针对性康复护理对脑梗死后遗症期患者的疗效影响价值分析
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摘要
目的探讨对脑梗死后遗症期患者应用针对性康复护理对其临床预后的影响。方法研究对象为所在医院收治的脑梗死后遗症期患者60例,按发病时间先后编序并随机将其分为2组(对照组与研究组),每组30例。比较两种治疗模式对患者预后的疗效观察。结果两组患者在治疗前和治疗后4周、8周分别采用美国卒中神经缺损量表(NIHSS)和汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)评分筛查,以及改良的日常生活能力评定量表(Barthel)评分与综合功能评定量表(FCA)评估。研究组患者接受治疗后两项评分指标均有所改善,研究组数据显著优于对照组且差异随着治疗时间延长效果更加明显,统计学组间差异提示有意义(P<0.05)。结论脑梗死后遗症期患者选择应用针对性康复护理对预后的效果较好,有助于心理、生理恢复,提高康复效果,值得在临床治疗中应用和推荐。
Objective To investigate the effect of targeted rehabilitation nursing on clinical prognosis in patients with sequela of cerebral infarction. Methods Sixty patients with sequela of cerebral infarction who were admitted to our hospital from were randomly divided into two groups according to their onset time(control group and study group) Group of 30 cases. The curative effect of the two treatment modes on patients' prognosis was compared. Results The two groups were screened by NIHSS, HAMA and HAMD scores before treatment and at 4 weeks and 8 weeks after treatment, respectively, and improved daily Barthel score and comprehensive functional assessment scale(FCA) assessment. The scores of the two scores in the study group were improved after the treatment. The data of the study group were significantly better than those of the control group, and the differences were more obvious with the extension of the treatment time. The differences among the statistical groups suggested significant(P<0.05). Conclusion The patients with sequelae of cerebral infarction who choose targeted rehabilitation nursing have better prognosis, which is helpful to psychological and physical recovery and improve the rehabilitation effect, which is worthy of application and recommendation in clinical treatment.
Objective To investigate the effect of targeted rehabilitation nursing on clinical prognosis in patients with sequela of cerebral infarction. Methods Sixty patients with sequela of cerebral infarction who were admitted to our hospital from were randomly divided into two groups according to their onset time(control group and study group) Group of 30 cases. The curative effect of the two treatment modes on patients' prognosis was compared. Results The two groups were screened by NIHSS, HAMA and HAMD scores before treatment and at 4 weeks and 8 weeks after treatment, respectively, and improved daily Barthel score and comprehensive functional assessment scale(FCA) assessment. The scores of the two scores in the study group were improved after the treatment. The data of the study group were significantly better than those of the control group, and the differences were more obvious with the extension of the treatment time. The differences among the statistical groups suggested significant(P<0.05). Conclusion The patients with sequelae of cerebral infarction who choose targeted rehabilitation nursing have better prognosis, which is helpful to psychological and physical recovery and improve the rehabilitation effect, which is worthy of application and recommendation in clinical treatment.
引文
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[2]韩丽娜.早期康复护理在改善脑卒中偏瘫患者日常生活活动能力中的应用[J].中国妇幼健康研究,2016,27(1):154-155.
[3]杨妮,杨凯.运动康复功能锻炼联合针灸疗法对急性脑卒中偏瘫患者肢体运动功能和日常生活活动能力的影响[J].中国中医急症,2016,25(3):502-504.
[4]肖玉华,卢红建,耿桂林,等.三级康复护理对脑卒中患者运动功能及日常生活活动能力的影响[J].中国康复,2015,30(4):282-283.
[5]屈凤英.早期肠内营养对70岁以上急性脑卒中伴吞咽困难患者氮平衡及预后的影响[J].中国慢性病预防与控制,2017,25(5):367-369.
[6]王春苑,梁群林,崔尧,等.基于镜像神经元理论的动作观察疗法对脑卒中患者上肢运动功能和日常生活活动能力的影响[J].中华物理医学与康复杂志,2015,37(1):29-31.
[7]顾旭东,吴华,姚云海,等.智能化居家康复训练对脑卒中患者运动功能恢复的影响[J].实用医院临床杂志,2014,40(5):1-4.
[8]郑舟军,钟素亚,龚戬芳,等.社区远程康复对脑梗死患者功能恢复的影响[J].中华物理医学与康复杂志,2014,36(3):216-218.
[9]黄晨达.早期肠内营养支持对急性缺血性卒中伴吞咽困难患者的影响[D].南昌:南昌大学,2009.
[10]廖亮华,方玮,刘木朋,等.核心稳定性训练联合眼针治疗对脑卒中偏瘫患者运动功能的影响[J].中华物理医学与康复杂志,2015,37(11):826-829.
[11]李小霞,李秀南.针对性康复护理对脑卒中患者预后的影响研究[J].河北医药,2015,44(4):578-580.
[12]李兰平.早期心理治疗对脑卒中后抑郁症功能恢复的疗效观察[J].齐齐哈尔医学院学报,2010,31(13):2045.
[13]李小莹,薛盼,刘涛,等.早期规范化康复训练对急性脑卒中患者预后的疗效观察[J].成都医学院学报,2016,11(1):73-75.
[14]张彦红,李欣,刘凤丽,等.改良早期预警评分与ABCD2评分对急性脑卒中患者预后的预测价值研究[J].实用心脑肺血管病杂志,2016,24(10):30-32.