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目的 :评价社区护理干预对脑卒中偏瘫患者日常生活活动能力(ADL)的影响效果。方法 :选择高境镇社区的脑卒中患者80例,并随机分为干预组40例和对照组40例。对照组不加以护理干预,以家庭自然康复为主;干预组先进行Brunnstrom阶段评定,根据评定结果分成三个阶段,进行不同阶段的康复护理干预。干预3、6个月后采用康复护理日常生活活动评定量表评价患者ADL及生活自理障碍程度,观察两组患者的疗效。结果 :干预组和对照组的RNADL评分干预前分别为(23.6±15.4)分和(25.1±12.5)分;干预3个月后分别为(42.7±17.8)分和(34.9±19.4);干预6个月后分别为(72.6±14.8)分和(48.5±17.2)分,干预后两组RNADL评分差异均有统计学意义(P<0.05)。结论 :社区干预对脑卒中偏瘫患者整体功能和生活质量有促进作用。
Objective: To evaluate the effect of community nursing intervention on the activities of daily living (ADL) in stroke patients with hemiplegia. Methods: Eighty stroke patients in Gaojing community were selected and randomly divided into intervention group (40 cases) and control group (40 cases). In the control group, no nursing intervention was made and natural home rehabilitation was given priority. In the intervention group, the Brunnstrom stage was assessed first, and divided into three stages according to the evaluation results to carry out rehabilitation nursing intervention at different stages. After intervention for 3 and 6 months, the ADL and self-care disorder were assessed by the Rehabilitation Nursing Daily Living Scale, and the curative effect of the two groups was observed. Results: The scores of RNADL before and after intervention in intervention group and control group were (23.6 ± 15.4) and (25.1 ± 12.5) min respectively; (42.7 ± 17.8) and (34.9 ± 19.4) (72.6 ± 14.8) points and (48.5 ± 17.2) points respectively after a month. There were significant differences in RNADL scores between the two groups after intervention (P <0.05). Conclusion: Community intervention can promote the overall function and quality of life of patients with hemiplegia after stroke.