综合护理干预对社区康复期中风患者肢体功能的影响

Influence of Comprehensive Nursing Intervention on Extremities Function in Community Patients with Convalescent Stroke

目的研究综合护理干预对社区康复期中风患者肢体康复的影响。方法选择2006年8月至2008年12月某校第一附属医院出院的200例社区康复期中风患者,随机分为实验组、对照组各100例,对照组应用常规治疗和随访,实验组除接受常规治疗外,还接受综合护理干预。以简式Fugl-Meyer评定量表(FMA)、ADL(FIM)评定量表等评定两组患者治疗前后的变化,以观察疗效。结果两组患者治疗前后FMA、FIM评分均显著提高(P<0.01),且实验组优于对照组(P<0.01)。结论综合护理干预能更好地促进社区康复期中风患者肢体功能的恢复。

Objective To study the influence of comprehensive nursing intervention on extremities function in the community patients with convalescent stroke.Methods A total of 200 community patients with convalescent stroke were equally randomized into the test group and the control group.The control group were given conventional treatment and follow-uped.The control group were given conventional treatment and intervened with comprehensive nursing.Then the therapeutic effects were evaluated on the differences before and after the treatment by brief Fugl-Meyer assessment（FMA） scale and ADL rating scale（FIM）.Results After the treatment,the scores of FMA and FIM in all the patients had been improved obviously compared to those before（P0.01）.The effect of the test group was superior to that of the control group（P0.01）.Conclusion The comprehensive nursing intervention can significantly improve extremities function of the community patients with convalescent stroke.