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目的探讨系统干预对脑卒中患者日常生活能力(ADL)、认知功能的影响,为有效干预提供依据。方法以神经内科住院的脑卒中患者为研究对象,将符合入选条件的脑卒中患者按“不平衡指数最小的原则”分为干预组和对照组,每组各50例,共100例。两组患者均接受神经内科常规治疗和护理,在此基础上干预组给予以提高ADL能力为目标的系统干预。系统干预小组由康复治疗师和康复护士组成,康复护士以Orem自我护理理论为指导,康复治疗师按Brunnstrom分期对脑卒中患者进行系统干预,分别在干预前、干预6周后应用简易智能量表(MMSE)和Barthel指数量表测量两组患者的认知功能及ADL。结果 6周后,干预组Barthel指数总分、MMSE得分显著高于对照组,差异有统计学意义(P<0.05),Barthel指数10个分项目中除排尿、排便项目外,其余8个项目干预组得分均高于对照组,差异有统计学意义(P<0.01)。结论系统干预可提高患者的日常生活活动能力,改善患者的认知功能。
Objective To explore the impact of systemic intervention on daily living ability (ADL) and cognitive function in stroke patients and provide basis for effective intervention. Methods Stroke patients admitted to Department of Neurology were divided into two groups: intervention group and control group, with 50 patients in each group (100 cases in total), according to “the principle of the least imbalance index ”. Both groups were treated routinely with neurology and nursing, on the basis of which the intervention group was given systematic interventions aimed at improving ADL competence. The system intervention group consists of rehabilitation therapists and rehabilitation nurses. The rehabilitation nurses are guided by Orem self-care theory. The rehabilitation therapists systematically intervene patients with stroke according to Brunnstrom’s staging. Six weeks after the intervention, the Simple Intelligence Scale (MMSE) and Barthel Index Scale to measure cognitive function and ADL in both groups. Results Six weeks later, Barthel index score and MMSE score in the intervention group were significantly higher than those in the control group (P <0.05). Except urination and defecation in the 10 items of the Barthel index, the remaining 8 items Group scores were higher than the control group, the difference was statistically significant (P <0.01). Conclusion System intervention can improve patients’ activities of daily living and improve their cognitive function.