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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Feasibility of a Nurse-Trained, Family Member-Delivered Rehabilitation Model for Disabled Stroke Patients in Rural Chongqing, China
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Feasibility of a Nurse-Trained, Family Member-Delivered Rehabilitation Model for Disabled Stroke Patients in Rural Chongqing, China

机译：护士培训的护士，家庭成员提供的康复患者培训康复模型，中国重庆市农村卒中患者

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Background and Objective: Stroke rehabilitation was seriously inadequate in rural regions of China. This study aimed to evaluate the feasibility of a novel nurse-trained, family member-delivered rehabilitation model for disabled stroke patients in rural southwest China. Methods: A single-center randomized controlled trial was conducted at a rural county hospital in Chongqing, China. Eligible stroke patients were randomly assigned to an intervention group or to a control group. In the intervention group, patients and their caregivers received stroke rehabilitation training focusing on mobility, self-care, and toileting delivered by trained nurses before discharge, and 3 post-discharge telephone calls at 2nd, 4th, and 8th week. The control group received routine care. The primary outcome was functional independence indicating by Barthel Index (BI) scores, and secondary outcomes included health-related quality of life (EuroQol five dimensions questionnaire, EQ-5D) and caregiver burden (Caregiver Burden Inventory, CBI). Outcome assessment was carried out at pre-discharge, 3- and 6-months after discharge. Results: A total of 61 stroke patients were recruited and randomly assigned to the intervention group (n=31) or the control group (n = 30). Compared with that in the control group, BI increased more at 3 months and decreased less at 6 months in the intervention group, there was a significant difference in mean BI scores across the three time points (F = 21.96, p = 0.0001), but no significant between-group difference (F = 0.94, p = 0.3371). In the intervention group, BI scores at 3-and 6-months post-discharge were higher than that before discharge (t = 8.38, p = 0.0001; t = 4.14, p = 0.0003). In the control group, BI scores at 3 months were higher than that before discharge (t = 5.29, p = 0.0001), but no significant difference at 6 months. At 6 months post-discharge, the intervention group and the control group had similar EQ-5D scores (p = 0.91), and similar CBI scores (3.67 vs 3.68, p = 0.98). Conclusions: The study showed that the novel nurse-trained, family member-delivered rehabilitation model improved physical recovery indicated by BI scores without increasing caregiver burden, compared to usual care, for rural stroke patients in southwest China.
机译：背景与目的：中国农村地区中风康复严重不足。本研究旨在评估一种新的护士培训、家庭成员提供的康复模式在中国西南农村中风患者中的可行性。方法：一项单中心随机对照试验在中国重庆的一家农村县级医院进行。符合条件的中风患者被随机分配到干预组或对照组。在干预组中，患者及其护理人员接受了中风康复培训，重点是出院前由受过培训的护士提供的活动能力、自我护理和如厕服务，以及出院后第2、4和8周的3个电话。对照组接受常规护理。主要结果是Barthel指数（BI）评分显示的功能独立性，次要结果包括与健康相关的生活质量（EuroQol五维度问卷，EQ-5D）和照顾者负担（照顾者负担量表，CBI）。在出院前、出院后3个月和6个月进行结果评估。结果：共招募了61名中风患者，并随机分配到干预组（n=31）或对照组（n=30）。与对照组相比，干预组的BI在3个月时增加较多，在6个月时减少较少，三个时间点的平均BI得分存在显著差异（F=21.96，p=0.0001），但组间差异不显著（F=0.94，p=0.3371）。在干预组，出院后3个月和6个月的BI评分高于出院前（t=8.38，p=0.0001；t=4.14，p=0.0003）。对照组3个月时的BI评分高于出院前（t=5.29，p=0.0001），但6个月时无显著差异。出院后6个月，干预组和对照组的EQ-5D评分相似（p=0.91），CBI评分相似（3.67 vs 3.68，p=0.98）。结论：研究表明，与常规护理相比，经过护士培训、由家庭成员提供的新型康复模式改善了中国西南地区农村脑卒中患者的BI评分所示的身体恢复，而不会增加护理者负担。

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