家庭干预对恢复期脑梗死患者生存质量的影响

Influences of Family Intervention on Quality of Life of Patients with Cerebral Infarction during Recovery Phase

目的探讨家庭干预对恢复期脑梗死患者生存质量的影响。方法将2007年1月至2008年1月牡丹江医学院附属红旗医院脑外科出院的60例脑梗死恢复期患者随机分为干预组和对照组各30例,两组均于患者出院后给予康复训练指导和服药治疗,在此基础上对干预组实施家庭干预,通过定期家庭访视对患者及家属进行系统的康复指导,两组患者于干预半年后采用Bar-thel指数评定日常生活能力和筒式Fugl-Meyer评分评定肢体运动功能。结果两组患者的肢体运动功能及日常生活活动能力评分均较干预前明显提高,但干预组明显优于对照组(P<0.05)。结论家庭干预能显著改善恢复期脑梗死患者的运动功能及日常生活能力,提高患者的生存质量。

Objective To explore the influences of family intervention on the quality of life of the patients with cerebral infarction during their recovery phases.Methods Randomly divide 60 patients who left brain surgery of Hongqi hospital affiliated to Mudanjiang medical university during January 2007 to January 2008 into intervention group and control group.There were 30 patients in each group.Both groups were given rehabilitation training guidance and medicine-taking therapy.Besides these,the family intervention was added to intervention group.The activities of daily living of the patients of both groups were checked by Barthel index and the extremity motor function of them were evaluated by Fugl-Meyer after interventions for half a year.Results The scores of extremity motor function and activities of daily living in both groups increased very significantly,but the patients in the intervention group were better obviously than those of the patents in the control group（P〈0.05）.Conclusion Family interventions can enhance and restore the motor functions and activities of daily living of the patients with cerebral infarction during their recovery phases as well as improve the quality of life of them.