Structured nursing intervention versus routine rehabilitation after stroke
Structured nursing intervention versus routine rehabilitation after stroke
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DOI：
10.1097/01.phm.0000130026.12790.20
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发表时间：
2004-07-01
影响因子：
3
通讯作者：
Sugarman, H
中科院分区：
文献类型：
--
作者：
Nir, Z;Zolotogorsky, Z;Sugarman, H
目的：本研究的目的是探讨结构化的，全面的护理干预的效果，康复过程中的第一个6个月后，首次中风。设计：干预（实验）研究。参与者是155名老年中风幸存者，他们被收治到老年康复科。分层随机抽样产生干预组和对照组。干预措施旨在与常规康复计划一起工作，包括12个连续的每周会议。对照组仅接受常规康复治疗。在进入研究时以及3个月和6个月间隔后测量研究变量。虽然两组在入组研究时无显著差异，但在卒中后3个月和6个月，干预组在功能状态（TM）量表）、抑郁量表（SDS）（老年抑郁量表）、自我感觉健康、自尊和饮食依从性。结论：护理干预对功能、心理和情绪变量均有短期和长期影响。应认真考虑在康复期间实施综合护理干预措施，以满足卒中幸存者及其照顾者的特殊需求。
Objective: The goal of this study was to examine the effect of a structured, comprehensive nursing intervention on the course of rehabilitation over the first 6 mos after a first-ever stroke.Design: Intervention (experimental) study. The participants were 155 elderly stroke survivors who were admitted to a geriatric rehabilitation department. Stratified random sampling generated intervention and control groups. The intervention was designed to work together with the routine rehabilitation program and consisted of 12 consecutive weekly meetings. The control group received only the routine rehabilitation program. Study variables were measured at entry to study and after 3- and 6-mo intervals.Results: Although there were no significant differences between the two groups at entry to study, at 3 and 6 mos after stroke, the intervention group showed better scores than the control group in functional status (FIM(TM) instrument), depression (Geriatric Depression Scale), self-perceived health, self-esteem, and dietary adherence.Conclusion: The nursing intervention had both short- and long-term effects on functional, psychological, and emotional variables. Serious consideration should be given to implementing comprehensive nursing interventions during rehabilitation tailored to meet the specific needs of stroke survivors and their caregivers.