Nir Zohar, Zolotogorsky Zoly, Sugarman Heidi
Recanati School for Community Health Professions, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Am J Phys Med Rehabil. 2004 Jul;83(7):522-9. doi: 10.1097/01.phm.0000130026.12790.20.
The goal of this study was to examine the effect of a structured, comprehensive nursing intervention on the course of rehabilitation over the first 6 mos after a first-ever stroke.
Intervention (experimental) study. The participants were 155 elderly stroke survivors who were admitted to a geriatric rehabilitation department. Stratified random sampling generated intervention and control groups. The intervention was designed to work together with the routine rehabilitation program and consisted of 12 consecutive weekly meetings. The control group received only the routine rehabilitation program. Study variables were measured at entry to study and after 3- and 6-mo intervals.
Although there were no significant differences between the two groups at entry to study, at 3 and 6 mos after stroke, the intervention group showed better scores than the control group in functional status (FIM instrument), depression (Geriatric Depression Scale), self-perceived health, self-esteem, and dietary adherence.
The nursing intervention had both short- and long-term effects on functional, psychological, and emotional variables. Serious consideration should be given to implementing comprehensive nursing interventions during rehabilitation tailored to meet the specific needs of stroke survivors and their caregivers.
本研究的目的是探讨结构化、综合性护理干预对首次中风后前6个月康复进程的影响。
干预（实验性）研究。参与者为155名入住老年康复科的老年中风幸存者。采用分层随机抽样法形成干预组和对照组。干预措施旨在与常规康复计划协同实施，包括连续12周每周一次的会议。对照组仅接受常规康复计划。在研究开始时以及3个月和6个月的间隔期后对研究变量进行测量。
尽管两组在研究开始时无显著差异，但在中风后3个月和6个月时，干预组在功能状态（FIM量表）、抑郁（老年抑郁量表）、自我感知健康、自尊和饮食依从性方面的得分均高于对照组。
护理干预对功能、心理和情绪变量具有短期和长期影响。应认真考虑在康复过程中实施综合性护理干预，以满足中风幸存者及其护理人员的特定需求。
