综合护理干预对社区康复期脑卒中患者生活质量及自理能力的影响

目的 研究综合护理干预对社区康复期脑卒中患者肢体功能及生活质量的影响.方法 将200例社区康复期脑卒中患者随机分为实验组和对照组各100例,对照组接受常规出院治疗和随访,实验组在此基础上接受综合护理干预进行社区干预.采用生活满意度指数A(LSIA),生活质量指数(QLI),简式Fugl-Meyer评定量表(FMA)和日常生活活动能力评定量表(FIM)评定2组患者干预前后的生活质量和自理能力.结果 对照组LSIA、QLI治疗后无明显提高,实验组治疗前后LSIA、QLI均明显提高,治疗后LSIA、QLI实验组与对照组相比,均有明显提高.2组治疗后FMA、FIM均显著提高,且实验组优于对照组.结论 综合护理干预能明显促进社区康复期脑卒中患者的肢体功能、自理能力,改善生活质量,且经济可行、简便,适合于任何文化程度的社区家庭.

Influence of comprehensive nursing intervention on quality of life and activity of daily living in community patients with convalescent stroke

Objective To study on the influence of comprehensive nursing intervention on extremities function and quality of life (QOL) in community patients with convalescent stroke.Methods A total of 200 community patients with convalescent stroke were selected and randomized into the experimental group and the control group,100 cases each.Patients in the control group were given conventional treatment and following.While patients in the experimental group were given comprehensive nursing intervention besides the treatment mentioned above.Then the therapeutic effects were evaluated by filling out brief Fugl-Meyer assessment(FMA) scale and ADL rating scale(FIM).Life satisfaction index A(LSIA) and quality of life index (QLI) were selected to evaluate QOL.Results After treatment,the scores of LSIA and QLI of the control group showed no difference,but these scores of the experimental group were significantly improved,and was better than those of the control group.In addition,both FMA and FIM in these two groups improved obviously compared to those before treatment and the effect of the experimental group was superior to that of the control group.Conclusions The comprehensive nursing intervention can significantly improve extremities function and ADL and QOL of community patients with convalescent stroke.It is economical,simple and suitable to community families with any education background.