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连续康复护理干预对脑卒中偏瘫患者肢体功能和生活质量的影响
引用本文:周晓娟,侯亚红,赵岳.连续康复护理干预对脑卒中偏瘫患者肢体功能和生活质量的影响[J].护理实践与研究,2010,7(19):6-8.
作者姓名:周晓娟  侯亚红  赵岳
作者单位:1. 北京市通州区潞河医院骨二病区,101100
2. 天津市武警医学院附属医院
3. 天津医科大学护理学院
摘    要:目的:探讨连续护理干预对脑卒中偏瘫患者肢体功能和生活质量的影响。方法:采用随机分组的方法将2007年6~12月在天津市环湖医院神经内科住院的85例脑卒中偏瘫患者分为干预组43例和对照组42例,两组患者均给与常规护理,干预组实施连续康复护理,分别在干预前和干预后3个月收集两组患者肢体功能和生活质量资料。结果:干预组BI得分显著高于对照组(P0.05),并且干预组和对照组BI得分干预前后组内比较都具有显著性差异(P0.05);干预组患者干预后的生理健康和心理健康领域得分高于干预前(P0.05),在生理机能、生理职能、躯体疼痛、社会功能、情感职能、精神健康6个维度得分也高于干预前(P0.05),但总体健康、精力2个维度得分的变化无统计学意义(P0.05)。对照组患者干预后生理健康领域得分高于干预前(P0.05),但心理健康领域得分的变化无统计学意义(P0.05),生理机能、生理职能干预后得分高于干预前,其他维度的得分无统计学意义(P0.05)。结论:连续康复护理干预能够有效地提高脑卒中偏瘫患者的日常生活能力和生活质量。

关 键 词:脑卒中  偏瘫  日常生活能力  生活质量

The effects of continuous nursing intervention on the limb function and the quality of life in stroke patients with hemiplegia
ZHOU Xiao-juan,HOU Ya-hong,ZHAO Yue.The effects of continuous nursing intervention on the limb function and the quality of life in stroke patients with hemiplegia[J].Attend to Practice and Research,2010,7(19):6-8.
Authors:ZHOU Xiao-juan  HOU Ya-hong  ZHAO Yue
Institution:(Nursing college of Tianjin Medical University,Tianjin 300070)
Abstract:Objective:To explore the effects of continuous nursing intervention on the limb function and the quality of life in stroke patients with hemiplegia.Methods:85 stroke patients with hemiplegia from Neurology department of Tianjin HuanHu Hospital since Jun.to Dec.2007 were randomly divided into the intervention group and the control group.All the patients were given the routine care.Patients in the intervention group also received a continuous rehabilitation nursing intervention.Data were collected before intervention and the following 3 months after discharge hospital including the limb function and the quality of life (SF-36).Results:The BI score in the intervention group was higher than that in the control group (P〈0.05),and the BI score after the intervention was higher than that before the intervention in the two groups (P〈0.05).In the intervention group,patients’ scores of the physical health and mental health after the intervention were higher than those before the intervention (P〈0.05).All domains in SF-36 except general health and vitality after the intervention had higher score than those before the intervention (P〈0.05).In the control group,the results revealed after the intervention compared with that before the intervention in SF-36 only the score of physical health was higher (P〈0.05);the domains’ scores of physical functioning and physical role were increased (P0.05),but the scores of other domains were found no different significantly (P〉0.05).Conclusion:The continuous rehabilitation nursing intervention could effectively improve the ability of daily living and the quality of life of stroke patients with hemiplegia.
Keywords:Stroke  Hemiplegia  The ability of daily living  The quality of life
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