赋能教育指导对家庭康复效果的影响

The effects of empowerment education on rehabilitation in patients with celebral hemorrhage

目的探究赋能教育指导对脑出血患者家庭康复效果影响。方法选择2010年1月至2013年6月来河北省唐山市康复医疗中心治疗的200例脑出血患者,分成对照组和治疗组,每组100例。对照组和治疗组患者在出院当日和往后的第1、2、4、7、9、12周进行康复指导,对照组康复治疗遵循依从式教育理念,治疗组则采用赋能教育模式进行康复治疗。两组患者于出院当天和出院后第12周均采用Barthel指数(BI)评估日常生活活动(ADL)和运动评分(MAS)评估运动功能。结果出院后第12周治疗组的BI[(44.12±8.56)vs.(62.16±8.77)]和MAS[(18.70±9.47)分vs.(28.53±8.75)分]明显高于对照组(P<0.01),治疗组总恢复有效率(70%)高于对照组(85%)患者(P<0.05)。结论赋能教育指导能够明显提高脑出血患者的ADL功能和促进运动功能的恢复,明显提高患者家庭康复治疗的效果。

Objective To explore the effects of empowerment education on rehabilitation in patients with celebral hemorrhage . Methods Select 200 cases of patients with celebral hemorrhage cured rehabilitation medical center ,the patients were randomly and single-blindly divided into 2 groups （n=100 each） .Both the treatment group and the control group were given rehabilitation guid-ance on the day of discharge and 1st ,2nd ,4th ,7th ,9th ,12th weeks after discharge .Patients in control group were given compliance education philosophy ,and patients in treatment group were given empowerment education philosophy .Patients of both groups were used Barthel index （BI） to assess the activities of daily living （ADL）and motor assessment scale （MAS） to motor function in the day of discharge and 25th weeks after discharge from hospital .Results The BI [（44 .12 ± 8 .56） vs .（62 .16 ± 8 .77）]and MAS [（18 .70 ± 9 .47） vs .（28 .53 ± 8 .75）]of treatment group were apparently higher than those of the control group （P〈0 .01） .The to-tal effective rate of the treatment group was higher than that of the control group（70% vs .85% ） Conclusion Empowerment educa-tion can obviously improve the ADL function and promote the recovery of motor function in patients with cerebral hemorrhage and improve the effect of family rehabilitation .