不同家庭护理方式对脑出血患者的康复效果观察

目的：观察和比较不同家庭护理方式对脑出血出院患者的康复效果，为开展家庭护理提供理论依据与指导。方法随机抽取80例脑出血患者，将其分为干预组和对照组，干预组在一般出院医嘱基础上给予院外康复指导，采用4个常用神经康复评估的标准量表分别于出院时和出院6个月后对康复效果进行评估。结果出院时两组患者的美国国立卫生院卒中量表评分（NIHSS）、简易精神状态量表评分（MMSE）、Frenchay活动指数和Mount Sinai多模式情绪评分比较差异均无统计学意义（P〉0.05），而出院6个月后两组患者上述4个指标比较差异均有统计学意义（P〈0.05）。结论出院后积极的家庭护理和康复治疗有利于脑出血患者功能恢复，应重视家庭护理，提高家庭护理服务质量。

Rehabilitation effect of different home care modes in patients with cerebral hemorrhage

Objective To observe and compare the rehabilitation effect of different home care modes in pa-tients with cerebral hemorrhage, and to provide theoretical and guiding basis for home care. Methods Eighty pa-tients with cerebral hemorrhage were selected and divided into two groups： the intervention group and the control group. Patients in intervention group received out-hospital rehabilitation guidance in addition to general discharge in-structions based on the control group. Finally, the rehabilitation effect of the two groups was assessed by 4 standard scales at discharge and 6 months after discharge. Results NIHSS, MMSE, Frenchay movable index and Mount Sinai mood scores in two groups had no significant difference at discharge （P〉0.05）, but the 4 scores showed statistically significant difference 6 months after discharge （P〈0.05）. Conclusion Active rehabilitation curing and home care are beneficial to the functional recovery of patients with cerebral hemorrhage after discharge, so it is worthy to attach im-portance to home care.