脑卒中偏瘫患者的连续康复护理体会
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摘要
目的探讨脑卒中偏瘫患者的连续康复护理效果。方法选择本院收治的150例脑卒中偏瘫患者作为研究对象,采用随机数字表将其分为对照组与研究组,每组各75例。对照组住院期间给予常规护理干预,出院时进行出院指导;研究组在此基础上,在院期间与出院后给予连续康复护理干预。观察对比2组患者护理干预前与干预3个月后运动功能、日常生活活动能力、神经功能变化,以及干预后生活质量情况。结果研究组干预后Fugl-Meyer运动量表评分(FMA)与Barthel评分高于对照组(P<0.05)。研究组干预后神经功能缺损评分(NIHSS)评分低于对照组(P<0.05)。研究组干预后,精神健康、一般健康、社会功能、活力、生理功能、躯体疼痛、情感职能、生理职能评分均高于对照组(P<0.05)。结论脑卒中偏瘫患者采用连续康复护理可以有效促使肢体运动功能与神经功能恢复,提高日常生活活动能力,改善生活质量,适于临床应用。
Objective To explore effect of continuous rehabilitation nursing for stroke patients with hemiplegia. Methods A total of 150 stroke patients with hemiplegia in our hospital were randomly divided into control group and study group,with 75 patients in each group. The control group was given routine nursing intervention during hospitalization and discharge guidance,while the study group was given continuous rehabilitation nursing intervention during and after hospital stay.The motor function,activities of daily living and neurological function as well as quality of life before and after 3 months intervention were observed and compared between two groups. Results The scoresof Fugl-Meyer Assessment( FMA) and Barthel in the study group were higher than that in the control group( P < 0. 05). The National Institutes of Health Stroke Scale( NIHSS) score of the study group was lower than that of the control group( P < 0. 05). After intervention,the scores of mental health,general health,social function,vitality,physical function,physical pain,emotional function and physiological function of the study group were higher than that of the control group( P < 0. 05).Conclusion Continuous rehabilitation nursing can effectively promote recovery of limb motor function and neurological function,improve activities of daily living and improve quality of life in stroke patients. So it is suitable for clinical application.
Objective To explore effect of continuous rehabilitation nursing for stroke patients with hemiplegia. Methods A total of 150 stroke patients with hemiplegia in our hospital were randomly divided into control group and study group,with 75 patients in each group. The control group was given routine nursing intervention during hospitalization and discharge guidance,while the study group was given continuous rehabilitation nursing intervention during and after hospital stay.The motor function,activities of daily living and neurological function as well as quality of life before and after 3 months intervention were observed and compared between two groups. Results The scoresof Fugl-Meyer Assessment( FMA) and Barthel in the study group were higher than that in the control group( P < 0. 05). The National Institutes of Health Stroke Scale( NIHSS) score of the study group was lower than that of the control group( P < 0. 05). After intervention,the scores of mental health,general health,social function,vitality,physical function,physical pain,emotional function and physiological function of the study group were higher than that of the control group( P < 0. 05).Conclusion Continuous rehabilitation nursing can effectively promote recovery of limb motor function and neurological function,improve activities of daily living and improve quality of life in stroke patients. So it is suitable for clinical application.
引文
[1]沈洪萍,张婷婷,于龙娟.脑卒中患者瘫痪的康复护理现状[J].护理实践与研究,2017,14(15):24-27.
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[3]徐丽,黎银娥,植秋婵,等.5 E康复护理模式对脑卒中后肢体功能障碍病人的影响[J].全科护理,2017,15(8):925-927.
[4]黄玉丽,丘艳红,朱晓红.护理干预对老年人脑卒中偏瘫肢体功能恢复的影响分析[J].实用临床医学,2017,18(1):90-91.
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[6]Siniscalchi A,Bonci A,Mercuri N B,et al.Cocaine dependence and stroke:pathogenesis and management[J].Current Neuro vascular Research,2015,12(2):163-163.
