以自护理论为指导的系统干预对脑卒中患者生活质量的影响

Effects of a systematic rehabilitation nursing intervention guided by the self-care theory on the stroke patients' quality of life

①目的探讨以Orem自护理论为指导的系统康复护理干预对急性脑卒中患者生活质量(QOL)和日常生活活动能力(ADL)的影响。②方法将100例急性脑卒中患者分为干预组和对照组,两组均给予神经内科常规治疗和护理,干预组实施为期6周的系统康复护理。分别在入院时和6周后测量其生活质量和日常生活活动能力。③结果干预组在6周后的ADL评分和生活质量评分明显高于对照组(P<0.01)。④结论自护理论为指导的系统康复护理干预有效提高了脑卒中患者的生活质量和日常生活活动能力,可为今后的康复护理干预提供指导和依据。

Objective To explore the effects of a systematic rehabilitation nursing intervention guided by the self-care theory on the stroke patients＇quality of life（QOL） and activities of daily living（ADL）.Methods A hundred patients with stroke were assigned into the intervention group and the control group and treated with the routine neurologic medical therapy and the routine care.The patients in the intervention group were treated with a systematic rehabilitation nursing for 6 weeks.QOL and ADL were collected at admission to hospital and the end of the 6th week.Results Compared with the control group,the score of ADL and QOL in the intervention group were higher（P〈0.01）.Conclusion A systematic rehabilitation nursing intervention guided by the self-care theory could effectively improve the quality of life,the activities of daily living,and provided evidences for the future nursing intervention for stroke patients.