系统化ADL训练在促进脑梗死患者早期下床的临床研究  

作　　者：吴玉娥[1] 黄艳芳[1] 何彩霞[1] 

机构地区：[1]广东医学院附属东莞市厚街医院神经内科,广东523945

出　　处：《当代医学》2014年第3期27-28,共2页Contemporary Medicine

基　　金：东莞市科技局立项(2010105150082)

摘　　要：目的通过对脑梗死患者进行系统化的日常生活活动能力(ADL)训练,探讨脑梗死患者早期下床活动的时间及效果。方法将200例脑梗死患者按住院号的奇偶数随机分为观察组和对照组,各100例;对观察组进行系统化早期的ADL训练方法进行干预,对照组进行常规康复护理;分别对两组患者在训练前后对ADL评价及第1次下床时间的比较。结果观察组进行系统ADL训练干预后,出院前Barthel指数评分为(84.39±12.75)分,第1次下床时间为(5±2)d,对照组分别为(84.39±12.75)分、(10±3)d,ADL干预后效果显著优于对照组(P<0.05)。且观察组患者下床时间明显提前于对照组。结论早期系统的ADL康复训练可以促进脑梗死患者早期下床活动,有利于脑梗死患者的康复,同时减少了肌肉萎缩、肺炎、深静脉血栓等并发症的发生,提高了患者自理能力,减轻了家庭的负担。Objective To explore the effect of systematically ADL training in early ambulation of patients with cerebral infarction.Methods 200 cerebral infarction patients in hospital were randomly divided into observation group and control group,100 cases in each;observation group was given ADL training method for systematic early intervention,the control group was given routine rehabilitation nursing;The two groups were compared before and after training in the assessment of activities of daily living and a bed time. Results The observation group were ADL training system intervention,the predischarge Barthel index score was （84.39 ＆#177; 12.75） points, the first time of out of bed time was （5 ＆#177; 2） days,and the control group were （84.39＆#177;12.75）, （10 ＆#177; 3）days,in the observation group were was significantly better than the control group （P＆lt;0.05）. And the patients in the observation group were earlier than those in controlgroup under the bed time. Conclusion ADL can promote early rehabilitation training system of cerebral infarction in patients with early ambulation, is conducive to the rehabilitation of patients with cerebral infarction, reduce muscle atrophy, pneumonia,deep vein thrombosis and other complications,improve theself-care ability of patients, and reduce the burden of the family.

关 键 词：脑梗死 日常生活活动能力训练 下床 

分 类 号：R473.74[医药卫生—护理学]