陈汴玲+王洁

摘 要 目的：观察护工的康复技能教育对脑卒中后遗症及骨折术后患者康复的影响。方法：中心从2015年起对护工进行康复技能教育，培训其指导患者生活能力的技能，并协助康复治疗师来监督患者完成康复作业，所以研究以2014年住院中心136例的脑卒中后遗症及骨折术后患者作为对照组，以2015年住院的164例脑卒中后遗症及骨折术后患者作为观察组，在同样康复治疗的基础上，观察护工康复技能教育对患者日常生活能力（ADL）评分的影响。结果：两组患者在住院時间及康复锻炼治疗无明显差异的情况下，观察组患者出院时的ADL评分平均提高了（16.66±6.17）分，对照组出院时的ADL评分平均提高了（5.41±3.35）分，（P<0.01）。结论：通过教育提高了护工的康复技能，使脑卒中后遗症及骨折术后患者的生活能力得到更好的改善，减轻家庭和社会的负担，提升患者自信及康复欲望。

关键词 脑卒中； 后遗症；骨折术后；康复技能教育；ADL评分

中图分类号：R743.3 文献标志码：A 文章编号：1006-1533（2017）10-0056-03

The impact of the ADL scores of rehabilitation skills education for nursing workers on the patients with stroke sequela and postoperative fracture

CHEN Bianling， WANG Jie

（Hongqiao Community Health Service Center of Changning District， Shanghai 20051， China）

ABSTRACT Objective： To observe the effect of rehabilitation skills education for nursing workers on the rehabilitation of stroke sequelae and after fracture surgery. Methods： Since 2015 the center has educated the nursing workers on the rehabilitation of skills to train their skills to guide patients ability to live and to assist the rehabilitation therapist to supervise the patients to complete the rehabilitation work. Therefore， the study selected 136 hospitalized cases of stroke sequelae and postoperative fractures in the center in 2014 as a control group， and 164 hospitalized cases in 2015 as an observation group. On the basis of the same rehabilitation， the impact of scoring of rehabilitation skill training for the nursing workers on daily living ability （ADL） of the patients was observed. Results： There were no significant differences between the two groups in the hospitalization time and the rehabilitation treatment， the average ADL score of the observation group was increased （16.66±6.17）， and the average ADL score of the control group was increased （5.41±3.35）， （P<0.01）. Conclusion： Through the education to improve the rehabilitation skills of nursing workers， the living abilities of the patients with stroke sequela and postoperative fractures are improved， so as to reduce the burden on the family and society， and enhance the patient confidence and rehabilitation desire.

KEY WORDS stroke； sequelae； after fracture surgery； rehabilitation skills education； ADL score

脑卒中后遗症及骨折术后患者，日常生活能力受到极大的影响，特别是社区卫生服务中心收治的患者，大多为高龄老人，更加需要长期住院进行康复治疗。本中心于2013年收治脑卒中后遗症及骨折术后康复患者，对其进行系统康复锻炼，但是康复治疗师对其进行治疗时间有限，仍有大部分住院时间，由其陪护者对其进行生活照料。经过一年康复锻炼后，运动功能改善，而生活能力却没有明显提高。结合我中心实行的24 h护工陪护制度，在2015年对所有护工进行定期培训康复技能，特别是生活能力培训，在照料患者生活同时，进行康复训练，将康复贯穿日常生活中，本研究旨在观察护工康复技能培训对患者康复效果的改善。……