聚焦解决模式对脑卒中患者日常生活自理能力的影响  

Influence of focused solution model on activity of daily living in patients with stroke

作　　者：段碧媛[1] 兰丽梅[1] 吴翠平[1] 黄惠君[1] 杨秋菊[1] 彭惠兰[1] 

机构地区：[1]南方医科大学附属小榄医院神经内科,528415

出　　处：《护理实践与研究》2013年第8期12-14,共3页Nursing Practice and Research

基　　金：中山市医学科学继续研究基金项目(J2011124)

摘　　要：目的:探讨聚焦解决模式对脑卒中患者日常生活自理能力的影响。方法:符合入选标准的50例患者随机分为观察组25例和对照组25例,对照组采用常规康复训练,观察组在常规康复训练的基础上应用聚集解决模式对患者进行心理干预。入院时及干预后3周和3,6,12个月分别采用改良Barthel指数评分对患者日常生活自理能力进行评价。结果:两组患者Barthel指数评分入院时均无统计学意义,观察组在干预后3周及3,6,12个月Barthel指数评分除排尿、排便外,其余8项明显提高(P<0.05),两组比较有统计学意义(P<0.05)。结论:采用聚集解决模式对脑卒中患者进行心理干预,可以明显提高脑卒中患者的日常生活自理能力。Objective ： To investigate the impact of focusing solving model of stroke patients. Methods ：50 patients met the inclusion criteria were randomly di- vided into observation group and control group ,25 cases in each group, the control group used conventional rehabilitation training, observation group gathered to solve the application on the basis of conventional rehabilitation mode psychological intervention on patients. Admission three weeks after the intervention, in March,June and December respectively used a modified Barthel index score to evaluate the patients＇ daily living skills. Results：The Barthel index of two groups of patients with scores on admission were not statistically significant, the observation group in the third week after intervention and in March, June and December, Barthel index in urination, defecation scores, the remaining eight increased significantly （P 〈 0.05 ）, the two groups was statistically significant （ P 〈 0.05 ）. Conclusion ： Gathered solve psychological intervention for stroke patients, can significantly improve stroke patients with daily living skills.

关 键 词：聚焦解决模式 脑卒中 日常生活自理能力 

分 类 号：R473.74[医药卫生—护理学]