摘要
目的评价ICF通用组合在脑卒中偏瘫患者康复护理中的应用，为脑卒中患者的康复提供理论依据。方法选取2015年1-10月在徐州市中心医院康复医学科53例住院的脑卒中偏瘫患者为研究对象，利用ICF通用组合量表对患者进行入院后评价，根据评价中患者在7个类目的得分情况，制定相应的康复与护理措施，经过住院期间的干预后，出院时再次用ICF通用组合量表对患者进行评价，根据两次评价得分情况比较患者康复状况。结果在ICF通用组合的7个类目中，干预前后b152、b280及d850得分在干预前后差异无统计学意义（P〉0．05），b130、d230、d450及d455等类目在干预前后得分差异有统计学意义（P〈0．05）。结论利用ICF通用组合评估偏瘫患者的状况，并针对性地加强康复护理干预可使偏瘫患者的身体功能与活动和参与程度增强，促进患者康复。
Objective The application of International Classification of Functioning, Disability and Health （ICF） generic set in rehabilitation nursing of stroke patients with hemiplegia was evaluated, providing a theory basis for rehabilitation in stroke patients. Methods Fifty-three stroke in-patients with hemiplegia were treated in the department of rehabilitation medicine in Xuzhou Central Hospital from January to October in 2015. They were included in the investigation. After admitted to hospital the patients were evaluated with the generic set of ICF. According to the scores of seven categories in the evaluation of the patients, appropriate rehabilitation and nursing measures were made. After the intervention in hospitalization the patients were evaluated with the generic set of ICF again when they were discharged from hospital. The rehabilitation of the patients was compared based on the two scores evaluated before and after the intervention. Results In the seven categories of ICF generic set, no significant difference was found in the scores of b152, b280 and d850 before and after the intervention （P 〉 0. 05 ）. Significant differences were found in the scores of b130, d230, d450, d455 and so on before and after the intervention （P 〈 0. 05 ）. Conclusions The application of ICF generic set in the assessment of the status of hemiplegic patients and the corresponding reinforcement of rehabilitation nursing intervention can make body functions, movement and participation degrees of hemiplegic patients strong and promote their recovery.
出处
《中华现代护理杂志》
2016年第17期2412-2415,共4页
Chinese Journal of Modern Nursing
关键词
卒中
偏瘫
康复护理
ICF通用组合
Stroke
Hemiplegia
Rehabilitation nursing
Generic set of InternationalClassification of Functioning, Disability and Health
