摘要
目的观察专人管理模式在脑卒中偏瘫后遗症家庭康复护理中应用的效果。方法将80例脑卒中偏瘫后遗症患者按随机数字表法随机分为干预组和对照组各40例。对照组由社区康复中心对患者及其家属进行脑卒中偏瘫后遗症的家庭康复护理培训，培训后由患者家属成员对患者进行常规家庭康复护理。干预组在家庭康复护理的基础上实施专人管理服务模式，比较2组护理效果。结果2组患者在治疗护理前的Fugl-Meyer运动功能评分、日常生活活动能力（ADL）评分比较差异均无统计学意义。治疗前后干预组和对照组自身的Fugl-Meyer运动功能评分和ADL评分比较差异均有统计学意义，t值分别为-18．30、-20．34和-18．65、-11．62。治疗后干预组Fugl-Meyer运动功能评分和ADL评分均高于对照组，t值分别为-3．053和-2．974，差异有统计学意义。结论对脑卒中偏瘫后遗症患者在家庭康复护理中应用专人管理模式，对获得理想的肢体活动能力和生活自理能力起着重要作用。
Objective To observe the effectiveness of applying personnel management in family re- habilitation nursing of stroke hemiplegia sequelae. Methods A total of 80 patients with cerebral apoplexy hemiplegia sequelae were randomly divided into two groups, the intervention group and the control group, with 40 cases in each group. The control group was trained by community center to patients and their fami- ly members for family rehabilitation nursing of stroke hemiplegia sequelae. After training, the patients were taken care by their family members using regular family rehabilitation. The intervention group was taken care by using personnel management service mode based on family rehabilitation nursing, and then the effectiveness of the two groups was compared. Results Fugl-Meyer Movement Function score and Activities of Daily Life （ADL） score before nursing showed no significant difference between two groups. However, after nursing, the two scores were significantly different by intragroup comparison （t values were -18.30, -20.34 and -18.65, -11.62） and they were higher in the intervention group compared with those in the control group af- ter treatment （t values were -3.053 and -2.974）. Conclusions For stroke patients with hemiplegia seque- lae, personnel management mode plays an important role for family rehabilitation nursing in achieving ideal physical activity ability and life self-care ability.
出处
《中国实用护理杂志》
2015年第9期654-656,共3页
Chinese Journal of Practical Nursing
基金
基金项目：2013年广东省深圳市福田区科技局项目（201338）
关键词
专人管理模式
卒中
偏瘫
康复护理
治疗效果
Personnel management mode
Stroke
Hemiplegia
Rehabilitation nursing
Treatment outcome
