社区康复护理对脑卒中后遗症期患者生活质量及心理状态的影响

Influence of community rehabilitation nursing on life quality and psychological state of sufferers with stroke sequelae

目的分析社区康复护理对脑卒中后遗症期患者的日常生活质量及心理状态的影响。方法前瞻性分析2007-01—2010-12住院的86例脑卒中后遗症期患者,将其随机分为对照组和研究组,每组各43例,对照组给予常规治疗,研究组在常规治疗的基础上,给予一系列社区康复护理干预。分别比较两组患者治疗前及治疗6个月后的健康状况调查问卷(SF-36)、改良Barthel指数(MBI)、生活质量指数量表(QLI)、汉密尔顿抑郁量表(HAMD)差异。结果两组患者治疗前SF-36评分、MBI评分、QLI评分及HAMD评分差异无统计学意义(P>0.05);治疗6个月后,研究组的SF-36评分、MBI评分、QLI评分及HAMD评分均明显优于对照组(P<0.01)。结论社区康复能有效提高脑卒中后遗症期患者的日常生活质量,减轻其抑郁程度,值得推广。

Objective To investigate the influence of community rehabilitation nursing on life quality and psychological state of suffer ers with stroke sequelae.Methods A total of 86 patients with stroke sequelae in our hospital from Jan.2007 to Dec.2010 were conducted by prospective analysis and divided into two groups randomly with 43 in each group the control group and the research group.The control group were given conventional therapy while the research group were given not only conventional therapy but also a series of community rehabilitation nursing intervention.The differences of health state survey questionnaire（SF36）, modified Barthel index（MBI）, quality of life index scale（QLl）and Hamilton depression scale（HAMD）of the two groups before the treatment and six months after the treatment were compared. Results The scales of SF36, MBI, QLI and HAMD before the treatment were not of statistical significance between the two groups （P 〉 0.05）.After six months of treatment, the scales of SF36, MBI, QLI and HAMD in the research group were obviously better than those in the control group（P〈0.01）.Conclusion Community rehabilitation nursing can effectively increase daily life quality of suffer ers with stroke sequelae, relieve the depression degree, which is worth promoting.