Stroke Rehabilitation Nursing
脑卒中康复护理
Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC,
GNP-BC, ACHPN, FAAN
copyright SCC/IRC 2015
Objectives任务
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Define stroke定义脑卒中
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Recognize statistics related to stroke了解脑
卒中的统计数值
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Analyze the pathophysiology of the three
major types of stroke分析主要的三类脑卒中的
病理生理学
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Discuss risk factors related to stroke讨论与
脑卒中相关的危险因素
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List warning signs of stroke列出提示发生脑卒
中的信号
Objectives任务
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Describe the medical treatment for acute
CVA描述急性脑血管意外的治疗
Understand nursing interventions related to
care of the patient with stroke理解与照护脑
卒中患者相关的护理干预
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Name three strategies to prevent stroke指
出三个预防脑卒中的策略
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Discuss the Mauk model for post-stroke
rehabilitation 讨论默克模式对脑卒中后的康复
Strokes in China (World Heart Federation, 2015)
脑卒中在中国的情况（世界心脏联盟，2015）
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In China, 1.3 million people have a stroke
each year 中国每年有130万人患脑卒中
75% of these have varying degrees of
disability as a result of stroke 他们中75%的
人由于脑卒中而存在不同程度地残疾。
China’s risk factors (US CDC report, 2010 – 2011)
中国的风险因素（美国疾控中心报告，2010-2011）
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Hypertension is higher in China, possibly
due to higher sodium intake…leading to
more strokes在中国可能由于钠的摄入较多，高
血压患病率高，导致卒中发生率高
Smoking is a risk factor 吸烟是一个危险因素
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Over 50% of men in China smoke在中国超过
50%的男人吸烟
Less than 3% of women smoke少于3%的女人
吸烟
82% of China’s disease burden is due to
noncommunicable diseases (NCDs) such as
stroke中国82%的疾病属于非传染性疾病例如中风
China’s NCDs
中国的非传染性疾病
Leading causes of death (80% of all deaths)死
亡的主要原因（80%的人死于非传染性疾病）
Heart
disease心脏病
Cancer癌症
Stroke脑卒中
Diabetes糖尿病
Chronic
respiratory problems慢性呼吸道疾病
Source: http://www.cdc.gov/globalhealth/countries/china/pdf/us_china-biennialreport_2010-11.pdf
Initial Evaluation: F-A-S-T
初步评估：脸-胳膊-言语-时间
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Three easy signs三个简单信号
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Facial droop脸下垂
Motor weakness (arm lift)运动无力（手臂提升）
Language difficulties言语困难
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Slurring, wrong words, no speech说话含糊，说
错词，不说话
expectations
social support
faith
age
life experience
knowing the cause
The Mauk Model of Post-stroke Recovery
Mauk的中风后恢复模型
Summary of major tasks
主要任务的总结
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Phase
Agonizing
Survivor task
survival
Nursing task
protection and physical care
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Fantasizing
ego protection
reality orientation and
emotional support
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Realizing
facing reality
emotional and
psychosocial support
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Blending
adaptation
teaching
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Framing
reflection
listening; providing
reason for the stroke
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Owning
moving on
enhancing inner
and community resources
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Websites网址
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www.stroke.org
www.strokeassociation.org
www.americanheart.org
www.geronurseonline.org
www.rehabnurse.org