[7]郑春敏.脑卒中偏瘫病人康复期中西医结合护理的康复效果观察[J].全科护理,2017,15(13):1587-1588.
[8]蔡桂云,徐涛容,赖春进.中医优质护理对急性脑卒中偏瘫患者康复的影响[J].护理实践与研究,2017,14(14):152-153.
[9]金小红,任燕,陈美华,等.路径式早期康复护理对脑梗死患者神经功能恢复的影响[J].江苏医药,2016,42(2):237-238.
[10]Assis T R,Bacellar A,Costa G,et al.Etiological prevalence of epilepsy and epileptic seizures in hospitalized elderly in a Brazilian tertiary center Salvador Brazil[J].Arq Neuropsiquiatr,2015,73(2):83-89.
[11]张明明,刘文平.脑卒中后发生单侧空间忽略的评测及康复干预[J].中国老年学杂志,2016,36(4):857-858.
[12]史海燕.神经内科护士对脑卒中偏瘫康复护理认知和活动现状及其影响因素分析[J].全科护理,2016,14(6):589-591.
[13]李云,罗小华,侯静,等.良肢位摆放护理技术对偏瘫患者并发症的预防效果[J].实用临床医药杂志,2016,20(14):173-174.
[14]王昳丽,朱俞岚,倪英,等.脑卒中患者居家康复护理研究进展[J].护理学杂志,2015,30(19):110-112.
[15]刘淼.授权理论在脑卒中后运动康复护理中的应用[J].护理研究,2015,29(29):3662-3664.
[2]何晓璐.社区医院早期康复护理对脑卒中偏瘫病人日常生活活动能力影响的研究[J].全科护理,2017,15(3):337-339.
[3]徐丽,黎银娥,植秋婵,等.5 E康复护理模式对脑卒中后肢体功能障碍病人的影响[J].全科护理,2017,15(8):925-927.
[4]黄玉丽,丘艳红,朱晓红.护理干预对老年人脑卒中偏瘫肢体功能恢复的影响分析[J].实用临床医学,2017,18(1):90-91.
[5]崔巍巍,潘爱红,鲍文,等.康复护理方案在脑卒中偏瘫恢复期患者中的应用[J].护理实践与研究,2017,14(1):39-41.
[6]Siniscalchi A,Bonci A,Mercuri N B,et al.Cocaine dependence and stroke:pathogenesis and management[J].Current Neuro vascular Research,2015,12(2):163-163.
[7]郑春敏.脑卒中偏瘫病人康复期中西医结合护理的康复效果观察[J].全科护理,2017,15(13):1587-1588.
[8]蔡桂云,徐涛容,赖春进.中医优质护理对急性脑卒中偏瘫患者康复的影响[J].护理实践与研究,2017,14(14):152-153.
[9]金小红,任燕,陈美华,等.路径式早期康复护理对脑梗死患者神经功能恢复的影响[J].江苏医药,2016,42(2):237-238.
[10]Assis T R,Bacellar A,Costa G,et al.Etiological prevalence of epilepsy and epileptic seizures in hospitalized elderly in a Brazilian tertiary center Salvador Brazil[J].Arq Neuropsiquiatr,2015,73(2):83-89.
[11]张明明,刘文平.脑卒中后发生单侧空间忽略的评测及康复干预[J].中国老年学杂志,2016,36(4):857-858.
[12]史海燕.神经内科护士对脑卒中偏瘫康复护理认知和活动现状及其影响因素分析[J].全科护理,2016,14(6):589-591.
[13]李云,罗小华,侯静,等.良肢位摆放护理技术对偏瘫患者并发症的预防效果[J].实用临床医药杂志,2016,20(14):173-174.
[14]王昳丽,朱俞岚,倪英,等.脑卒中患者居家康复护理研究进展[J].护理学杂志,2015,30(19):110-112.
[15]刘淼.授权理论在脑卒中后运动康复护理中的应用[J].护理研究,2015,29(29):3662-3664.