家属参与同伴教育配合康复治疗对老年脑卒中患者生活能力的影响

Effects of families’ participation in peer education combined with rehabilitation therapy on the activities of daily living of elderly stroke patients

目的探讨家属参与同伴教育配合康复治疗对老年脑卒中患者生活能力的影响。方法将70例老年脑卒中患者随机分为试验组和对照组各35例。试验组除采用常规的治疗、护理措施外,同时配合为期3个月的家属参与同伴教育;对照组仅给予神经内科的常规药物治疗、护理和康复训练治疗。在治疗前及治疗后3个月,采用Barthel指数和Fugl-Meyer运动功能积分法,分别对两组的日常生活能力（ADL）和肢体运动功能进行评定。结果治疗后,试验组ADL和肢体运动功能指标均优于对照组,两组比较差异有统计学意义（P〈0.05）。结论家属参与同伴教育配合康复治疗,有利于老年脑卒中患者运动功能的恢复、日常生活能力的提高及健康行为的管理,是一种可行、有效的健康教育形式。

Objective To explore the effects of families＇ participation in peer education combined with rehabilitation therapy on the activities of daily living of elderly stroke patients.Methods Totally 70 elderly stroke patients were randomly divided into experimental group（n=35） and control group（n=35）.The control group received conventional drugs treatment,routine nursing care and rehabilitation training.The experimental group received three-month families＇ participation in peer education besides the measures of the control group. The activities of daily living（ADL） and motor function of the two groups were assessed by Barthel Index and Fugl-Meyer motor function integration method before and after treatment for three months.Results After the treatment,the scores of ADL and motor function indexes in the experimental group were significantly higher than those in the control group（P0.05）.Conclusion The families＇ participation in peer education combined with rehabilitation therapy was beneficial to the recovery of motor function,the improvement of activities of daily living and health behavior management. It is a feasible and effective form of health education for elderly stroke patients.