中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
16期
1898-1900
,共3页
脊髓损伤%中途之家%社区康复模式
脊髓損傷%中途之傢%社區康複模式
척수손상%중도지가%사구강복모식
Spinal cord injury%Halfway house%Community rehabilitation model
目的 探讨脊髓损伤患者“中途之家”新型社区康复服务模式.方法 2011年菠萝岭社区卫生服务中心与南宁市、城区残联合作建立“中途之家”,采取专业指导和伤友互动相结合、集中训练和自主训练相结合、机构训练和社区活动相结合的康复服务模式对36例脊髓损伤患者进行干预.采用ASIA评分、改良Barthel指数(MBI)、功能综合评定量表(FCA)评定ADL能力,分别在康复服务干预前、康复服务干预3个月末进行评价.结果 干预3个月末36例患者ASIA评分中运动(49.97±12.17)分、触觉(61.38 ±11.68)分、感觉(57.91 ±12.69)分,改良Barthes指数评分(78.8±10.0)分,FCA量表评分(74.09±13.25)分,均高于干预前的(35.76±11.83),(49.29±9.54),(47.35±13.92),(41.5±13.2),(55.63 ±15.90)分,干预前后比较,差异有统计学意义(t值分别为5.024,4.810,3.364,13.514,5.352;P＜0.01).结论 脊髓损伤患者在“中途之家”接受新型社区康复服务,可以有效改善肢体运动功能,提高日常生活活动能力,值得推广.
目的 探討脊髓損傷患者“中途之傢”新型社區康複服務模式.方法 2011年菠蘿嶺社區衛生服務中心與南寧市、城區殘聯閤作建立“中途之傢”,採取專業指導和傷友互動相結閤、集中訓練和自主訓練相結閤、機構訓練和社區活動相結閤的康複服務模式對36例脊髓損傷患者進行榦預.採用ASIA評分、改良Barthel指數(MBI)、功能綜閤評定量錶(FCA)評定ADL能力,分彆在康複服務榦預前、康複服務榦預3箇月末進行評價.結果 榦預3箇月末36例患者ASIA評分中運動(49.97±12.17)分、觸覺(61.38 ±11.68)分、感覺(57.91 ±12.69)分,改良Barthes指數評分(78.8±10.0)分,FCA量錶評分(74.09±13.25)分,均高于榦預前的(35.76±11.83),(49.29±9.54),(47.35±13.92),(41.5±13.2),(55.63 ±15.90)分,榦預前後比較,差異有統計學意義(t值分彆為5.024,4.810,3.364,13.514,5.352;P＜0.01).結論 脊髓損傷患者在“中途之傢”接受新型社區康複服務,可以有效改善肢體運動功能,提高日常生活活動能力,值得推廣.
목적 탐토척수손상환자“중도지가”신형사구강복복무모식.방법 2011년파라령사구위생복무중심여남저시、성구잔연합작건립“중도지가”,채취전업지도화상우호동상결합、집중훈련화자주훈련상결합、궤구훈련화사구활동상결합적강복복무모식대36례척수손상환자진행간예.채용ASIA평분、개량Barthel지수(MBI)、공능종합평정량표(FCA)평정ADL능력,분별재강복복무간예전、강복복무간예3개월말진행평개.결과 간예3개월말36례환자ASIA평분중운동(49.97±12.17)분、촉각(61.38 ±11.68)분、감각(57.91 ±12.69)분,개량Barthes지수평분(78.8±10.0)분,FCA량표평분(74.09±13.25)분,균고우간예전적(35.76±11.83),(49.29±9.54),(47.35±13.92),(41.5±13.2),(55.63 ±15.90)분,간예전후비교,차이유통계학의의(t치분별위5.024,4.810,3.364,13.514,5.352;P＜0.01).결론 척수손상환자재“중도지가”접수신형사구강복복무,가이유효개선지체운동공능,제고일상생활활동능력,치득추엄.
Objective To investigate the effect of "halfway house" model of community rehabilitation service on patients with spinal cord injury.Methods From 2011 year,"halfway house" was established by the cooperation of community health service center,Nanning city,and district FIMITIC.We provided rehabilitation intervention for 36 cases with spinal cord injury,such as professional guidance,interactive combination between injured friends,intensive training and independent training,training institutions and community activities.ASIA,modified barthel index (MBI),functional comprehensive assessment scale (FCA) were used to evaluated before the intervention and 3 month after rehabilitation intervention.Results ASIA score such as movement [(49.97 ± 12.17) vs (35.76 ± 11.83)],touch [(61.38 ± 11.68) vs (49.29 ± 9.54)],feeling [(57.91 ± 12.69) vs(47.35 ± 13.92)],MBI score [(78.8 ± 10.0) vs (41.5 ± 13.2)],FCA score [(74.09 ± 13.25) vs (55.63 ± 15.90)] were significantly higher after 3 month after rehabilitation intervention than before rehabilitation intervention,and the differences were statistically significant (t =5.024,4.810,3.364,13.514,5.352 ;P ＜ 0.01).Conclusions Patients with spinal cord injury accept the new community rehabilitation service of "halfway house",can effectively improve their motor function,improve their ability of daily life,which worthy of promotion.
