家庭康复模式对偏瘫患者运动功能及自理能力的影响  

Effects of family rehabilitation model on motor function and self-care ability of hemiplegia patients

作　　者：杨纯生[1] 王静[2] 

机构地区：[1]新乡医学院第三附属医院康复医学科,河南新乡453003 [2]新乡医学院三全学院护理学院

出　　处：《中国民康医学》2017年第5期50-52,共3页Medical Journal of Chinese People’s Health

基　　金：河南省社科联;河南省经团联调研课题(编号:SKL-2014-370)

摘　　要：目的:探讨家庭康复模式对脑血管病患者康复的影响。方法:将80例脑血管病院外患者随机分为观察组和对照组,每组各40例。两组患者均予以药物治疗;对照组患者仅给予二级预防及饮食等指导;观察组患者另给予家庭康复处理。治疗前后,两组患者均给予Fugl-meyer、Barthel指数、生活质量SS-QOL量表评定。结果:在入组4月、入组8月时,观察组患者的Fugl-meyer、Barthel指数、生活质量SSQOL量表评定分值均显著高于对照组(P<0.01)。在入组4月,观察组患者的上述三项分值较入组时明显增高(P<0.01);在入组8月,观察组患者的上述三项分值较入组4月显著增高(P<0.01)。在入组4月,对照组患者上述三项分值较入组时也有明显增高(P<0.05),但在入组8月时,对照组患者的上述三项分值较入组4月无统计学差异(P>0.05)。结论:家庭康复模式能提高偏瘫患者的运动能力、改善其生活自理能力。Objective： To discuss effects of family rehabilitation model on recovery of cerebral vascular disease patients. Methods： 80 cerebral vascular patients outside the hospital were randomly divided into observation group （n = 40） and control group （n = 40）. The two groups were all given the medication treatment. Besides, the control group was only given the second level preven-tion and diet guide, while the obseration group received the family rehabilitation. The Fugl-meyer index, Barthel index as well as SS -QOL of the two groups were evaluated before and after the treatment. Results ： 4 and 8 months after entering the group, the values of Fugl-meyer index, Barthel index as well as SS-QOL of the observation group were all significantly higher than those of the control group （P〈0. 01）. The value of the above mentioned items had increased significantly after entering into the observation groups for 4 months than those when they first entered （ P〈0. 01）. The value of the above mentioned items had also become higher after entering in-to the obser^^ation groups for 8 months than those of them entering for 4 months（ P〈0. 01）. The value of the above mentioned items had also increased after entering into the control groups for 4 months than those when they first entered （P〈0.05） ; however, there were no obvious differencesamong the values tested 4 months and 8 months after they entered the group （ P〉0. 05 ）. Conclusions ： Family reha-bilitation model can improve the exercise capacity and self-careability of the hemiplegiapatients

关 键 词：偏瘫 家庭康复 运动功能 

分 类 号：R472[医药卫生—护理学]