CAJ | 학술논문

目的：探讨社区卫生服务中心实施综合护理在脑卒中后遗症患者功能康复治疗中的效果。方法选取脑卒中患者101例，随机分为对照组（56例）和综合护理组（55例）。对照组给予常规脑卒中药物治疗与康复训练；综合护理组除按常规药物治疗外，由经过专科培训的社区护理人员每周1次上门进行功能训练与心理指导，并对患者日常生活活动能力（ADL ）与Brunnstrom偏瘫功能进行评定。结果2组患者干预1年后，Brunnstrom分级和ADL评分均较干预前显著提高，且综合护理组患者Brunnstrom分级和ADL评分均高于对照组。结论实施综合护理能显著提高脑卒中后遗症患者日常生活活动能力，促进患者运动功能恢复。
목적：탐토사구위생복무중심실시종합호리재뇌졸중후유증환자공능강복치료중적효과。방법선취뇌졸중환자101례，수궤분위대조조（56례）화종합호리조（55례）。대조조급여상규뇌졸중약물치료여강복훈련；종합호리조제안상규약물치료외，유경과전과배훈적사구호리인원매주1차상문진행공능훈련여심리지도，병대환자일상생활활동능력（ADL ）여Brunnstrom편탄공능진행평정。결과2조환자간예1년후，Brunnstrom분급화ADL평분균교간예전현저제고，차종합호리조환자Brunnstrom분급화ADL평분균고우대조조。결론실시종합호리능현저제고뇌졸중후유증환자일상생활활동능력，촉진환자운동공능회복。
Objective To study the effects of integrated care in community health service centers on rehabilitation of patients with stroke sequela .Methods Totally 101 patients with stroke were randomly divided into integrated care group (n=55) and control group (n=56) .The control group was given conventional drug treatment and rehabilitation training .At the base of the control group ,the integrated care group was given functional training and psychological guidance at their home by the nurses in community a time a week . The activities of daily living (ADL ) and Brunnstrom hemiplegia function of 2 groups were assessed .Results A year after the intervention , Brunnstrom grade and ADL scores in 2 groups were higher than that before the intervention ,and Brunnstrom grade and ADL scores in the integrated care group were higher than that in the control group .Conclusions The integrated care in community health service centers can significantly improve the activity of daily living ability and promote motor function rehabilitation of patients with stroke sequela .