照顾者支持系统在脑卒中患者康复护理中的应用  

Application of Caregivers Support System in the Psychosomatic Rehabilitation of Patients with Cerebral Apoplexy

作　　者：封海霞[1] 牟晓冬[1] 魏云娟 李慧敏[1] 刘畅[1] 刘俊丽[1] 张莉[1] Feng Haixia;Mou Xiaodong;Wei Yunjuan;Li Huimin;Liu Chang;Liu Junli;Zhang Li(Department of Neuropsychiatry,Zhongda Hospital Southeast University,Nanjing 210009,Jiangsu Province,China)

机构地区：[1]东南大学附属中大医院神经精神科,江苏南京210009

出　　处：《解放军护理杂志》2017年第22期45-48,63,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：江苏省卫生厅面上项目(H201431);江苏省科技厅临床医学科技专项-重点病种的规范化诊疗研究(BL2014077)

摘　　要：目的构建并应用脑卒中患者的照顾者支持系统,探讨照顾者支持系统在脑卒中患者心身康复中的作用。方法2015年6月至2016年6月,便利抽样法选择我院神经内科入院的脑卒中家庭照顾者为研究对象。根据随机数字表法,将研究对象分为对照组(58例)和干预组(60例);对照组采用常规护理,护士对康复训练内容进行口头宣教。干预组在常规护理基础上给予照顾者一系列的支持,包括定期安排讲座、发放《脑卒中患者居家护理指导手册》、上门指导照顾技巧、每2个月进行1次照顾者团体心理治疗和召开照顾者联谊会等。分别于干预前、干预后6个月对两组患者发放日常生活能力量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表;对两组患者照顾者发放照顾者压力量表、照顾者能力量表。结果干预后6个月患者的日常生活能力评分由(40.22±2.06)分至(70.24±4.31)分,汉密尔顿焦虑量表评分由(38.32±2.26)分至(20.16±2.73)分,汉密尔顿抑郁量表评分由(34.43±2.74)分至(19.16±1.62)分;照顾者能力量表评分由(25.83±1.23)分至(5.91±1.42)分,照顾者压力量表评分由(69.38±1.53)分至(46.43±2.02)分,与对照组比较,差异均有统计学意义(均P<0.05)。结论应用照顾者支持系统可提升照顾者照顾能力,有助于提高患者日常生活能力,减轻照顾者压力及患者的焦虑和抑郁程度。Objective To construct the caregivers support system for the cerebral apoplexy patients,and explore the caregivers support system in the role of psychosomatic rehabilitation in patients with cerebral apoplexy.Methods By convenience sampling,123cases of stroke family caregivers from department of neurology in hospital from June2015to June2016were selected and randomly divided into control group(n=58)and intervention group(n=60).The control group received routine nursing.Intervention group applied the caregivers a series of support on the basis of conventional nursing,including arranging lectures regularly,providing Home Care Instruction Manual for The Cerebral Apoplexy Patients,guiding care tips through visiting the home,conducting psychological treatment for the caregivers group once two months and holding caregivers sociables,etc.Restpectively before and6months afther the intervention,two groups of patients were relased ADL,HAMA,HAMD;two groups of caregivers were issued of caregiver strain indes caregiver competence index.Results The ADL score of six months after intervention was increased from(40.22±2.06)to(70.24±4.31).The HAMA score decreased from(38.32±2.26)to(20.16±2.73).The HAMD score decreased from(34.43±2.74)to(19.16±1.62).The caregiver strain index score decreased from(25.83±1.23)to(5.91±1.42),the caregiver competence index score decresed from(69.38±1.53)to(46.43±2.02)(all P<0.05).Conclusion Application of caregivers support system can promote caregivers’care ability,help to improve the patients’daily life ability,reduce the pressure of caregivers and the degree of anxiety and depression of patients.

关 键 词：照顾者 支持系统 脑卒中 心身康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]