'医院-社区-家庭'延续性护理对出院肢体功能障碍脑卒中病人的作用

摘要

Objective:To investigate the effects of the "Hospital-Community-Family" continuous care on the motor function and activities of daily living in stroke patients with limb dysfunction. Methods:One hundred and eight stroke patients were randomly divided into the observation group and control group(54 cases each group). The control group were treated with the routine guidance,and the observation group were treated with "Hospital-Community-Family" continuous care intervention. The treatment effects in two groups were evaluated at discharge from hospital and after 2,6 and 12 months of discharge from hospital. Results:After 12 months continuous nursing intervention,the motor function Brandt ( Brunnstrom) score and Barthel index in observation group were significantly better than those in control group at 6 and 12 months of treatment(P<0. 01). Conclusions:The "Hospital-Community-Family" continuous care intervention program combined with "Hospital-Community-Home" is helpful for the improvement of motor function recovery and daily living activity in stroke patients,and the"Hospital-Community-Family" is conducive to improve the work capacity of community nurses.%目的:探讨"医院-社区-家庭"延续性护理对出院脑卒中肢体功能障碍病人运动功能及日常生活能力的影响.方法:选取脑卒中病人108例,随机分为观察组和对照组,各54例;对照组给予疾病常规出院指导及未经干预自我锻炼;观察组在卒中病人出院时,通过"医院-社区-家庭"进行延续性的护理干预,分别于出院时、出院后2个月、出院后6个月及出院后12个月进行测评.结果:经12个月延续性护理干预后,观察组6个月及12个月的运动功能布氏评分及Barthel指数均明显优于对照组(P<0.01).结论:"医院-社区-家庭"延续性护理干预方案及"医院-社区-家庭"联动有助于促进卒中病人肢体运动功能恢复及提高日常生活能力,同时"医院-社区-家庭"联动有助于社区护士工作能力的提高.