路径式早期康复护理对脑梗死患者神经功能的价值探讨
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摘要
目的探讨给予脑梗死患者行路径式早期康复护理的效果。方法方便选取该院2016年5月—2018年4月收治的91例脑梗死患者,随机分成研究组(46例)与对照组(45例),两组均给予患者对症治疗,期间给予对照组患者常规护理,给予研究组患者路径式早期康复护理,观察两组护理干预效果。结果护理3、6个月后,两组患者NIHSS神经功能缺损评分均下降,但研究组评分下降幅度明显大于对照组,如护理后6个月NIHSS评分为(15.57±3.36)分,这比对照组(20.17±3.68)的评分低(t=6.229,P<0.05);护理后研究组患者生理机能、躯体疼痛、社会功能、精神健康及情感智能评分均高于对照组护理后(P<0.05);研究组患者6个月内病情复发率为4.35%,显著低于对照组17.78%的复发率(χ~2=4.195,P<0.05)。结论针对脑梗死病患,在患者治疗期间给予路径式早期康复护理,可显著改善患者神经功能,提高患者生活质量及降低疾病复发率,值得推广。
Objective To investigate the effect of early-stage rehabilitation nursing for patients with cerebral infarction.Methods 91 patients with cerebral infarction admitted to our hospital from May 2016 to April 2018 were randomly divided into study group(46 cases) and control group(45 cases). The two groups were given symptomatic treatment. Patients in the study group were given path-based early rehabilitation care, and the effects of nursing intervention in the two groups were observed. Results After 3 months and 6 months of treatment, the NIHSS neurological deficit scores of the two groups were decreased, but the score of the study group was significantly greater than that of the control group. The NIHSS score was(15.57±3.36)points after 6 months of nursing. Compared with the control group(20.17±3.68)points, the scores were lower(t=6.229, P <0.05). After treatment, the physiology, physical pain, social function, mental health and emotional intelligence scores of the study group were higher than those of the control group(P<0.05); The recurrence rate of the patients in the study group was 4.35% within 6 months, which was significantly lower than the recurrence rate of 17.78% in the control group(χ~2=4.195, P<0.05). Conclusion For patients with cerebral infarction, path-based early rehabilitation care during the treatment of patients can significantly improve the neurological function of patients, improve the quality of life of patients and reduce the recurrence rate of diseases. It is worth promoting.
Objective To investigate the effect of early-stage rehabilitation nursing for patients with cerebral infarction.Methods 91 patients with cerebral infarction admitted to our hospital from May 2016 to April 2018 were randomly divided into study group(46 cases) and control group(45 cases). The two groups were given symptomatic treatment. Patients in the study group were given path-based early rehabilitation care, and the effects of nursing intervention in the two groups were observed. Results After 3 months and 6 months of treatment, the NIHSS neurological deficit scores of the two groups were decreased, but the score of the study group was significantly greater than that of the control group. The NIHSS score was(15.57±3.36)points after 6 months of nursing. Compared with the control group(20.17±3.68)points, the scores were lower(t=6.229, P <0.05). After treatment, the physiology, physical pain, social function, mental health and emotional intelligence scores of the study group were higher than those of the control group(P<0.05); The recurrence rate of the patients in the study group was 4.35% within 6 months, which was significantly lower than the recurrence rate of 17.78% in the control group(χ~2=4.195, P<0.05). Conclusion For patients with cerebral infarction, path-based early rehabilitation care during the treatment of patients can significantly improve the neurological function of patients, improve the quality of life of patients and reduce the recurrence rate of diseases. It is worth promoting.
引文
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[8]王晶晶,曾玉萍,余珂.早期康复护理干预对脑梗死后肢体偏瘫患者运动功能恢复的影响[J].华西医学, 2015,23(7):1312-1314.
[9] Liubo F, Yiqing J, Baohua L, et al. Application of the knee joint control training based on Bobath concept framework in rehabilitation of spastic hemiplegia patients[J].Journal of Wenzhou Medical University, 2017.
[10]郭晓婷.路径式早期康复护理用于改善脑梗死患者神经功能的效果[J].检验医学与临床, 2017, 14(8):1167-1169.
[11]余会英,闫保良.早期康复护理干预对颅脑损伤患者神经功能障碍恢复的作用[J].河北医药, 2015,4(16):2529-2531.
[2]袁莉,胡国荣,陈丽丽,等.早期康复护理模式在脑梗死患者临床护理中的应用[J].中国实用护理杂志, 2015, 31(12):871-873.
[3]任燕,顾艳荭,金小红,等.路径式早期康复护理对脑梗死病人上肢功能恢复的影响[J].护理研究,2015,4(31):3911-3913.
[4]李艾群,王敏,危科丽.早期康复护理对脑出血患者术后神经功能恢复及生活质量的影响[J].山西医药杂志, 2016,45(7):858-860.
[5]郑红.醒脑开窍针刺法联合早期康复护理对脑梗死偏瘫患者肢体功能的影响[J].中医药导报, 2016,23(2):117-118.
[6] Wan L J. Effect of Early Comfort Nursing Intervention on Rehabilitation of Patients with Severe Craniocerebral Injury in Neurosurgery[J]. World Latest Medicine Information,2017.
[7]王凤英,王滔,刘祚燕,等.超早期康复护理模式对脑卒中患者运动功能障碍改善的应用及效果评价[J].华西医学,2015,14(7):1308-1310.
[8]王晶晶,曾玉萍,余珂.早期康复护理干预对脑梗死后肢体偏瘫患者运动功能恢复的影响[J].华西医学, 2015,23(7):1312-1314.
[9] Liubo F, Yiqing J, Baohua L, et al. Application of the knee joint control training based on Bobath concept framework in rehabilitation of spastic hemiplegia patients[J].Journal of Wenzhou Medical University, 2017.
[10]郭晓婷.路径式早期康复护理用于改善脑梗死患者神经功能的效果[J].检验医学与临床, 2017, 14(8):1167-1169.
[11]余会英,闫保良.早期康复护理干预对颅脑损伤患者神经功能障碍恢复的作用[J].河北医药, 2015,4(16):2529-2531.