目的 探讨三级康复体系中康复护理对脑卒中患者生活质量的影响.方法 60例脑卒中偏瘫患者采用配对处理分为研究组和对照组.两组患者在急性期病情稳定后即进行一级康复治疗护理,试验组恢复期到我院继续进行二级康复治疗护理,维持期在干休所或家庭延续行三级康复治疗护理;对照组恢复期和维持期均行常规康复治疗护理,自行在家练习.分别在每一阶段康复治疗护理后采用生活质量测评表(quality of living,QOL)评价患者的生活质量.结果 康复组在每一阶段康复治疗护理后,生活质量评分均明显高于康复护理前,且各次评定之间比较差异均有统计学意义(P<0.05或P<0.01),对照组仅在一级康复治疗护理后,评分比较差异有统计学意义(P<0.05),其后评分虽有变化,但无统计学意义(P>0.05).结论 三级康复体系中康复护理能明显提高脑卒中患者生活质量,值得临床推广应用.%Objective To explore the influence of rehabilitation nursing in three-stage rehabilitation system on the quality of life(QOL) of stroke patients. Methods Sixty stroke patients were divided into experimental group and control group. Both of the two groups received grade one rehabilitation therapy and nursing at early stage as soon as their condition became stable. The experimental group continued to receive grade two rehabilitation therapy and nursing in our sanatorium at rehabilitation stage,and then went on with continued grade three rehabilitation therapy and nursing in retired army sanatorium or at home at maintaining stage. The control group underwent rehabilitation therapy and nursing and self-training at rehabilitation and maintaining stage at home. Both of the two groups were evaluated for QOL respectively at the end of each stage of rehabilitation treatments. Results The QOL scores were significantly higher at each stage of the three stage rehabilitation after rehabilitation therapy and nursing than before(P＜0.05 or P＜0.01). Significant difference in QOL scores in the control group was only observed after grade one stage rehabilitation therapy and nursing and no significant difference in QOL scores was observed in the following states of rehabilitation therapy and nursing(P＞0. 05). Conclusion The rehabilitation nursing in three-stage rehabilitation system can markedly improve the QOL of stroke patients, and thus deserves clinical popularization.
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