Zhiyan Hu, Nin Li, Baoyun Chen, Zunke Gong, Qinghong Wang, Lange Fan
Xuzhou Central Hospital, Xuzhou Recovery Hospital, School of Medical Technology, Xuzhou Medical University, Xuzhou, China.
Iran J Public Health. 2017 Feb;46(2):180-185.
We aimed to research the value of extended nursing for cerebral stroke patients within a suitable recovery empty period.
Seventy-two cerebral stroke patients were randomized to a control group or treatment group at the recovery period at Xuzhou Recovery Hospital, China in 2016. A recovery guidance exercise was applied to the control group for a set time, while a recovery guidance exercise combined with functional training were applied to the treatment group within the recovery empty period (at 6:00-7:00 a.m. and 7:00-8:00 p.m.). The recovery effect was compared after three months.
Following the three-month intervention, both the control and treatment groups' scores for the Fugl-Meyer balance evaluation and the Barthel indicator were increased. There was a statistically significant increase in the treatment group (<0.05). Scores for the Self-Rating Depression Scale in both groups declined and the decline in the treatment group was statistically significant greater when compared to the control group (<0.05). The total depression rate for the treatment group was significantly lower than the control group and the severe extent of depression in the treatment group was significantly less than the control group (<0.05). Both groups' scores for the PSQI also decreased with a significantly greater increase in the treatment group (<0.05).
Extended nursing within a suitable recovery empty period can improve the patient's prognosis concerning physical activity and mood.
我们旨在研究在合适的康复空窗期对脑卒中患者进行延续性护理的价值。
2016年在中国徐州康复医院，将72例脑卒中恢复期患者随机分为对照组和治疗组。对照组在规定时间内进行康复指导训练，而治疗组在康复空窗期（上午6:00 - 7:00和晚上7:00 - 8:00）进行康复指导训练并结合功能训练。三个月后比较康复效果。
经过三个月的干预，对照组和治疗组的Fugl - Meyer平衡评估和Barthel指数评分均有所提高。治疗组有统计学显著提高（<0.05）。两组的自评抑郁量表评分均下降，且治疗组下降幅度与对照组相比有统计学显著差异（<0.05）。治疗组的总抑郁率显著低于对照组，且治疗组的抑郁严重程度显著低于对照组（<0.05）。两组的PSQI评分也均下降，治疗组的提高幅度显著更大（<0.05）。
在合适的康复空窗期进行延续性护理可改善患者身体活动和情绪方面的预后。
