CAJ | 학술논문

目的：探讨社区护理服务对神经外科手术出院患者康复的影响。方法：将2010年1月耀2013年7月在深圳市龙华新区社区护理服务中心进行社区康复护理的42例神经外科手术出院患者作为观察组，选择同期在深圳市龙华新区观澜人民医院脑外科出院后进行家庭康复的30例患者作为对照组。采用抑郁量表（ SAS）、焦虑量表（ SDS）、Fugl-Meyer、Barthel指数和失语严重程度分段标准评定法对两组患者分别于干预前、干预后2个月进行评定。结果：干预后2个月观察组SAS和SDS评分明显下降，低于干预前和对照组干预2个月后（ P〈0.01）；干预后2个月观察组Fugl-Meyer、Barthe指数和失语严重程度分段标准等评分明显高于对照组（ P〈0.01）。结论：社区康复护理服务对神经外科手术出院患者功能康复有积极作用，值得推广应用。
목적：탐토사구호리복무대신경외과수술출원환자강복적영향。방법：장2010년1월요2013년7월재심수시룡화신구사구호리복무중심진행사구강복호리적42례신경외과수술출원환자작위관찰조，선택동기재심수시룡화신구관란인민의원뇌외과출원후진행가정강복적30례환자작위대조조。채용억욱량표（ SAS）、초필량표（ SDS）、Fugl-Meyer、Barthel지수화실어엄중정도분단표준평정법대량조환자분별우간예전、간예후2개월진행평정。결과：간예후2개월관찰조SAS화SDS평분명현하강，저우간예전화대조조간예2개월후（ P〈0.01）；간예후2개월관찰조Fugl-Meyer、Barthe지수화실어엄중정도분단표준등평분명현고우대조조（ P〈0.01）。결론：사구강복호리복무대신경외과수술출원환자공능강복유적겁작용，치득추엄응용。
Objective:To study the effect of community nursing service on rehabilitation of the discharged patients with neurosurgical op-eration. Methods:42 discharged patients who had neurosurgical operation and received rehabilitation in the community nursing service cen-ter from January 2010 to July 2013 were taken as the observation group and other 30 discharged patients who received rehabilitation at home at the same time were taken as the control group. The self-rating depression scale( SDS),self-rating anxiety scale( SAS),Fugl-Meyer,Barthel index and segmentation criteria evaluation method for severity of aphasia were used to evaluate the patientsˊconditions be-fore the intervention and after the intervention for 2 months in the two groups. Results:The SAS and SDS scores decreased significantly after the intervention for 2 months in the observation group and the scores were lower than those before the intervention and than the control group(P〈0. 01);the scores of Fugl-Meyer and Barthe index and the scores of segmentation criteria evaluation for severity of aphasia were significantly higher in the observation group than the control group after the intervention for 2 months(P〈0. 01). Conclusion:The community rehabilitation nursing services have a positive effect on functional rehabilitation of the discharged patients with neurosurgical op-eration.