CAJ | 학술논문

目的：通过社区家庭康复协作网管理模式对脑卒中恢复期患者进行治疗干预，然后通过与常规护理的治疗干预效果进行比较从而评估社区家庭康复协作网管理模式对脑卒中恢复期患者治疗干预的有效性。方法选取100名脑卒中恢复期患者随机分成对照和干预两组，其中干预组由医师、护士及家庭照顾者等组成协作网实施干预，对照组采用常规康复治疗，在接受干预后3个月、6个月时进行效果评价。结果治疗前两组临床资料无差异性，在康复干预3个月、6个月后FMA评分干预组优于对照组（P＜0.05）。康复干预3个月后FIM评分显著增高；康复干预6个月后FIM评分继续增高，差异有统计学意义（P＜0.05）。康复干预6个月后，干预组各项SS-QOL得分均优于对照组，差异有统计学意义（P＜0.05）。结论社区家庭康复护理协作网管理模式可以帮助脑卒中恢复期患者康复，显著改善脑卒中恢复期患者的生活质量，符合当前社区脑卒中恢复期患者对护理的要求，是一种值得进一步研究并广泛推广的优良护理模式。
목적：통과사구가정강복협작망관리모식대뇌졸중회복기환자진행치료간예，연후통과여상규호리적치료간예효과진행비교종이평고사구가정강복협작망관리모식대뇌졸중회복기환자치료간예적유효성。방법선취100명뇌졸중회복기환자수궤분성대조화간예량조，기중간예조유의사、호사급가정조고자등조성협작망실시간예，대조조채용상규강복치료，재접수간예후3개월、6개월시진행효과평개。결과치료전량조림상자료무차이성，재강복간예3개월、6개월후FMA평분간예조우우대조조（P＜0.05）。강복간예3개월후FIM평분현저증고；강복간예6개월후FIM평분계속증고，차이유통계학의의（P＜0.05）。강복간예6개월후，간예조각항SS-QOL득분균우우대조조，차이유통계학의의（P＜0.05）。결론사구가정강복호리협작망관리모식가이방조뇌졸중회복기환자강복，현저개선뇌졸중회복기환자적생활질량，부합당전사구뇌졸중회복기환자대호리적요구，시일충치득진일보연구병엄범추엄적우량호리모식。
Objective To evaluate the effectiveness of community family rehabilitation collaboration management mode on the treatment and intervention for stroke patients at convalescence stage, through using community family rehabilitation collaboration management mode to the treatment and intervention for stroke patients at convalescence stage, and comparing with the therapeutic effect of usual care. Methods 100 stroke patients at convalescence stage were randomly divided into the control group and the intervention group, of which the intervention group implemented the collaboration which was made up by physicians, nurses and caregivers to intervene, the control group was treated with routine rehabilitation therapy. And the effects were evaluated at 3 months, 6 months after the intervention. Results The clinical data of the two groups had not significant difference before the treatment,the FMA score of the intervention group after 3,6 months of rehabilitation intervention were better than those of the control group(P<0.05). The FMA score of the intervention group after 3 months of rehabilitation intervention increased significantly,and that after 6 months of rehabilitation intervention increased more significantly, the difference was statistically significant (P<0.05).The SS-QOL scores of the intervention group after 6 months of rehabilitation intervention were better than those of the control group,the differences were statistically significant(P < 0.05). Conclusion Community family rehabilitation nursing collaboration management mode can help the recovery of stroke patients at convalescence stage, improve significantly the quality of life of stroke patients at convalescence stage, meet the current community stroke patients at convalescence stage requirements for nursing, and is an excellent nursing mode which is worthy of further study and widely promotion.