《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (12): 1466-1470.

• 国际会议报道 • 上一篇    下一篇

延续护理对脑卒中患者睡眠质量及神经功能康复的影响

杨红，朱世琼，李亚梅，黄林，徐丽，余茜
  

  1. 四川省医学科学院∙四川省人民医院，四川成都市 610072。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-12-25 发布日期:2015-12-25

Effects of Continuing Care on Quality of Sleep and Neurological Function Rehabilitation in Patients after Stroke

YANG Hong, ZHU Shi-qiong, LI Ya-mei, HUANG Lin, XU Li, YU Qian
  

  1. Department of Rehabilitation, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-12-25 Online:2015-12-25

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摘要： 目的 探讨延续护理对脑卒中患者睡眠质量与神经功能康复的影响。方法 将2014年1~12月出院的脑卒中后偏瘫并发睡眠障碍患者 60例随机分为对照组(n=30)和试验组(n=30)。对照组给予以常规出院指导，试验组在此基础上给予延续护理干预模式。比较两组患者出院时及干预 3个月后匹兹堡睡眠质量指数(PSQI)、简式 Fugl-Meyer运动功能(FMA)及改良 Barthel指数评分(MBI)。结果 3个月后，试验组PSQI各因子评分及总评分低于对照组(P<0.05)；FMA、MBI评分均显著高于对照组(P<0.001)；护理满意度显著高于对照组(P<0.001)。结论 延续护理模式有助于改善脑卒中患者的睡眠质量，从而促进神经功能的康复。

关键词: 脑卒中, 睡眠障碍, 延续护理, 康复

Abstract: Objective To explore the effects of continuing care on the quality of sleep and neurological function rehabilitation in patients after stroke. Methods 60 patients with sleep disorder and hemiplegia after stroke discharging from our hospital during January to December 2014 were randomly assigned to control group (n=30) and intervention group (n=30). The control group received routine discharge instruction, while the intervention group received continuing care. They were assessed with Pittsburgh Sleep Quality Index (PSQI), simplified Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) were when discharged and 3 months after intervention. Results The scores of PSQI were lower, the scores of FMA and MBI were higher in the intervention group than in the control group 3 months after intervention (P<0.05). The nursing satisfaction was higher in the intervention group than in the control group (P<0.001). Conclusion Continuing care could improve the sleep quality, and promote the neurological function recovery for patients with sleep disorder after stroke.

Key words: stroke, sleep disorder, continuing care, rehabilitation