精准化康复服务对残疾人生活能力、生活质量的影响

Abstract: Objective To explore the impact of precision rehabilitation services on the living ability and quality of life of persons with intellectual disabilities. Methods A total of 50 persons with intellectual disabilities who received precision rehabilitation services from November 2023 to July 2024 were enrolled as research subjects. Four home visits were completed within 3 months, with continuous plan adjustment and optimization. The physical self-maintenance scale (PSMS), the instrumental activities of daily living scale (IADL), and the world health organization quality of life-brief version (WHOQOL-BREF) were used to assess living ability and quality of life before intervention and 3 months after intervention. Additionally, clinical functional indicators including gross motor function (GMFM-88), functional independence measure for children (WeeFIM), basic cognitive function (MoCA-Basic), stress level (salivary cortisol concentration), and patient compliance with rehabilitation treatment were evaluated. Results After 3 months of intervention, the PSMS and IADL scores of the patients were significantly higher than those before intervention (P＜0.05), the scores of all dimensions of WHOQOL-BREF were significantly higher than those before intervention (P＜0.05), the scores of GMFM-88, WeeFIM, and MoCA-Basic were significantly higher than those before intervention, while the salivary cortisol concentration was lower than before intervation (P＜0.05), the total compliance rate of rehabilitation treatment was higher than that before intervention (P＜0.05). Conclusion Precision rehabilitation services can effectively improve the activities of daily living, quality of life, motor function, cognitive function, and independence of persons with intellectual disabilities, reduce their stress levels, and enhance treatment compliance. They have important promotional and application value for improving the overall functional status of persons with intellectual disabilities and promoting their social integration.