61例肝破裂手术治疗体会.docVIP

社区康复护理对脑卒中后遗症期患者生活质量及心理状态的影响 王苓 高美华 吕婵 战连芬 【摘要】目的方法性分析2007年1月至2010年12月期间例(QLI)、汉密尔顿抑郁量表(HAMD)差异。结果HAMD评分无统计学差异(P0.05)。与对照组比较，研究组的SF-36评分、MBI评分、QLI评分及HAMD评分均明显优于对照组(P0.01)。结论Effect of community-based rehabilitation nursing on life quality and mental status of patients with stroke sequela period [Abstract] Objective To investigate the effect of community-based rehabilitation nursing intervention on life quality and mental status of patients with stroke sequela period. Methods A total of 86 patients in our hospital from Jan. 2007 to Dec. 2010 were collected to prospective analyses and divided into two groups, randomizedly, control group and research group. The conventional therapy was given to the patients of control group and research group, and a series of community-based rehabilitation nursing intervention was given to research group, additionally. Each group had 43 patients. All patients were evaluated with health state survey questionnaire (SF-36), modified Barthel index(MBI), quality of life index scale(QLI) and Hamilton depression scale(HAMD) before and after therapy. Results The scale of SF-36, MBI, QLI and HAMD were no difference between two groups(P0.05). Compared to control group, the scale of SF-36, MBI, QLI and HAMD in research group were better(P0.01). Conclusion The community-based rehabilitation nursing intervention could be help to progress the life quality and release depression degree of patients with stroke sequela period, and could be expanded. [Key words] community-based rehabilitation nursing intervention, stroke sequela period, life quality, mental status 据统计，我国脑卒中(Stroke的发病率、致残率以及死亡率都很高，且大多遗留有功能障碍等后遗症，严重威胁患者日常生活质量，并且大多数患者存在心理障碍。因而对脑卒中后遗症患者进行有效系统的社区康复治疗，提高患者生活质量及心理状态，使其更好地回归家庭和社会中，是目前脑卒中后遗症治疗的关键。基于此，我院前瞻性对2007年1月至2010年12月期间86例脑卒中后遗症期患者进行一系列社区康复护理干预，取得良好疗效，现报告如下。 1. 资料及方法 1.1临床资料 选择2007年1月至2010年12月期间我院住院86例脑卒中后遗症期患者作为研究对象，其中男性64例、女性22例，年龄在63～77岁，平均年龄(6.8±6.5)岁。其中男性例、女性例，平均年龄(6.5±7.7)岁其中男性例、女性例，平均年龄(6.5±7.7)岁MRI或CT证实[3]；②均存在肢体功能障碍，且格拉斯哥昏