脑卒中偏瘫病人及家属参与康复计划的应用研究

Application research of recovery plan of hemiplegia in cerebral apoplexy

目的探讨脑卒中偏瘫病人及家属共同参与康复治疗计划对康复效果的影响。方法将80例首发脑卒中偏瘫病人分为观察组和对照组，每组40例。两组病人均接受系统的康复治疗，观察组病人与家属共同实施康复的评价、康复目标的设定、训练计划的制订；对照组病人家属不参与康复计划的制订，8w后比较两组病人的抑郁发生率、日常生活活动能力（ADL）评分、生活质量（QOL）评分。结果观察组抑郁发生率明显低于对照组（P〈0．05），观察组ADL评分、QOL评分明显优于对照组（P〈0．05）。结论病人及家属参与康复计划工作，提高病人的ADL和QOL，能降低脑卒中偏瘫病人抑郁的发生率。

Objective To study the effect of recovery plan that patients and relatives of hemiplegia in cerebral apoplexy were particitate in. Methods 80 hemiplegia patients were divided into observation and control groups, each group 40 cases. All patients were accepted recovery treatment. Observation group patients and their relatives were participated in the assessment of recovery together, establishing the recovery target, making the training plan, but control group patients and their relatives were not participated in recovery plan. The depression occurrence rate, ADL and QOL were assessed after 8 weeks. Results The depression occurrence rate of observation group was lower （ P 〈 0. 05 ）, and the scores of ADL and QOL were better than those of control group （ P 〈 0. 05） . Conclusions The plan for the patients and their relatives participation can decrease the occurrence rate of depression and improve ADL and QOL .