张翠平

[摘要] 目的 探讨延续康复治疗对中青年高血压性脑出血患者自我感受负担和生活质量的影响。 方法 选择2018年1月至2019年12月在我科住院出院的脑出血患者90例，按随机数字表法分为观察组和对照组，每组各45例。对照组出院后行传统延续康复模式，观察组在此基础上实施延续康复治疗干预，比较2组患者自我感受负担和生活质量。 结果 干预前2组患者SPBS 3个维度评分，差异无统计学意义（P>0.05），干預6个月后观察组SPBS 3个维度评分均低于干预前，且低于对照组，比较差异均有统计学意义（P<0.05）;2组干预前患者躯体功能、社会功能、角色功能及认知功能评分，差异无统计学意义（P>0.05）;观察组干预6个月后患者躯体功能、社会功能、角色功能及认知功能评分高于干预前，且高于对照组，差异均有统计学意义（P<0.05）。 结论 延续康复治疗显著降低高血压性脑出血患者自我感受负担，提高患者日常生活质量。

[关键词] 延续康复治疗;中青年;高血压脑出血;自我感受负担;生活质量

[中图分类号] R743.34          [文献标识码] B          [文章编号] 1673-9701（2021）35-0109-04

Impacts of continuing rehabilitation treatment on the self-perceived burden and quality of life of young and middle-aged patients with hypertensive cerebral hemorrhage

ZHANG Cuiping

Department of Rehabilitation， Central Hospital of Zaozhuang Mining Group， Zaozhuang   277800， China

[Abstract] Objective To investigate the impacts of continuing rehabilitation treatment on the self-perceived burden （SPB） and quality of life of young and middle-aged patients with hypertensive cerebral hemorrhage. Methods A total of 90 patients with cerebral hemorrhage admitted to and discharged from our department from January 2018 to December 2019 were selected. And they were divided into the observation group （n=45） and the control group （n=45） according to the random number table method. After discharge， the control group was treated with conventional continuing rehabilitation mode， while the observation group was treated with continuing rehabilitation intervention on this basis. The and quality of life of the two groups of patients were compared. Results Before intervention， there were no statistically significant differences in the scores of 3 dimensions of Self-Perceived Burden Scale （SPBS） between the two groups of patients（P>0.05）. Meanwhile， after 6 months of intervention， the scores of 3 dimensions of SPBS in the observation group were all lower than those before intervention， and lower than those in the control group， with statistically significant differences （P<0.05）. Before intervention， there were no statistically significant differences in scores of physical function， social function， role function and cognitive function between the two groups of patients（P>0.05）. After 6 months of intervention， the scores of physical function， social function， role function and cognitive function in the observation group were higher than those before intervention and higher than those in the control group， with statistically significant differences （P<0.05）. Conclusion Continuing rehabilitation treatment can significantly reduce the SPB and improve the quality of daily life of patients with hypertensive cerebral hemorrhage.

[Key words] Continuing rehabilitation treatment; Young and middle-aged people; Hypertensive cerebral hemorrhage; Self-perceived burden; Quality of life

脑出血是指非创伤性原发性的脑实质内出血，具有发病率、病死率、致残率及复发率高的特点，严重危害人类的生命健康[1]，其中中青年脑出血占10%～15%[2]。颅内血肿清除术是主要的治疗方法，但患者术后肢体功能均会出现不同程度障碍，失去自理能力，患者的预后直接影响到患者的生活质量及社会经济身体负担[3-4]，同时由于大部分患者需要他人长期照护，需要照顾者提供经济、生活等方面的帮助，在此过程中，患者普遍存在担心拖累家人，成为他们负担的感觉即自我感受负担（Self-perceived burden，SPB）。……