“5E”康复干预对老年卒中患者照料者生活质量的影响

Effects of 5E rehabilitation intervention on the quality of life of the caregivers for the elderly patients with stroke

目的探讨"5E"康复干预对老年卒中患者照料者生活质量的影响。方法收集2012年6月至2013年10月在我院神经内科收治的老年脑卒中患者,选择符合纳入标准的主要照料者100名,将研究对象随机分为对照组和试验组。对照组照料者及被照顾的患者均采用常规康复指导及教育,试验组照料者及被照顾的患者采用"5E"康复干预,以SF-36中文版生活质量量表作为健康状况调查问卷,焦虑自评量表(SAS)和抑郁自评量表(SDS)作为照料者焦虑和抑郁症状评估。结果病程3月时2组照料者SF-36中文版生活质量8个维度中生理功能得分差异无统计学意义(P>0.05),其他各项因子的得分差异均具有统计学意义(P<0.05)。患者病程1月和3月时,2组照料者SAS、SDS评分比较,试验组较对照组有显著下降,差异有统计学意义(P<0.01)。结论"5E"康复干预能明显缓解照料者的压力,提高照料者的生活质量。

Objective To explore the effects of 5E rehabilitation intervention on the quality of life of the caregivers for the elderly patients with storke. Methods One hundred patients with stroke and their caregivers from June 2012 to October 2013 admitted to our hospital were selected. They were randomly divided into control group and experimental group. The patients and caregivers in control group received the conventional rehabilitation guidance,and the experimental group received ＂5E＂rehabilitation intervention. The quality of life was evaluated by Chinese version of SF-36 scale,selfrating anxiety scale（ SAS） and self-rating depression scale（ SDS）. Results The physical function dimension of SF-36 showed no significant difference between the two groups three months after rehabilitation. And the other seven dimensions were significantly different between the two groups（ P〈0. 05）. The SAS and SDS scores of the experimental group were lower than those of control group one or three months after rehabilitation（ P〈0. 05）. Conclusions ＂5E＂rehabilitation intervention can alleviate the pressure of caregivers and improve the quality of life.