脑卒中偏瘫患者早期康复训练依从性相关因素分析

Factors Correlated with Compliance with Rehabilitation in Hemiplegic Patients after Stroke

目的探讨影响脑卒中偏瘫患者早期康复训练依从性相关因素。方法对60例脑卒中偏瘫患者设计个体化康复训练计划,按自拟康复训练依从性调查表进行调查、随访,观察康复训练依从性。结果文化程度、经济状况、家庭关系、医患关系、抑郁、Barthel指数、患肢运动功能在依从者和不依从者之间有显著性差异,年龄、性别无显著性差异。结论制定有效的康复训练计划,建立良好的医患关系,稳定的社会支持系统,可提高脑卒中偏瘫患者康复训练依从性,从而促进脑卒中偏瘫肢体的功能恢复。

Objective To investigate the factors correlated with compliance with rehabilitation in hemiplegic patients after stroke. Methods Individualized rehabilitational programs had been designed for 60 post-stroke hemiplegic patients. They were investigated with the questionnaire of compliance established by our-selves. Results There was significant difference between compliant and incompliant patients in education attainment, economic condition, family relations, patient-doctor relation, depression, Barthel Index, and motor function. Conclusion Developing an effective rehabilitational program, establishing a sound doctor-patient relation-ship and a stable social support, can be helpful to improve the compliance with rehabilitation in hemiplegic patients after stroke.