卒中单元病房综合治疗对脑卒中患者生存质量的影响  

Effect of Comprehensive Rehabilitation Programs on the Life Qualities of Stroke Patients in Stroke Unit

作　　者：罗利俊[1] 陈国华[1] 龚雪琴 戴伟[1] 马燕[1] 葛莉[1] 

机构地区：[1]武汉市第一医院卒中单元病房,武汉430030 [2]武汉市东西湖区医院神经内科,武汉430040

出　　处：《中国康复》2006年第2期87-88,共2页Chinese Journal of Rehabilitation

摘　　要：目的:研究卒中单元病房中综合治疗对脑卒中患者生活质量的影响。方法:随机抽取卒中单元病房的脑卒中患者176例为康复组、神经内科脑卒中患者84例为对照组,均采用常规药物治疗和护理,康复组同时配合运动疗法,语言训练、心理康复及健康教育。治疗前和治疗8周后采用Spitzer生活质量指数量表(QLI)和Barthel指数(BI)量表评定患者生活质量,并采用Zung氏抑郁自评量表评定患者抑郁状态。结果:治疗后QLI总分及各分项得分、BI指数得分康复组均明显高于对照组(P<0.01),抑郁状态的发生率明显低于对照组(P<0.01)。结论:采用卒中单元病房综合治疗脑卒中能明显改善患者的ADL,减少抑郁状态的发生,提高生活质量。Objective： To study the effect of comprehensive rehabilitation programs on the life qualities of stroke patients in stroke unit. Methods： In stroke unit, 176 cases of acute stroke served as the rehabilitation group and 84 cases of acute stroke in Department of Neurology as control group. The patients in the rehabilitation group were subjected to comprehensive rehabilitation programs, while those in the control group only to the ordinary medical drugs. The quality of life index and Barthel index were used to assess the quality of life and ADL before and 8 weeks after treatment, and self-rating depression scale was used to assess the post-stroke depression （PSD）. Results： The scores of the quality of life index and Barthel index in two groups were similar before treatment （P〉0.05）, but 8 weeks after treatment, the scores in the rehabilitation group were significantly higher than in the control group （P〈0, 01）. The incidence of PSD in the rehabilitation group was lower than in the control group （P〈0.01）. Conclusion： Comprehensive rehabilitation programs in stroke unit can effectively lower the incidence of PSD, and improve the ADL and the life qualities of stroke patients.

关 键 词：卒中单元病房 综合治疗 脑卒中 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]