CAJ | 학술논문

目的：观察延伸护理对提高脑卒中患者日常活动能力的作用，探索适合我国国情的脑卒中患者护理模式。方法选取我院2013－01～2013－12间出院的脑卒中患者66例，采用数字表法将其随机分为对照组与观察组。对照组33例仅接受门诊随访，观察组33例给予延伸护理。出院时和6个月后采用Barthel指数量表（BI）评价日常活动能力。结果6个月后观察组33例患者日常生活能力中修饰、洗澡、进食、穿衣、用厕、上下楼梯、行走／轮椅7项目评分和总评分较出院时明显提高，提高幅度明显大于对照组（ P＜0.05）。结论我国医疗资源紧张，脑卒中患者住院康复治疗时间有限，而延伸护理是医院康复治疗的重要补充，对提高脑卒中患者日常生活能力效果显著，值得推广。
목적：관찰연신호리대제고뇌졸중환자일상활동능력적작용，탐색괄합아국국정적뇌졸중환자호리모식。방법선취아원2013－01～2013－12간출원적뇌졸중환자66례，채용수자표법장기수궤분위대조조여관찰조。대조조33례부접수문진수방，관찰조33례급여연신호리。출원시화6개월후채용Barthel지수량표（BI）평개일상활동능력。결과6개월후관찰조33례환자일상생활능력중수식、세조、진식、천의、용측、상하루제、행주／륜의7항목평분화총평분교출원시명현제고，제고폭도명현대우대조조（ P＜0.05）。결론아국의료자원긴장，뇌졸중환자주원강복치료시간유한，이연신호리시의원강복치료적중요보충，대제고뇌졸중환자일상생활능력효과현저，치득추엄。
Objective To observe the extended nursing care function of daily activities of cerebral apoplexy patients , and to explore the nursing model of cerebral apoplexy patients which was suitable for Chinese national condition .Methods Selecting 66 discharged patients with cerebral apoplexy in the hospital from January , 2013 to December, 2013, and randomly dividing them into two groups.33 patients in the control group received only outpatient follow -up, and 33 cases received extended nursing.When discharge and after 6 months, Barthel index scale ( BI ) was used to evaluate the ability of perform everyday activities.Results After 6 months of observation on modified , bathing, eating, dressing, using the toilet, walking up and down stairs , walk/wheelchair project score and total score of 33 patients, the to-tal score significantly increased , which increases significantly greater than the control group ( P<0.05 ).Conclusion China′s medical re-sources are not enough , stroke patients′rehabilitation time is limited , and extended care hospital rehabilitation therapy is an important sup-plement to improve the ability of daily life of stroke patients effectively.