老年急性脑卒中早期出院家庭康复训练的有效性研究  

Study on effect of early home-based rehabilitation training applied in senile patients with acute stroke

作　　者：高柏青[1] 邹德莉[1] 毕娜[2] 李燕丽[3] 王丽萍 

机构地区：[1]沈阳军区总医院干二科,110016 [2]沈阳军区总医院神经内科,110016 [3]沈阳军区联勤部第八干休所,110016 [4]沈阳丰乐干休所,110016

出　　处：《现代护理》2006年第7期631-633,共3页Modern Nursing

摘　　要：目的探讨老年急性脑卒中患者病情平衡早期出院接受家庭环境下运动、心理、智能全方位康复训练的有效性。方法将87例脑卒中患者分为2组,2周内出院为家庭组,接受家庭环境下运动、心理、智能全方位康复训练;超过2周继续接受住院常规治疗的患者为临床组。对2组患者康复训练效果利用美国康复医学会评估功能障碍严重程度量表进行评估。t检验进行统计学处理。结果功能独立性组内比较:2组患者训练前后各项指标评分均有统计学意义(P<0.001),组间比较:交流能力训练后2组差别具有统计学意义(P<0.05),其他各项2组间训练后均无统计学意义(P>0.05)。结论脑卒中患者病情平稳早期家庭康复训练同样可以达到康复目的,且能缩短住院时间,提高病床周转率,减少住院费用,减轻患者经济负担。Objective To explore the effect of early home based training program applied in senile patients with acute stroke. Methods 87 patients with acute stroke were divided into two groups. Patients who discharged in 2 weeks and received early home--based training program were regarded as family group. Patients who stayed in hospital more than 2 weeks and received routine treatment and nursing were regarded as control group. FIMSM was used to evaluate the rehabilitation effect of patients in two groups. Statistics analysis was conducted by t test. Results Comparison in each group： there was significant difference in every index in both two groups before and after training （P 〈 0. 001 ）. Comparison between two groups： there was significantly difference in communication ability between two groups after the training （P 〈 0.05） and no significantly differences in other indexes （P 〉 0.05） . Conclusions Early home--based training program for patients with acute stroke can make them achieve the rehabilitation goal. It can shorten the days of stay-- in hospital and reduce medical fee too.

关 键 词：脑卒中 老年人 家庭护理 康复护理 

分 类 号：R473.2[医药卫生—护理学]