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目的 :探索基于全科团队模式的家庭康复护理干预对农村脑卒中后遗症期患者日常生活活动能力的影响。方法 :将农村社区84例脑卒中后遗症期患者进行随机分组,干预组42例,其中男性23例,女性19列,平均年龄(69.71±6.61)岁;对照组42例,其中男性21例,女性21列,平均年龄(70.60±6.23)岁。干预组由全科团队中的护士实施家庭康复护理干预,分别于干预后1个月、3个月、6个月和12个月采用Barthel指数(BI指数)评分来评价患者的日常生活活动能力。结果 :两组间在基线时和干预后1个月时的BI指数评分差异无统计学意义(P>0.05),在干预后3个月、6个月和12个月时,干预组的BI指数评分和提高分均明显高于对照组,差异均有统计学意义(P<0.01)。结论 :社区全科团队模式下的家庭康复护理干预能提高农村脑卒中后遗症期患者的日常生活活动能力。
Objective: To explore the impact of family-based rehabilitation nursing interventions on the activities of daily living in patients with stroke sequelae in rural areas based on the general team model. Methods: Eighty-four patients with sequelae of stroke in rural community were randomly divided into intervention group (n = 42), including 23 males and 19 females, with an average age of 69.71 ± 6.61 years. In the control group, 42 cases were male, 21 were females 21 columns, the average age (70.60 ± 6.23) years old. In the intervention group, family nurse interventions were conducted by nurses in the general practice team. The Barthel index (BI index) scores were used to evaluate the patients’ activities of daily living at 1, 3, 6 and 12 months after the intervention . Results: There was no significant difference in BI index score between the two groups at baseline and 1 month after intervention (P> 0.05). At 3 months, 6 months and 12 months after intervention, BI Index score and increased score were significantly higher than the control group, the difference was statistically significant (P <0.01). Conclusion: The family nursing intervention can improve the activities of daily living in patients with stroke sequelae in rural areas.