董小敏等

[摘要] 目的 探讨直系家属参与康复护理对脑卒中患者功能恢复的影响。 方法 选取本院2014年1～11月就诊的100例脑卒中患者作为研究对象，随机分为对照组和观察组，各50例。对照组给予常规康复护理，观察组给予直系亲属参与的康复护理。比较两组的日常生活能力与肢体运动能力评分及总有效率。 结果 两组护理后的日常生活能力与肢体运动能力评分显著高于护理前，差异有统计学意义（P<0.05）。观察组护理后的日常生活能力与肢体运动能力评分显著高于对照组护理后，差异有统计学意义（P<0.05）。观察组的总有效率显著高于对照组，差异有统计学意义（P<0.05）。 结论 直系亲属参与康复护理在脑卒中患者中的应用效果显著，值得临床推广应用。

[关键词] 康复护理；脑卒中；功能恢复

[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2015）06（c）-0192-03

[Abstract] Objective To explore the influence of rehabilitation nursing participated by immediate family members on functional recovery of patients with cerebral apoplexy. Methods 100 patients with cerebral apoplexy in our hospital from January 2014 to November were selected and randomly divided into the control group and the observation group，50 cases in each group.The control group was given regular rehabilitation nursing，the observation group was given rehabilitation nursing participated by immediate family members.The score of daily life ability and physical exercise ability，the total effective rate in two groups was compared. Results The score of daily life ability and physical exercise ability in two groups after nursing was higher than that before nursing，with significant difference（P<0.05）.The score of daily life ability and physical exercise ability in the observation group after nursing was higher than that in the control group after nursing，with significant difference（P<0.05）.The total effective rate in the observation group was higher than that in the control group，with significant difference（P<0.05）. Conclusion The application effect of rehabilitation nursing participated by immediate family members on functional recovery of patients with cerebral apoplexy is significant，it is worthy of clinical promotion and application.

[Key words] Rehabilitation nursing；Cerebral apoplexy；Functional recovery

脑卒中是由于脑血流减少或脑供血不足导致的疾病，具有高致死率和高致残率的特点[1-3]。据统计[4-5]，约70%的脑卒中患者存在各类功能障碍，而治疗后的康复护理是改善患者病情、提高其生活质量的重要措施。本研究选取本院的脑卒中患者作为研究对象，探讨直系家属参与康复护理对脑卒中患者功能恢复的影响。

1 资料与方法

1.1 一般资料

选取本院2014年1～11月就诊的100例脑卒中患者作为研究对象，其中男61例，女39例；年龄42～73岁，平均（51.93±5.95）岁。将入选患者随机分为对照组和观察组，各50例。两组的性别、年龄以及病情等一般资料比较，差异无统计学意义（P>0.05），具有可比性。

1.2 护理方法

对照组治疗后给予常规康复护理，观察组给予直系亲属参与的康复护理，具体措施如下。①专业培训：医护人员在对患者进行常规康复护理的基础上，应及时与家属进行沟通，为其讲解护理的流程和作用，并选择1～2名患者的直系亲属，对其进行专业的护理培训，使其能够参与专业化的康复护理。……