小组模式干预对城市社区卒中后偏瘫患者生活质量的影响

Effect of the group model intervention on the quality of life in patients with post-stroke hemiplegia in urban communities

目的评估小组模式干预对城市社区卒中后偏瘫患者生活质量的影响。方法纳入80例首次发病的卒中出院患者,按照是否进行小组模式干预随机分为干预组和对照组,每组40例。干预组患者接受小组模式干预治疗,包括卒中教育、康复训练、文体疗法等措施;对照组仅接受基础治疗。采用卒中生活质量(SS-QOL)量表和偏瘫肢体的运动功能(FIM)量表,评估两组患者人组时和3个月后的疗效情况。结果①入组时,两组患者的SS-QOL、FIM评分比较,差异无统计学意义,P>0.05。②干预后3个月,干预组患者的SS-QOL、FIM评分均高于入组口寸的评分,差异有统计学意义,P<0.05;对照组患者的SS-QOL、FIM评分也均高于入组时的评分,差异有统计学意义,P<0.05。③干预后3个月,干预组患者的SS-QOL、FIM评分均高于对照组的评分,差异有统计学意义,P<0.05。结论采用小组模式对城市社区卒中后偏瘫患者进行于预,能改善患者的生活质量和预后。

Objective To evaluate the effect of the group model intervention on the quality of life in patients with post-stroke hemiplegia in urban communities. Methods Eighty discharged patients with first attack of stroke were included in the study. They were randomly divided into an intervention group and a control group according to whether they conducted the group model intervention or not （n = 40 in each group）. The patients in the intervention group were treated with the group model intervention, including stroke education, rehabilitation training, recreation and sport therapy, and other measures. The control group only received basic treatment. The efficacy of above management were evaluated with the Stroke Spe- cific Quality of Life scale （SS-QOL） and the Functional Independence Measure （FIM） scale at inclusion of the study and after 3 months. Results ①There were no significant differences in the SS-QOL and FTM scores at inclusion of study between the two groups （P 〉 0.05）.② The SS-QOL and FTM scores at 3 months after intervention were higher than those at inclusion in the intervention group. The differences were statistically significant （ P 〈 0. 05 ） ; the SS-QOL and FTM scores were also higher than those at inclusion in the control group. The differences were statistically significant （ P 〈 0.05 ）. ③The SS-QOL and FTM scores at 3 months after intervention in the intervention group were higher than those in the control group. The difference were statistically significant （P 〈 0. 05 ）. Conclusion The group model intervention for patients with sequelae of stroke in urban communities may improve the quality of life and the prognosis of patients.