黄英

摘 要 目的：探讨家庭康复护理对农村脑卒中患者肢体运动功能和日常生活活动能力的影响。方法：将脑卒中患者随机分为干预组和对照组，干预组38例，其中男性21例，女性17例，平均年龄（69.71±6.99）岁；对照组38例，其中男性19例，女性19例，平均年龄（70.60±6.23）歲。干预组患者由经过培训的社区护士提供12个月的家庭康复护理干预；对对照组患者按常规照顾模式进行居家护理和随访。采用Brunnstrom运动功能评定量表和Barthel指数评定量表评价干预前和干预12个月后的肢体运动功能和日常生活活动能力。结果：干预12个月后，干预组患者的肢体运动功能评分和日常生活活动能力评分均明显高于对照组（P<0.05）。结论：家庭康复护理干预能提高脑卒中患者肢体运动功能和日常生活活动能力，提高患者的生存质量。

关键词 脑卒中；家庭康复护理；肢体运动功能；日常生活活动能力

中图分类号：R743.3 文献标志码：A 文章编号：1006-1533（2018）16-0056-03

Effect of family rehabilitation nursing on limb movement and daily living activity of stroke patients in the rural areas

HUANG Ying

（Nursing Department of Xinchang Community Health Service Center of Pudong New District， Shanghai 201314， China）

ABSTRACT Objective： To explore the effect of family rehabilitation nursing intervention on limb movement function and daily living activity of the patients with stroke in the rural areas. Methods： The stroke patients were randomly divided into an intervention group and a control group. There were 38 patients in the intervention group， including 21 males and 17 females， with an average age of （69.71 ± 6.99） years； the control group consisted of 38 patients， including 19 males and 19 females， with an average age of （70.60 ± 6.23） years. The intervention group received 12 months of family rehabilitation nursing intervention by trained community nurses. The control group received home care nursing and follow up according to the routine care mode. The Brunnstrom exercise function assessment scale and the Barthel index rating scale were used to evaluate the limb movement function and daily living activity before and after intervention for 12 months. Results： After 12 months of intervention， the scores of limb movement function and daily living activity in the intervention group were significantly higher than those in the control group（P<0.05）. Conclusion： Family rehabilitation nursing intervention can improve the limb movement function and daily living activity of stroke patients and improve their quality of life.

KEY WORDS stroke； family rehabilitation nursing； limb movement function； daily living ability

脑卒中是常见的脑血管病，且随着老龄化的增加而呈现出越来越高的发病趋势，致死率和致残率也都极高[1]。严重影响了患者的生活质量以及家庭和社会的稳定[2]。由于经济条件和文化程度的限制以及主要陪护人员知识和技能的缺乏，致使很多农村地区的脑卒中患者康复效果不佳。本研究旨在探索家庭康复护理对农村脑卒中患者的肢体运动功能和生活自理能力的影响。

1 对象和方法

1.1 对象

于2014年9月至12月选取上海市浦东新区新场社区的脑卒中偏瘫患者。纳入标准：（1）符合脑血管病的诊断标准[3]，并经CT或MRI证实，且均有肢体功能障碍；（2）病程≤2年，处于康复期或后遗症期；（3）年龄≤80岁；（4）目前在家中康复；……