CAJ | 학술논문

目的：探讨社区康复干预对脑卒中后偏瘫患者生活能力及情绪的影响。方法将2012年5月~2014年5月本社区康复中心接收的110例脑卒中后偏瘫患者作为研究对象，根据双盲法分为观察组及对照组。对照组采取常规干预措施，观察组在此基础上给予社区康复干预。结果观察组干预后ADL评分显著高于对照组及干预前(P<0.05)。观察组干预后SAS及SDS评分显著低于对照组及干预前(P<0.05)。结论社区康复干预可以有效改善脑卒中患者的不良生活习惯、心理状态，提高肢体功能及生活能力，对促进患者早日回归社会提供有效的支持。
목적：탐토사구강복간예대뇌졸중후편탄환자생활능력급정서적영향。방법장2012년5월~2014년5월본사구강복중심접수적110례뇌졸중후편탄환자작위연구대상，근거쌍맹법분위관찰조급대조조。대조조채취상규간예조시，관찰조재차기출상급여사구강복간예。결과관찰조간예후ADL평분현저고우대조조급간예전(P<0.05)。관찰조간예후SAS급SDS평분현저저우대조조급간예전(P<0.05)。결론사구강복간예가이유효개선뇌졸중환자적불량생활습관、심리상태，제고지체공능급생활능력，대촉진환자조일회귀사회제공유효적지지。
Objective To explore the effect of community rehabilitation intervention on viability and emotion for pa-tients with hemiplegia after apoplexy. Methods 110 patients with hemiplegia after apoplexy admitted to our community rehabilitation center from May 2012 to May 2014 were selected as research subjects.They were divided into observation group and control group based on the double-blind method.The regular intervention was used in control group,and com-munity rehabilitation intervention was applied in observation group based on the regular intervention. Results ADL score in observation group after intervention was significantly higher than that in control group and before intervention respectively(P<0.05).SAS and SDS score in observation group after intervention was significantly lower than that in con-trol group and before intervention respectively (P<0.05). Conclusion Community rehabilitation intervention is effective in changing unhealthy living habits for patients with apoplexy,enhancing psychological states,and improving limb func-tion and life ability,which provides effective support for promoting patients returning to the society soon.