2种不同量表在脑血管支架置入术患者居家护理中的应用  

Plication of two different scales in home nursing of patients with cerebrovascular stent implantation

作　　者：李雪芬[1] 凌晓辉[1] 成月花[1] 

机构地区：[1]南京医科大学附属脑科医院,江苏南京210029

出　　处：《实用临床医药杂志》2014年第10期19-21,34,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省一级学科重点学科护理学开放基金项目(NYHL211213)

摘　　要：目的探讨不同量表在脑血管支架置入术患者居家护理中的应用以及对患者日常生活活动能力(ADL)的影响。方法将90例脑血管支架置入术患者随机分为对照组、实验1组及实验2组,每组各30例。对照组采用常规出院健教、门诊随诊护理方法;实验1组和实验2组分别采用日常生活能力评定量表(ADL)和功能独立评定量表(FIM)对患者进行日常生活能力评定,根据评定结果制定干预措施。结果实验1组患者和实验2组患者第3个月、6个月的日常生活能力评定量表(ADL)评分均较对照组有所提高,但实验2组提高程度显著高于实验1组,差异有统计学意义(P<0.05)。结论将功能独立评定量表(FIM)应用于脑血管支架置入术患者的居家护理中,能更有效提高患者的日常生活活动能力。Objective To explore the effect of two different scales in home nursing of pa- tients with cerebrovascular stent implantation and activities of daily living （ADL） of patients. Methods 90 patients with cerebrovascular stent implantation were randomly divided into control group, experimental group 1 and experimental group 2 with 30 patients in each group. The control group was conducted with general hospital health education and outpatient follow- up, while the experimental group 1 and group 2 were conducted with the scales of Activity of Daily Living Scale （ADL） and Functional Independence Measure （FIM） to assess their activities of daily living. Interventions were made according to the results of the assessment. Results The ADL scores at 3 months and 6 months were both improved in experimental group 1 and group 2. Morever, the patients in experimental group 2 were more improved than that in the experimental group 1, thus, the results revealed that difference was statistically significant （P 〈 0.05）. Conclusion The application of FIM in home nursing of patients with cerebrovascular stent implantation can effectively improve the level of their activities of daily living.

关 键 词：脑血管支架置入术 居家护理 日常生活能力评定量表 功能独立评定量表 

分 类 号：R473.5[医药卫生—护理学]