情景模拟训练对脑卒中患者日常生活自理能力的影响

目的 探讨情景模拟训练对脑卒中患者日常生活自理能力的影响.方法 入选我院2011年10月至2013年10月收治的116例脑中风患者.以数字法随机分成观察组（58例）和对照组（58例）.对照组采用临床上常用的治疗和护理方法;观察组在对照组基础上进行情景模拟训练,对比两组患者生活自理情况.结果 观察组疗效为优者占比例77.59％ （45/58）,优良率为91.38％ （53/58）,均高于对照组.差异具有统计学意义（P＜0.05）.发病后,缺血性脑卒中和出血性脑卒中Barthel指数较发病前均显著下降,差异均有统计学意义（均P＜0.05）.3个月及12个月后,除排尿和排便外,Barthel指数评分均显著提高,且观察组优于对照组,差异均具有统计学意义（均P ＜0.05）.结论 情景模拟训练对脑卒中患者日常生活自理能力有很好的效果,不仅可以减少患者的痛苦,还可以使患者家属提前准备,值得临床推荐.

Effect of Scenario Simulation Training on Daily Life Ability of Patients with Stroke

Objective To investigate the effect of scenario training on ability of daily life of patients with stroke. Methods 116 cases of stroke patients were selected from October 2011 to October 2013 in our hospital. The patients were randomly divided into observation group （58 cases） and control group （58 cases）. The control group used common clinical treatment and nursing; on the basis of the control group, the observation group used the scenario simulation training. Two groups＇ self-care situation was compared. Results The efficacy of the observation group was excellent in the proportion of 77.59% （45/58）, and the excellent and good rate was 91.38% （53/58）; both were significantly higher than those of the control group （P 〈0.05）. After the onset of the disease, Barthel index of ischemic stroke and hemorrhagic stroke decreased significantly, and the difference was statistically significant （P 〈0.05）. 3 months and 12 months later, except urination and defecation, Barthel index scores significantly improved, and the observation group was better than control group, with statistically significant difference （P 〈0.05）. Conclusions Scenario simulation training on daily self-care ability of stroke patients is effective, which will reduce pain of patients, make patients＇ family member to prepare ahead of time, and is worthy of recommendation.