摘要
目的探讨"中途之家"新型社区康复服务模式对脊髓损伤患者的日常生活能力、社会生存能力的影响。方法选择30例脊髓损伤患者实施"中途之家"新型社区康复服务模式干预,包括评估、建档,相关知识宣教、居家环境布置、康复训练指导及心理支持等。康复护理干预前、干预3个月后评定患者ADL和社会生存能力。结果脊髓损伤患者康复护理干预3个月后Barthel指数及牛津残障量表(OHS)≤2级的比例显著高于康复护理干预前(P<0.05,P<0.01)。结论 "中途之家"新型社区康复服务模式,可提高脊髓损伤患者的生存质量。
Objective To investigate the effect of Halfway house community rehabilitation program on activity of daily living, and so- cial survival ability of spinal cord injury patients. Methods A total of 30 patients with spinal cord injury were selected to join the Halfway house community rehabilitation program. The program provided such services as assessment, filing, health education, home environment modification, rehab training guidance, and psychological support, etc. Before and 3 months after the interven- tion,patients＇ activity of daily living was measured with Barthel Index, and the handicap was graded with Oxford Handicap Scale. Results Three months after the intervention, the Barthel scores and the proportion of patients alive and independent, as defined by an Oxford Handicap Scale （OHS） score of 0-2 were significantly higher than before the intervention （P^0.05, P^0.01）. Con- clusion Halfway house community rehabilitation program can improve the quality of life of patients with spinal cord injury.
关键词
脊髓损伤
中途之家
社区康复
日常生活能力
社会生存能力
spinal cord injury Halfway home
Community rehabilitation activity of daily living social survival
