084

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