家庭跟进服务模式对颅脑外伤病人术后康复的影响

Effect of family follow-up service mode on the postoperative rehabilitation in patients with craniocerebral trauma

目的:探讨家庭跟进服务模式对颅脑外伤病人术后康复及生活质量的影响。方法:根据随机数字表将120例颅脑外伤病人分为观察组(n=60)及对照组(n=60),对照组出院时进行常规出院指导,观察组出院时应用家庭跟进服务模式实施干预,2组干预时间均为6个月。分别于出院时、干预1个月、干预3个月、干预6个月应用简易智能精神状况量表(MMSE)、Fugl-Meyer评分量表及生活质量综合评定问卷(GQOLI-74)对2组病人精神状况、日常生活能力及生活质量进行评价。结果:干预前,2组MMSE、Fugl-Meyer评分、GQOLI-74评分差异均无统计学意义(P>0.05),观察组干预1个月、3个月、6个月MMSE评分、Fugl-Meyer评分、GQOLI-74评分均显著高于对照组(P<0.01);2组病人干预1个月、3个月、6个月MMSE评分、Fugl-Meyer评分、GQOLI-74评分均显著高于干预前(P<0.01),干预3个月及6个月MMSE、Fugl-Meyer评分、GQOLI-74评分均显著高于干预1个月(P<0.01),干预6个月MMSE、Fugl-Meyer评分、GQOLI-74评分均显著高于干预3个月(P<0.01)。结论:家庭跟进服务模式不仅能有效改善脑外伤病人精神状态及日常生活能力,而且能有效提高病人生活质量。

Objective: To investigate the effects of family follow-up service mode on the postoperative rehabilitation and quality of life in patients with craniocerebral trauma. Methods: One hundred and twenty patients with craniocerebral trauma were divided into the observation group( n = 60) and control group( n = 60) according to the random number table method. The control group was treated with conventional discharge guidance,and the observation group was treated with family follow-up service mode for 6 months. The mental status,activities of daily living and quality of life in two groups at 1,3 and 6 months of intervention were evaluated using the mental health scale( MMSE),Fugl-Meyer score and quality of life scale integrated assessment questionnaire( GQOLI-74),respectively.Results: The differences of the MMSE score,Fugl-Meyer score and GQOLI-74 score between two groups before intervention were not statistically significant( P > 0. 05). The MMSE score,Fugl-Meyer score and GQOLI-74 score in observation group were higher than those in control group at 1,3 and 6 months of intervention( P < 0. 01). The MMSE score,Fugl-Meyer score and GQOLI-74 score in two groups at 1,3 and 6 months of intervention were significantly higher than those before intervention( P < 0. 01). The scores of MMSE,FuglMeyer and GQOLI-74 in two groups at 3 and 6 months were significantly higher than those at 1 month of intervention( P < 0. 01),and the scores of MMSE,Fugl-Meyer and GQOLI-74 in two groups at 6 months of intervention were significnatly higher than those at 3 months of intervention( P < 0. 01). Conclusions: The family follow-up service model can effectively improve the mental status,activities of daily living and quality of life in patients with craniocerebral trauma.