| 张凤.社区家庭康复护理对脑卒中后患者的作用 张凤① 赵忆文② 赵纯红① 赵力群② （上海市浦东新区沪东社区卫生服务中心①，上海 200129 上海市浦东新区公利医院②，上海 200135）[J].上海护理,2014,14(5): |
| 社区家庭康复护理对脑卒中后患者的作用 张凤① 赵忆文② 赵纯红① 赵力群② （上海市浦东新区沪东社区卫生服务中心①，上海 200129 上海市浦东新区公利医院②，上海 200135） |
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| DOI： |
| 中文关键词: 脑卒中 社区家庭康复 护理 |
| 英文关键词:Nursing care of cerebral family community stroke rehabilitation |
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| 中文摘要: |
| 【摘要】目的 探讨社区家庭康复护理对脑卒中后患者的日常生活能力及抑郁状态的作用。方法 选取2011年10月-2012年09月沪东社区卫生服务中心的脑卒中后患者80例,采用随机分组，分为康复组和对照组，对照组给予常规治疗和护理，使用活血化瘀药物及积极治疗并发症等，康复组除在常规治疗基础上，通过心理支持疗法、家庭康复护理和放松疗法等护理服务干预12个月,采用日常生活能力量表（ADL）（采用改良Barthel指数评分量表）和汉密顿抑郁评定量表（HAMD）进行比较。结果 通过12月实施社区家庭康复护理后，康复组Barthel指数评分和HAMD评分均优于对照组，P＜0.05有统计学意义。结论 社区家庭康复护理服务干预可以缓解脑卒中后患者负面心理,提高患者的战胜疾病信心,减轻抑郁状态，提高患者日常生活能力，提高患者生命质量，可在社区护理工作中广泛推广。 |
| 英文摘要: |
| [Abstract] Objective To explore the effect of community family rehabilitation nursing on post-stroke patients activities of daily living and depression. 80 patients with stroke were selected from 2011 October -2012 year for 09 months of Hudong community health service center, randomly, divided into rehabilitation group and control group, the control group was given conventional treatment and care, the use of Huoxue Huayu drugs and aggressive treatment of complications, rehabilitation group except on the basis of conventional therapy, supportive therapy, family rehabilitation nursing and relaxation therapy, nursing intervention for 12 months through the psychological, the activity of daily living scale (ADL) (modified Barthel index score) and the Hamilton Depression Rating Scale (HAMD) were compared. Results by December the implementation of community family rehabilitation nursing, rehabilitation group Barthel score and HAMD score were better than the control group, P < 0.05 was statistically significant. Conclusion: community family rehabilitation nursing intervention can alleviate the negative psychology of stroke patients, improve the patient's confidence in overcoming the disease, alleviate depression, improve the ability of daily life of patients, improve the quality of life of patients, and can be widely popularized in community nursing. |
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