不同随访方式对脑卒中偏瘫患者日常生活能力和遵医行为的影响

Influence of different follow-up ways on abilities of daily living and compliance behaviors in stoke patients with hemiplegia

目的探讨随访方式对脑卒中偏瘫患者日常生活能力和遵医行为的影响。方法选取170例出院的急性脑卒中偏瘫住院患者为研究对象,根据出院时间顺序分为观察组和对照组各85例,分别进行上门随访和电话随访,于出院时、出院后1个月、3个月、6个月对患者日常生活能力和遵医行为进行评定。结果观察组患者在出院后1个月、3个月、6个月的日常生活能力得分高于对照组(P<0.01);观察组患者遵医行为优于对照组(P<0.01)。结论上门随访可提高脑卒中偏瘫患者的日常生活能力和遵医行为,进而提高其生活质量。

Objective To explore the influence of different follow-up ways on abihties of daily living and compliance behaviors in stoke patients with hemiplegia.Methods Totally 170 acute hospitalized stoke patients with hemiplegia were recruited and divided into the observation group and the control group according to the sequences of discharge,each with 85 cases,and received home visit and telephone follow-up respectively.Abilities of daily living and compliance behaviors were assessed at discharge,1 month,3 months and 6 months after discharge.Results The scores of abilities of daily living in the observation group were higher than those of the control group at 1 month,3 months and 6 months after discharge （P ＜ 0.01）,the scores of compliance behaviors in the observation group were all higher than those of the control group （P ＜0.01）.Condusion Home visit follow-up can improve the abilities of daily life,compliance behaviors and the quality of life among in stroke patients with hemiplegia.