社区康复干预对脑卒中偏瘫患者生活质量及情绪的影响观察

摘要

Objective To observe the effect of community rehabilitation intervention on the survival quality and emotion of patients with hemiplegia after apoplexy.Methods Randomly selected 150 patients with hemiplegia after apoplexy treated at two rehabilitation centers at Xiashan District and Chikan District from January,2014 to December,2015 were selected as study objects and were randomly divided into an experimental group and a control group.The control group were routinely cared.The data of the experimental group were collected using survey table.The patients' life quality and emotion of the experimental group were intervened with questionnaire investigation,disease propaganda and education,psychological intervention,rehabilitation guiding,and providing rehabilitation intervention team.Both groups were followed up for 6 months after discharge.The ADL score and survival qluality were measured before intervention,1,3,and 6 month after discharge,respectively.Results 1,3,and 6 month after discharge,The ADL score and survival quality were better in the experimental group than in the control group.2 patients recurred apoplexy in the experimental group,with a recurrence rate of 2.67％ and 9 recurred in the control group,with a recurrence rate of 12.0％.After the intervention,the scores of SAS and SDS were better than before the intervention in both groups and in the experimental group than in the control group,with statistical differences (P＜0.01).Conclusions Community rehabilitation intervention for patients with hemiplegia after apoplexy can significantly improve their ADL,survival quality,and emotional state and should be applied further.%目的 探讨分析社区康复干预对脑卒中偏瘫患者生活质量及情绪的影响.方法 选取湛江市霞山、赤坎区两个社区康复中心自2014年1月至2015年12月期间收治的脑卒中患者150例作为研究对象,患者均为首次发病,随机将其分为实验组和对照组.对照组实施常规护理,实验组采用调查表收集资料,并通过问卷调查、疾病宣教、心理干预、康复干预指导及配备康复干预团队等社区康复方法对患者的生活质量及情绪进行干预.两组患者出院后均随访6个月,评估分析两组患者在干预前及出院后1个月、3个月和6个月的日常生活能力及生活质量;同时在第6个月对两组患者生活能力、生活质量、脑卒中复发率和出院后患者情绪状态进行调查.结果 实验组患者在出院后1个月、3个月及6个月日常生活能力、生存质量明显高于对照组(P＜0.05);实验组患者在6个月的康复干预中共出现2例再发卒中,再发卒中率为2.67％,对照组患者共出现9例再发卒中,再发卒中率为12.00％,实验组患者出院后6个月内的再发卒中率明显低于对照组;社区康复干预后,两组患者的SAS评分和SDS评分均明显改善,且实验组评分均明显低于对照组,差异具有统计学意义(P＜0.01).结论 对脑卒中偏瘫患者进行社区康复干预,能够有效改善患者的生存质量和生活能力,减轻社会、家庭负担,有效降低卒中患者的再复发率,有利于医疗资源的合理配置,具有很大的研究和应用价值.