家属健康教育对脑卒中患者上肢功能及ADL的影响

Effect of Intensive Health Education to Dependents of Cerebral Accident Patients on Recovery of Upper Extremity Function and ADL

目的:观察住院期间进行家属健康教育对脑卒中患者上肢功能及ADL的影响。方法:选择我科住院脑卒中患者2009年1月～2009年12月间64例为对照组,2010年1月～2010年12月间70例为观察组。2组均按常规给予药物及对症支持治疗,观察组在此基础上对患者家属进行强化康复知识教育,包括康复评定并制定康复目标、并发症相关知识、康复训练及护理技能、心理治疗及出院康复指导等。结果:干预1个月后,观察组上肢并发症发生率明显低于对照组(P<0.05),FMA及BI评分均较对照组明显提高(P<0.05);随访6个月后,2组上肢各项并发症发生率均较干预1个月时提高(P<0.05),但观察组显著低于对照组(P<0.01),FMA及BI评分2组较干预1个月时明显提高,且观察组均明显高于对照组(P<0.05)。结论:对患者家属进行强化康复知识教育可以明显降低偏瘫上肢并发症的发生率,提高偏瘫上肢运动功能,改善ADL能力。

Objective： To observe the effect of intensive health education to the dependents of cerebral accident patients on the recovery of upper extremity function and activities of daily living（ADL）.Methods： Sixty-four cases in control group were chosen from the cerebral accident patients hospitalized in our Department of Neurology from January to December in 2009,and 70 cases in experimental group came from the cerebral accident patients hospitalized from January to December in 2010.All cases accepted routine drugs and supportive treatment.In addition,intensive health education was applied to dependents in the experimental group,including rehabilitation assessment and formulation of rehabilitation goals,related knowledge about complications,rehabilitation training and nursing skill,psychotherapy,and rehabilitation directions after discharge.Results： One month after intervention,the incidence of the complications of upper limb in the experiment group was lower than in the control group（P〈0.05）,and the scores of FMA and BI Index in the experimental group were higher than in the control group（P〈0.05）.Six months after intervention,the incidence of the complications of upper limb in the experiment group was lower than in the control group（P〈0.01）,and the scores of FMA and BI index were higher obviously in the experimental group than in control group（P〈0.05）.Conclusion： Intensive health education to the dependents of cerebral accident patients can cut down the incidence of complications and elevate the motor function of affected upper limbs obviously.