摘要
目的 调查泸州及周边地区缺血性脑卒中偏瘫患者出院后家庭康复锻炼现状,为构建脑卒中偏瘫患者家庭康复模式提供科学依据。方法 采用方便抽样的方法,运用自制脑卒中偏瘫家庭康复锻炼调查表,以电话回访为主要调查方式,对162例出院缺血性脑卒中偏瘫患者家庭康复情况及恢复满意度进行调查。结果 家庭康复锻炼者占70.37%;自我肢体功能恢复满意度评价为很好者占11.11%,较好者占34.58%,一般者占35.18%,没有进展者占19.13%;单次康复锻炼时间≤10 min占22.81%,单日累计康复锻炼时间≤40 min者占36.04%;每周康复锻炼≤4 d者占36.84%;完全按照专业指导进行康复锻炼者仅占3.51%,完全按照自己方式锻炼者高达62.28%;以行走方式进行康复锻炼患者占48.19%;家庭康复锻炼执行与照顾者的相关性显著,差异有统计学意义(P<0.05),患者功能恢复满意度与出院时瘫痪肢体功能状态、每次锻炼时间、锻炼自觉性呈显著性相关,差异有统计学意义(P<0.05)。结论 泸州及周边地区缺血性脑卒中偏瘫患者家庭康复锻炼需求欲强,执行率高,但患者肢体功能恢复自我满意度不高,康复锻炼缺乏专业指导,动作不规范或不正确,需要专业人员定期指导和监督。
Objective To investigate the current situation of family rehabilitation exercise for patients with ischemic stroke and hemiplegia after discharge from hospital in Luzhou and surrounding areas,and to provide scientific basis for constructing a family rehabilitation model for patients with stroke and hemiplegia.Methods By means of convenient sampling,a self-made questionnaire of rehabilitation exercise for stroke patients with hemiplegia and telephone return visit were used to investigate the family rehabilitation status and satisfaction of 162 patients with hemiplegia after discharge from ischemic stroke.Results It was showed that 70.37% patients proceeding family rehabilitation exercise.People who were extremely satisfied with the recovery account for 11.11%,relatively good people took 34.58%,everage 35.18%,non-progress 19.13%.People who do rehabilitation exercise within 10 minutes each time account for 22.81%,no more than 40 minutes each day took 36.04%,no more than 4 days each week took 36.84%.Those who do rehabilitation exercise followed professional guidance only account for 3.51%,leading by their own way up to 62.28%.and by walking about 48.19%.There was a significant correlation between family rehabilitation exercise implementation and caregivers,with a statistically significant difference(P<0.05).The satisfaction of functional recovery significantly correlated with functional status of paralytic limbs,exercise during of each time and exercise consciousness(P<0.05).Conclusions The families of hemiplegia patients with ischemic stroke in Luzhou and surrounding areas have a strong need for rehabilitation exercise,with a high execution rate.However,the patientsz self-satisfaction with limb function recovery is not high.Rehabilitation exercise lacks professional guidance,and the movements are not standardized or correct,which requires regular guidance and supervision from professionals.
作者
吴泽秀
林梦岚
严小览
佘秋群
苟勤
阮江海
Wu Zexiu;Lin Me ng lan;Yan Xiaolan;She Qiuqun;Gou Qin;Ruan Jianghai(Neurology Department,the Affiliated Hospital of the Westnorth Medical University,Luzhou 646000,China)
出处
《国际护理学杂志》
2020年第6期1004-1008,共5页
international journal of nursing
基金
西南医科大学附属医院科研项目(2015-HL417)
泸州市科技计划项目〔2016-S57(23/23)〕。
关键词
缺血性脑卒中
偏瘫
家庭康复
护理
Ischemic stroke
Hemiplegia
Family rehabilitation
Nursing
