医院-家庭式健康管理模式对脑卒中康复效果研究

Effect of hospital-family health management model on stroke rehabilitation

目的探讨医院-家庭式健康管理模式对脑卒中患者康复进度影响研究。方法选取2018年1月—2018年12月体检筛查出的脑卒中人群300例作为研究对象,随机分为管理组和对照组,每组各150例。对照组患者自行进行康复锻炼,管理组患者给予实施医院-家庭式健康管理模式干预。两组分别于干预前和干预3个月后采用简式Fugl-Meyer运动功能评分法(FMA)、改良Barthel指数评定量表(MBI)、一般自我效能感量表(GSES)、家庭功能评估量表(APGAR)进行评定干预的效果。结果干预前,管理组和对照组FMA上下肢评分差异均无统计学意义(P>0.05);干预后,管理组FMA上下肢评分各为(59.24±9.11)分、(31.64±4.86)分,均高于对照组的(51.38±8.15)分、(22.91±4.23)分,(P值均<0.05)。干预前,管理组和对照组的MBI、APGAR评分差异无统计学意义(P>0.05),干预后管理组MBI为(75.62±16.48)分,高于对照组的(68.54±15.75)分,(t=3.804,P<0.05);管理组APGAR评分为(7.09±2.41)分,高于对照组的(6.49±2.22)分,(t=2.243,P<0.05)。结论医院-家庭式健康管理模式的干预能提高脑卒中患者恢复期运动功能、日常生活活动能力及改善家庭功能,对于促进患者的康复具有重要意义。

Objective To explore the effect of hospital-family health management model on the rehabilitation progress of stroke patients.Methods Totally 300 stroke patients screened by physical examinations from January 2018 to December 2018 were randomly divided into a management group and a control group,with 150 cases in each group.The patients in the control group were given the rehabilitation exercises by themselves,and the patients in the management groupwere given the hospital-family health management model intervention.Before and 3 months after the intervention,the effects of the intervention were assessed by FMA,MBI,GSEs and APGAR.Results Before the intervention,the FMA upper andlower limb scores were(40.78±9.97)points,and(16.25±4.67)points in the management group respectively,and(41.09±11.26)points and(16.22±5.08)points in the control group respectively,and there were no statistically significant differences between the two groups(all P>0.05).After the intervention,the FMA upper and lower limb scores in the management group were(59.24±9.11)points and(31.64±4.86)points respectively,which were higher than those in the control group[(51.38±8.15)points and(22.91±4.23)points respectively],with statistically significant differences(P<0.05).Before the intervention,in the management group,the MBI and APGAR scores were(41.67±12.21)points and(5.12±1.23)points respectively,and in the control group,the MBI and APGAR scores were(43.08±11.93)points and(5.11±1.24)points respectively,and there were no statistically significant differences between the two groups(all P>0.05).After the intervention,in the management group,the MBI was(75.62±16.48)points,which was higher than that of control group[(68.54±15.75)points],(P<0.05).The APGAR score in the management group was(7.09±2.41)points,which was higher than that in the control group[(6.49±2.22)points](P<0.05).Conclusion The intervention of hospital-family health management mode can improve themotor function,daily life activity,and family function of stroke patients during the recovery period,which has a great significance to promote the rehabilitation of the patients.