家属依从性对脑卒中康复的作用

Importance of family members compliance in the rehabilitation of stroke

目的:探讨家属依从性在脑卒中患者早期康复住院治疗中的作用。方法:根据患者家属依从性程度将神经内科住院的脑卒中患者60例分为3组。完全依从组(A组)31例:家属能够每天至少一次主动按照治疗师的指导帮助患者完成每日训练计划;部分依从组(B组)22例:家属间断给患者进行康复训练;不依从组(C组)7例:家属不给患者进行任何早期康复锻炼。治疗前后进行Brunnstrom和Barthel指数评定。结果:治疗3周后,A、B组Brunnstrom评分均较治疗前提高(P<0.05);C组较治疗前比较差异无统计学意义,A组较B组提高更显著(P<0.05)。A、B、C 3组Barthel指数评分均较治疗前明显提高(P<0.01,0.05),且A、B组更高于C组(P<0.05),A、B组间比较差异无统计学意义。结论:家属依从性高对脑卒中患者康复治疗有明显的促进作用。

Objective： To discuss the role of family compliance in early rehabilitation of inpatients with stroke. Methods： Sixty inpatients with stroke in the Department of Neurology in our hospital were randomly divided into three groups according to the compliance of their families. In high compliance group （group A, n= 31）, family helped the patients to complete exercise at least once each day. In partial compliance group （group B, n=22）, fami- ly helped patients to completely exercise irregularly. In non-compliance group （group C, n= 7）, family did not help do any exercise. All patients were evaluated by Brunnstrom scale and Barthel index. Results： After 3 weeks of treatment, Brunnstrom scores of group A and B were both improved（P〈0.05）, there was no differences in group C, and group A improved more than group B（P〈 0. 05）. Barthel index scores of three groups all increased （P〈0.01, 0.05）, and group A and B increased more than group C（P〈0.05）. There was no differences beteen group A and B. Conclusion： Family high compliance may play a significant role in promoting rehabilitation effect to patients with stroke.