家属同步疾病管理对缺血性脑卒中患者康复的影响

目的：探讨脑卒中患者家属的疾病管理对患者日常生活能力（ADL）、神经功能缺损（NIHSS）的影响。方法：建立系统化的脑卒中患者或家属疾病管理健康宣教方案,对81例患者按整群分成试验组和对照组,试验组40例进行同步疾病管理,对照组41例按脑卒中护理常规进行管理,对患者在入院时,发病后14 d、1个月、3个月分别进行ADL,NIHSS评分测定。结果：试验组患者发病1,3个月ADL,NIHSS评分与对照组比较均有统计学意义（P〈0.05）。结论：同步疾病管理能促进缺血性脑卒中患者规范化管理,明显提高患者的ADL,减轻NIHSS,从而明显提高患者的生活质量。

Effect of synchronous family disease management on the rehabilitation of patients with ischemic stroke

Objective：To study the effect of patients＇ daily - life ability and neurological deficits by interference with administration of stroke patients＇ relatives. Methods：Set up systemic health education formula on stroke administration for stroke patients and their relatives, 81 patients were enrolled and randomly assigned to experimental group （ n = 40） and control group （ n = 41 ）. In the experimental group, relatives of patients were synchronously managed according to the health education formula;while only patients were eared with stroke nursing routine in the control group. ADL and NIHSS scores were meas- ured on the first day of admission, 14 days, 1 month and 3 months after onset. Results：A statistical analysis showed a significant difference between the two groups on ADL and NIHSS scores after 1 month and 3 months （ P 〈 0.05 ）. Conclusion： Synchronous stroke administration can reinforce standardized manage- ment of ischemie stroke patients,increase ADL and NIHSS sores and greatly improve patients＇ quality of live.