社区康复护理对脑卒中后遗症期患者生活质量及心理状态的影响.doc

社区康复护理对脑卒中后遗症期患者生活质量及心理状态的影响
王苓高美华吕婵战连芬
【摘要】目的:分析社区康复护理对脑卒中后遗症期患者的日常生活质量及心理状态的影响。方法:前瞻性分析2007年1月至2010年12月期间86例住院脑卒中后遗症期患者,随机分为两组:对照组,给予常规治疗;研究组,在常规治疗的基础上,给予一系列社区康复护理干预;两组均43例。分别比较两组患者治疗前及治疗后6个月后的健康状况问卷(SF-36)、改良Barthel指数(MBI)、生存质量指数量表(QLI)、汉密尔顿抑郁量表(HAMD)差异。结果:两组患者治疗前SF-36评分、MBI评分、QLI评分及HAMD评分无统计学差异(P>)。与对照组比较,研究组的SF-36评分、MBI评分、QLI评分及HAMD评分均明显优于对照组(P<)。结论:社区康复能有效提高脑卒中后遗症期患者的日常生活质量,减轻抑郁程度,值得推广。
【关键词】社区康复护理;脑卒中后遗症期;生活质量;心理状态
Effect munity-based rehabilitation nursing on life quality and mental status of patients with stroke sequela period
[Abstract] Objective To investigate the effect munity-based rehabilitation nursing intervention on life quality and mental status of patients with stroke sequela period. Methods A total of 86 patients in our hospital from Jan. 2007 to Dec. 2010 were collected to prospective analyses and divided into two groups, randomizedly, control group and research group. The conventional therapy was given to the patients of control group and research group, and a series munity-based rehabilitation nursing intervention was given to research group, additionally. Each group had 43 patients. All patients were evaluated with health state survey questionnaire (SF-36), modified Barthel index(MBI), quality of life index scale(QLI) and Hamilton depression scale(HAMD) before and after therapy. Results The scale of SF-36, MBI, QLI and HAMD were no differenc