家庭康复护理入户干预对脑卒中患者自理能力的影响

Effects of home-based rehabilitation nursing intervention on self-care ability of patients after stroke

目的:研究家庭康复护理干预对社区脑卒中患者自理能力的影响。方法:60例社区脑卒中患者随机分为干预组和对照组,各30例。在家庭康复现状基线调查的基础上结合专业知识制定“脑卒中家庭康复护理干预方案”,根据方案对社区护士进行脑卒中家庭康复护理知识和技能培训,考核合格后以“Orem自理模式”对干预组实施家庭整体康复护理干预,对照组不进行干预,于研究1,3个月时对两组患者进行自理能力评定。结果:干预组各项得分显著高于对照组(P均=0.00),综合性自理能力:1个月时(20.67±3.09比11.87±3.81,F=207.22)、3个月时(22.63±2.09比12.77±3.88,F=180.40);知识性自理能力:1个月时(8.60±1.19比5.67±1.45,F=157.45)、3个月时(9.20±0.71比6.00±1.44,F=142.07,P=0.00);决策性自理能力:1个月时(5.17±1.77比2.53±1.53,F=116.13)、3个月时(6.57±0.77比2.93±1.55,F=156.79);行为性自理能力:1个月时(6.30±1.09比3.67±1.60,F=98.35)、3个月时(6.87±0.97比3.83±1.62,F=69.69)。结论:培训社区护士开展家庭康复护理干预可有效提高脑卒中患者的自理能力。

AIM:To study the effect of home-based reh abilitation nursing intervention o n self-care ability of patients after stroke.METHODS:A randomized controlled trial based on the community was carried out.Sixty patients with str oke were averagely divided into inte rvention group and control group.Based on the result of the investigation of the fa mily rehabilitation status and rehabilitation nursing knowledge of stroke,nursing intervention was performed accordi ng to'the home-based rehabilitation nurs-ing intervention project'by community nurses who had got speci al training.Self-care ability of both groups was evaluated at 1and 3month afterwards.RESULTS:The scores of self-care ability in th e intervention group were increased significantly as compare d with the control group at 1and 3mont hs after intervention(P=0.00).The scores of total self-care abili ty were20.67±3.09for the intervention gro up and 11.87±3.81for the control group at 1month(F=207.22),and 22.63±2.09and 12.77±3.88for the two groups at 3months(F=180.40).The scores of knowledge self-care ability were 8.60±1.19and 5.67±1.45at 1month(F=157.45),and9.20±0.71and 6.00±1.44at 3months f or the two groups(F=142.07,P=0.00)respectively.The scores of decisio n-making self-care ability were5.17±1.77and 2.53±1.53at 1month(F=116.13),and 6.57±0.77and 2.93±1.55at 3months for the two g roups(F=156.79),respective-ly.The scores of productive operation self-care ability were 6.30±1.09and3.67±1.60at 1month(F=98.35),and 6.87±0.97and 3.83±1.62at 3month for the two groups(F=69.69),respectively.