系统干预对脑卒中患者日常生活能力影响研究  

Study on the Effect of Systems Clinic Intervention on Activities of Daily Living and Cognition of Patients with Stroke

作　　者：邢凤梅[1] 陈颖[1] 龚素芬[1] 王建华[2] 秦淼[1] 贾浩洋[1] 杨萍[1] 

机构地区：[1]华北煤炭医学院护理与康复学院,河北唐山063000 [2]唐山市工人医院神经内科

出　　处：《中国慢性病预防与控制》2011年第1期15-16,共2页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：河北省卫生厅课题(090548);唐山市科技局基金课题(08130204A-1-2)

摘　　要：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 effects of systematic clinic intervention on activities of daily living （ADL） and cognitive function in stroke patients. Methods Based on the principle of ＂minimize the unbalanced coefficient＂, 100 of stroke patients were selected from the Department of Neurology, and were divided into intervention group （50 cases） and control group （50 cases）. All patients in both two groups were given routine medical therapy and nursing care, but the patients in intervention group were given systematic clinic intervention which aimed at improving ADL, under the direction of Brunstrom＇ s level and Orem＇ s self-care theory. Intervention team was consisted of the rehabilitation therapists and nurses. All patients were evaluated with Barthel index （BI） and mini mental status examination （MMSE） at beginning and the end of the 6th weeks of intervention. Results After 6 weeks intervention, the scores of BI and MMSE of patients in intervention group increased significantly compared with those in control group （P〈0.05）. Among 10 sub-items of BI, except urination and defecation, others 8 items increased significantly in intervention group compared with those in control group （P〈0.01）. Conclusion The systems clinic intervention can improve the activities of daily living and cognitive function of stroke patients.

关 键 词：脑卒中 日常生活能力 系统干预 认知功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]