家庭康复护理对提高脑卒中患者活动能力和生活质量的影响

摘要

Objective To study the influence of family rehabilitation nursing on the improvement of activity ability and life quality for patients with cerebral apoplexy,and to accumulate practical experience for providing premium medical service for those patients. Methods 48 recovered and discharged patients with cerebral apoplexy who were admitted to the department of neurology in our hospital from June 2011 to May 2012 were selected,and they were assigned to control group. The patients in the control group were only given telephone follow-up once a month to understand patients’rehabilitation condition and answer the questions raised by patients’ families during nursing;50 recovered and discharged patients with cerebral apoplexy who were admitted to the department of neurology in our hospital from June 2012 to May 2013 were selected,and they were assigned to research group.They were given family rehabilitation nursing.SIAS and ADL evaluations were carried out for patients in two groups after 8 weeks of nursing,and the results of evaluations were compared and analyzed. Results Difference of each STAS score and ADL score before intervention between two groups was not statistically significant (P>0.05),and the motor function,muscular tension and total score after intervention in research group were all significantly higher than those in control group,and the differences were statistically significant (P<0.05);ADL score after intervention in research group was significantly higher than that in control group,and the difference was statistically significant (P<0.05). Conclusion Family rehabilitation nursing is able to improve the activity ability of patients with cerebral apoplexy,stimulate patients’ confidence on strengthening self-protection capability,and bring great benefits for the improvement of life quality.%目的：探究家庭康复护理对提高脑卒中患者活动能力和生活质量的影响，并为这类群体提供优质医疗服务积累实战经验。方法选取本院神经内科于2011年6月~2012年5月收治的48例脑卒中“痊愈”出院患者，设为对照组，本组患者仅给予每月1次的电话追踪随访，了解患者的康复状况并解答家属护理过程中的疑惑；选取本院神经内科于2012年6月~2013年5月收治的50例脑卒中“痊愈”出院患者，设为研究组，开展家庭康复护理。8周后分别对两组患者进行SIAS测评及ADL评估，对测评结果进行比较、分析。结果两组干预前的各项STAS评分及ADL项目评分差异无统计学意义(P>0.05)，研究组干预后的运动功能、肌张力及总分均明显高于对照组，差异有统计学意义(P<0.05)；研究组干预后的ADL得分明显高于对照组，差异有统计学意义(P<0.05)。结论家庭康复护理能提升脑卒中患者的活动能力，激发患者强化自护能力的信心，对提高生活质量大有裨益。