协同护理干预对恢复期脑卒中患者提高自我照顾能力的影响

Effects of Collaborative Nursing Intervention on Self-Care Ability of Patients with Stroke in Convalescence

目的:探讨协同护理干预对恢复期脑卒中患者提高自我照顾能力的作用及对社会功能的影响。方法:60例恢复期脑卒中患者按双盲随机对照法分为两组,各30例。两组均接受常规护理,观察组再加入协同护理干预,康复训练至出院后3月。自我照顾能力评估应用日常生活活动能力量表(ADL)、Barthel指数(BI);社会功能评估采用个体与社会功能量表(PSP)、社会适应量表(SAFE)。结果:康复训练前两组的自我照顾能力、社会功能评分值差异无统计学意义(P>0.05)。出院后3月,观察组的ADL、BI、PSP评分值高于对照组,P<0.05,SAFE评分低于对照组,P<0.05。结论:协同护理干预可提升恢复期脑卒中患者的自我照顾能力,优化出院后社会功能。

Objective：To explore the effect of collaborative nursing intervention on self-care ability of patients with stroke in convalescence stage and its influence on social function.Methods：60 patients with stroke were randomly divided into two groups,each with a report of 30 cases.The two groups received routine care,the observation group was added to the collaborative nursing intervention,rehabilitation training after discharge in March.Self care ability was assessed using the daily living activity scale（ADL） and the Barthel index（BI）;the social function was assessed using the individual and social functioning scale（PSP） and the social adaptation scale（SAFE）.Results：There was no significant difference in self care ability and social function score between the two groups（P〉0.05）.After discharge in March,the ADL,BI and PSP scores of the observation group were higher than those of the control group,P〈0.05,SAFE score was lower than that of the control group,P〈0.05.Conclusion：Collaborative nursing intervention can improve the self-care ability of patients with stroke at recovery stage,and optimize the social function.