摘要
目的探讨社区卫生服务中心实施综合护理在脑卒中后遗症患者功能康复治疗中的效果。方法选取脑卒中患者101例,随机分为对照组(56例)和综合护理组(55例)。对照组给予常规脑卒中药物治疗与康复训练;综合护理组除按常规药物治疗外,由经过专科培训的社区护理人员每周1次上门进行功能训练与心理指导,并对患者日常生活活动能力(ADL)与Brunnstrom偏瘫功能进行评定。结果 2组患者干预1年后,Brunnstrom分级和ADL评分均较干预前显著提高,且综合护理组患者Brunnstrom分级和ADL评分均高于对照组。结论实施综合护理能显著提高脑卒中后遗症患者日常生活活动能力,促进患者运动功能恢复。
Objective To study the effects of integrated care in community health service centers on rehabilitation of patients with stroke sequela .Methods Totally 101 patients with stroke were randomly divided into integrated care group (n=55) and control group (n=56) .The control group was given conventional drug treatment and rehabilitation training .At the base of the control group ,the integrated care group was given functional training and psychological guidance at their home by the nurses in community a time a week . The activities of daily living (ADL ) and Brunnstrom hemiplegia function of 2 groups were assessed .Results A year after the intervention , Brunnstrom grade and ADL scores in 2 groups were higher than that before the intervention ,and Brunnstrom grade and ADL scores in the integrated care group were higher than that in the control group .Conclusions The integrated care in community health service centers can significantly improve the activity of daily living ability and promote motor function rehabilitation of patients with stroke sequela .
出处
《中国临床护理》
2014年第5期426-428,共3页
Chinese Clinical Nursing
关键词
中风后遗症
社区卫生服务
康复
Stroke sequela
Community health service centers
Rehabilitation