家庭随访对海洛因海绵状白质脑病患者家庭功能的影响  

Effects of Home Follow-up on Family Function of Heroin Spongiform Leukoen-cephalopathy Patients

作　　者：王静新[1] 罗冬华[2] 雷迎[2] 陈琼[2] 周亮[2] 

机构地区：[1]南方医科大学深圳医院,广东深圳518100 [2]南方医科大学南方医院,广东广州510515

出　　处：《护理学报》2017年第1期73-75,共3页Journal of Nursing（China）

基　　金：广东省科技计划项目(2012B031800133);广东省科技计划项目(2012B031800472)

摘　　要：目的探讨家庭随访对海洛因海绵状白质脑病患者家庭功能和共济失调程度的影响。方法将符合纳入标准的64例海洛因海绵状脑病患者按照随机数字表法分为对照组和干预组;2组患者出院后均常规电话随访,干预组在此基础上给予家庭随访1次/2个月,给予为期3年的康复训练指导及心理护理干预。对比2组患者随访后1年及3年时的家庭功能、共济失调程度和回归社会率的差异。结果 2组间比较:随访后1年时共济失调程度比较差异无统计学意义(P>0.05),但干预组得分优于对照组;家庭功能评分比较差异有统计学意义(P<0.05);随访后3年时共济失调程度、家庭功能评分差异均有统计学意义(P<0.05);回归社会率在随访后1年时及3年时均较低,但干预组高于对照组。结论家庭随访可改善海洛因海绵状白质脑病患者家庭功能及共济失调程度,提高患者社区生活质量。Objective To explore the effects of home follow-up on family function and degree of ataxia of Heroin Spongiform Leukoen-cephalopathy（HSLE） patients. Methods Sixty-four HSLE patients were randomly divided into control group and experimental group. Two groups were given telephone follow-up after discharge, and experimental group was given home follow-up every 2 months in addition, a 3-year rehabilitation training guidance and psychological intervention. Family function, the degree of ataxia and the rate of return to society of both groups 1 year and 3 years after intervention were compared. Results There was no difference in the degree of ataxia（P〉0.05） but there was difference in family function after 1-year intervention（P〈0.05）. The degree of ataxia and family function were statistically significant after 3-year follow-up（P〈0.05） and the rate of return to society in both group remained lower after 1-year and 3-year follow-up but the rate in experimental group was higher than that in control group.Conclusion Long-term home follow-up can improve the family function and degree of ataxia of HSLE patients thus improves their quality of life.

关 键 词：海洛因海绵状脑病 家庭随访 家庭功能 

分 类 号：R473.5[医药卫生—护理学]