社区干预对农村脑卒中患者日常生活能力和生活满意度的影响

Influence of Integrated Community Rehabilitation Intervention on the Activities of Daily Living and Life Satisfaction in Stroke Patients

目的探讨社区综合干预对农村脑卒中患者日常生活能力和生活满意度的影响。方法将110例患者随机分为干预组57例和对照组53例,干预组给予6个月的社区干预方案,包括定期随访指导、发放光盘、充分利用可及资源进行康复锻炼;对照组给予常规出院宣教,门诊随访。在干预后6个月、12个月时应用巴氏指数(Barthel Index)法和生活满意度量表(Satisfaction with Life Scale,SWLS)对两组患者分别进行日常生活能力和生活满意度评定。结果干预后6个月、12个月,干预组日常生活能力、生活满意度得分均明显高于对照组,差异有统计学意义。结论社区综合干预能显著提高农村脑卒中患者的日常生活能力和生活满意度,能充分调动各种资源并发挥患者的康复潜力,促进患者康复。

Objective To explore the influence of integrated community rehabilitation intervention on the activities of daily living （ADL） and life satisfaction in stroke patients. Methods A total of 110 stroke patients were randomly divided into experiment group （n=57） and control group （n=53）. Patients in experiment group were provided with a six-month integrated community rehabilitation intervention and those in control group received routine discharge guide. The follow-up was conducted in outpatient department 6 months and 12 months after the intervention with Barthel Index and Satisfaction with Life Scale （SWLS）. Results The scores of ADL and SWLS of experiment group were higher than those of control group （P〈0.01）. Conclusion The activities of daily living and life satisfaction of stroke patients in rural areas are significantly improved with the integrated community rehabilitation intervention.