医院-社区-家庭团体干预康复模式对烟雾病术后患者生活质量及神经功能的影响

Effects of hospital-community-family group intervention rehabilitation model on quality of life and neurological functions of postoperative patients with moyamoya disease

目的探讨医院-社区-家庭团体干预康复模式对烟雾病术后患者生活质量及神经功能的影响。方法选取2017年5月—2019年10月在南阳某医院接受治疗的96例烟雾病患者为研究对象。采用随机数字表法将研究对象分为对照组和观察组,每组48例。给予对照组常规康复指导。给予观察组患者医院-社区-家庭团体干预模式进行康复指导。比较2组患者康复训练前后美国国立卫生研究院卒中量表(NIHSS)、日常生活能力量表(ADL)、生活质量综合评定问卷(GQOL-74)及自我效能感量表(GSES)评分。结果康复训练后,观察组患者NIHSS评分为(11.31±1.14)分,低于对照组的(14.75±1.72)分,差异具有统计学意义(P<0.05);观察组患者GSES评分为(47.08±4.73)分,高于对照组的(38.66±4.85)分,差异有统计学意义(P<0.05)。康复训练后,观察组患者ADL及GQOL-74评分分别为(81.72±4.62)分及(85.48±5.13)分,均高于对照组的(69.75±5.11)分及(79.86±4.89)分,差异均有统计学意义(P<0.05)。结论医院-社区-家庭团体干预康复模式在烟雾病患者的康复中起到积极作用,其能提高患者的神经功能康复效果,改善患者自我效能感,提升患者生活自理能力和生活质量,效果显著,值得临床推广应用。

Objective To explore the effect of hospital-community-family group intervention rehabilitation model on the quality of life and neurological functions of postoperative patients with moyamoya disease.Methods Ninetysix patients with moyamoya disease treated in a hospital in NanYang from May 2017 to October 2019 were selected as the study subjects.A random number table was used to divide the study subjects into a control group and an observation group,with 48 cases in each group.Routine rehabilitation instructions were given to the control group.The patients in the observation group were given the hospital-community-family group intervention model for rehabilitation instruction.The NIHSS,ADL,GQOL-74 and GSES scores in both groups were compared before and after the rehabilitation training.Results After the rehabilitation training,the NIHSS score of patients in the observation group was(11.31±1.14),which was lower than that of the control group(14.75±1.72),and the difference was statistically significant(P<0.05);the GSES score of patients in the observation group was(47.08±4.73),which was higher than that of the control group(38.66±4.85),and the difference was statistically significant(P<0.05).After the rehabilitation training,the ADL and GQOL-74 scores of patients in the observation group were(81.72±4.62)and(85.48±5.13),respectively,higher than those of the control group,which were(69.75±5.11)and(79.86±4.89),with statistically significant differences(P<0.05).Conclusion The hospital-community-family group intervention rehabilitation model plays a positive role in the rehabilitation of patients with moyamoya disease.It can improve the neurological rehabilitation effect of patients,improve their self-efficacy,and enhance their self-care ability and quality of life with significant effects.Therefore,it is worthy of clinical promotion.