回归家庭预适应训练在脑卒中患者中的应用

Application of pre-adaptation training of returning home in patients with stroke

目的探讨回归家庭预适应训练在脑卒中患者中的应用。方法选取2020年1月至12月于北京市回民医院康复医学科进行康复治疗的84例脑卒中患者作为研究对象,按照随机数字表法分为对照组(42例)和观察组(42例)。对照组采用康复团队方式进行康复训练和出院指导,观察组在对照组的基础上进行回归家庭预适应训练。于干预前及干预后第2、6、12周分别应用中文版脑卒中康复自我效能量表(SSEQ)和改良Barthel指数量表(MBI)比较两组的自我效能感及日常生活活动能力。结果干预前两组的SSEQ和BMI评分比较,差异无统计学意义(P>0.05);观察组干预后第2、6、12周的SSEQ和BMI评分均高于干预前与同时间点对照组,差异有统计学意义(P<0.05)。对照组患者干预后第2、6周的SSEQ评分低于本组患者干预前,第12周的SSEQ评分高于本组患者干预前,差异有统计学意义(P<0.05);对照组患者干预后第2周的MBI评分低于本组患者干预前,干预后第6、12周的MBI评分高于本组干预前,差异有统计学意义(P<0.05)。结论脑卒中患者回归家庭前进行预适应训练能够提高自我效能和日常生活活动能力,帮助患者更为顺利地回归家庭。

Objective To explore the application of pre-adaptation training of returning home in patients with stroke.Methods A total of 84 stroke patients receiving rehabilitation treatment in the Department of Rehabilitation of the Beijing Huimin Hospital from January 2020 to December 2020 were selected as research subjects,and they were divided into the control group(42 cases)and the observation group(42 cases)according to random number table method.Patients in the control group received rehabilitation training and discharge guidance from rehabilitation team,while the observation group received pre-adaptation training of returning home on the basis of the control group.The Chinese version of stroke self-efficacy questionnaire(SSEQ)and modified Barthel index(MBI)were used to compare self-efficacy and ability to perform daily living activities between the two groups before intervention and at 2nd,6th and 12th week after intervention respectively.Results Before intervention,there were no significant differences in the scores of SSEQ or MBI between the two groups(P>0.05).The scores of SSEQ and MBI of the observation group at 2nd,6th and 12th week after intervention were higher than those before intervention and the control group at the same time point,and the differences were statistically significant(P<0.05).The score of SSEQ of the control group at the 2nd and 6th weeks after intervention were lower than those before intervention,but the score at the 12th week after intervention of the control group was higher than that before intervention,with statistical significance(P<0.05).The MBI score of the control group at 2nd week after intervention was lower than that before intervention,and the scores of MBI at 6th and 12th week after intervention of the control group were higher than that before intervention,with statistical significance(P<0.05).Conclusion Patients with stroke who practice pre-adaptation training of returning home can improve self-efficacy and ability to perform daily living activities,and help patients more smoothly return to their home.