摘要
[目的]探讨家庭随访对外伤性截瘫病人生活质量的影响。[方法]将67例外伤性截瘫病人按出院时间的先后分为对照组(32例)和家访组(35例)。对照组按常规进行出院指导,家访组在院外实施康复指导。采用功能独立性评定量表(FIM)及改良式Fugl-Meyer对病人的日常活动能力、肢体运动功能进行评分,并观察并发症发生情况,分别于出院时、2个月、4个月进行评定。[结果]家访组出院后2个月和4个月FIM和Fugl-Meyer评分明显优于对照组;相关并发症的发生率也低于对照组,两组比较差异有统计学意义。[结论]家庭随访对外伤性截瘫病人出院后的康复有较好的促进作用,能有效改善肢体运动功能,增强其活动能力,降低并发症发生率,提高病人生活质量。
Objective.To probe into the influence of family follow - up visit on the quality of life of patients with traumatic paraplegia. Methods.A total of 67 patients with traumatic paraplegia were divided into control group （n=32） and family follow-up visit group （n= 35） according to different time of discharge. Patients of control group were given guidance for discharge as in routine. Patients of family follow - up visits group were given rehabilitation guidance after discharged from the hospital. The daily activity ability of all patients was evaluated by FIM rating scale and their limbs motor function was evaluated by modified Fugl - Meyer scale. The occurrence of complications of all patients were observed. And all cases were evaluated on the day of discharge,2 months and 4 months after discharge respectively. scorings on 2 months and 4 months Results ： In terms of FIM and Fugl - Meyer after discharge,patients in family follow- up visit group were obviously better than that of control group cases. The oc- currence of related complications of family follow - up visit group cases was absolutely lower than that of control group cases. There were statistical significant differences between the two group cases. Conclusion. Family follow - up visit for traumatic paraplegia patients can promote their rehabilitation, enhance their limbs motor function, strengthen their daily activity ability and decrease complications of them. It can enhance the quality of life of patients.
出处
《全科护理》
2010年第17期1509-1510,共2页
Chinese General Practice Nursing
关键词
外伤性截瘫
家庭随访
运动功能
康复指导
生活质量
traumatic paraplegia
family follow - up visit
motor function
reha- bilitation guidance
quality of life
