三级康复护理对脑卒中患者生活质量影响.docVIP

三级康复护理对脑卒中患者生活质量的影响 　　[摘要] 目的 探讨三级康复护理对脑卒中患者生活质量的影响。 方法 选择本院2012年8月～2013年6月收治的脑卒中偏瘫患者80例，将全部患者随机分为研究组和对照组，每组各40例，两组均给予常规对症治疗，其中对照组患者给予常规康复护理，研究组患者给予规范三级康复护理，发病稳定期在神经内科进行康复护理，恢复期进入康复科进行专业康复训练，维持期进行社区康复或家庭康复护理，采用QOL量表评价护理前后患者的生活能力。 结果 护理前两组QOL评分差异无统计学意义（P0.05），护理6个月后两组QOL各项评分及总分均较护理前降低，但研究组评分明显低于对照组，差异有统计学意义（P0.05）。 结论 稳定期、恢复期、维持期三级康复护理可辅助患者进行系统的康复治疗，利于提高脑卒中患者的生活质量，值得推广应用。 　　[关键词] 脑卒中；偏瘫；三级康复护理；生活质量 　　[中图分类号] R473.74 [文献标识码] B [文章编号] 1674-4721（2014）04（a）-0161-03 　　[Abstract] Objective To investigate the impact of tertiary rehabilitation care on quality of life in patients with stroke. Methods 80 cases of stroke patients admitted to our hospital from August 2012to June 2013，they were randomly divided into study group and control group，40 patients in each group，all patients were given conventional symptomatic treatment，the control group was given conventional rehabilitation care，research group was given standardized three rehabilitation care，in stability period，patients were given neurology rehabilitation nursing，in recovery stage，professional rehabilitation care was given in rehabilitation department，and community rehabilitation or home rehabilitation care was given in maintenance stage，QOL scale was used to evaluate life quality of patients before and after treatment. Results Before treatment，QOL scores of two groups showed no significant difference （P0.05），after six months nursing，each score and total QOL score of two groups were lower than before treatment，but the scores of study group were significantly lower than the control group，the difference statistically significant （P0.05）. Conclusion Tertiary rehabilitation care in stability，recovery，maintenance stage can assist patients with system rehabilitation therapy，which will help improve the quality of life of patients with stroke，it is worthy of application. 　　[Key words] Stroke；Hemiplegia；Tertiary rehabilitation care；Quality of life 　　脑卒中是严重危害人类健康和生命安全的常见性难治性疾病，存在着明显“三高”（发病率高、致残率高、死亡率高）现象。中国每年因卒中死亡病例超过120万，