早期系统化康复护理在急性脑梗死伴偏瘫患者中的应用效果
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摘要
目的探讨早期系统化康复护理在急性脑梗死伴偏瘫患者中的应用效果。方法我院2015年12月~2016年12月我院收治的64例急性脑梗死伴偏瘫患者作为研究对象,根据护理方法不同将患者分为两组。对照组33例患者行常规护理;观察组31例患者行早期系统化康复护理。运用Berg平衡量表(BBS)、Holden步行功能分级(Holden FAC)对两组患者的平衡功能、步行能力进行评定,并评估治疗后的生活质量。结果治疗后,两组患者的BBS量表、Holden FAC评分均明显高于治疗前,差异有统计学意义(P<0.05),且观察组患者的上述评分均明显高于对照组,差异有统计学意义(P<0.05);观察组患者SF-36量表中一般健康状况、精力、躯体疼痛、生理职能、生理机能评分高于对照组,差异有统计学意义(P<0.05)。结论针对急性脑梗死伴偏瘫患者,通过开展早期系统化康复护理,能显著改善机体功能,加速康复,提升总体生活质量,值得临床应用。
Objective To explore the effect of early systematic rehabilitation nursing in acute cerebral infarction patients complicated with hemiplegia.Methods 64 cases of acute cerebral infarction patients complicated with hemiplegia treated in our hospital from December 2015 to December 2016 were selected as the subjects,and divided into two groups according to the nursing methods.The control group(33 cases) received routine nursing care and the observation group(31 cases)received early systematic rehabilitation nursing.The Berg balance scale(BBS) and Holden Functional Ambulation Category(Holden FAC) were used to assess the balance function and walking ability of the two groups,and the postoperative quality of life was also evaluated.Results The postoperative BBS scale and Holden FAC scores of two groups were significantly higher than those before treatment,the difference was statistically significant(P<0.05).The scores of the observation group were significantly higher than those of the control group,the difference was statistically significant(P <0.05).The MOS 36-Item Short-Form Health Survey(SF-36) scores of observation group were higher in general health,energy,physical pain,physical function and physiological role than those in the control group,the difference was statistically significant(P<0.05).Conclusion Application of early systematic rehabilitation nursing in acute cerebral infarction patients complicated with hemiplegia can not only significantly improve the body function and speed up rehabilitation,but also improve the overall quality of life,which is worthy of clinical application.
Objective To explore the effect of early systematic rehabilitation nursing in acute cerebral infarction patients complicated with hemiplegia.Methods 64 cases of acute cerebral infarction patients complicated with hemiplegia treated in our hospital from December 2015 to December 2016 were selected as the subjects,and divided into two groups according to the nursing methods.The control group(33 cases) received routine nursing care and the observation group(31 cases)received early systematic rehabilitation nursing.The Berg balance scale(BBS) and Holden Functional Ambulation Category(Holden FAC) were used to assess the balance function and walking ability of the two groups,and the postoperative quality of life was also evaluated.Results The postoperative BBS scale and Holden FAC scores of two groups were significantly higher than those before treatment,the difference was statistically significant(P<0.05).The scores of the observation group were significantly higher than those of the control group,the difference was statistically significant(P <0.05).The MOS 36-Item Short-Form Health Survey(SF-36) scores of observation group were higher in general health,energy,physical pain,physical function and physiological role than those in the control group,the difference was statistically significant(P<0.05).Conclusion Application of early systematic rehabilitation nursing in acute cerebral infarction patients complicated with hemiplegia can not only significantly improve the body function and speed up rehabilitation,but also improve the overall quality of life,which is worthy of clinical application.
引文
[1]李红艳.早期系统化康复护理对急性脑梗死伴抑郁症状患者康复效果影响[J].护理实践与研究,2013,10(5):66-67.
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[9]张红娟,李晓芹.急性脑梗塞伴偏瘫病人早期家庭治疗及护理干预的效果观察[J].中国初级卫生保健,2016,30(7):83-85.
[10]张艳芳.早期护理干预对脑梗死伴偏瘫患者并发症的预防效果分析[J].国际医药卫生导报,2015,21(22):3376-3378.
[11]孙耀霞,李艳军,郑冰杰.急性脑梗塞病人护理中全程优质护理的应用[J].中外医疗,2014,33(2):159-160.
[12]史丽圆,庄妍,孙远贞.阿替普酶静脉溶栓治疗急性脑梗死的护理[J].全科护理,2014,12(8):713-714.
[13]王宏梅.早期r-tp A溶栓治疗急性脑梗死的护理[J].护理实践与研究,2011,8(20):36-37.
[14]崔美莲,颜冬润,吴晓红.Solitaire AB型支架取栓术治疗急性脑梗死的护理观察[J].深圳中西医结合杂志,2016,26(4):165-166.
[15]汤月银,尹海霞.综合护理干预在急性脑梗死患者护理中的临床应用[J].深圳中西医结合杂志,2015,25(24):147-148.
[2]向正卉.早期系统化康复护理应用于急性脑梗死伴抑郁患者中的作用分析[J].中外医学研究,2012,10(24):57-58.
[3]居海艳,吴婕,周建梅.早期系统化康复护理对急性脑梗死伴抑郁症状患者的临床效果分析[J].山西医药杂志,2016,45(22):2720-2722.
[4]杨丽凤,杨丽琳.早期系统化康复护理对急性脑梗死合并抑郁患者的影响[J].齐鲁护理杂志,2016,22(19):72-73.
[5]李建英.早期系统化康复护理对脑梗死患者运动及认知功能的影响[J].中外医疗,2012,31(31):155.
[6]毛继玲.早期康复护理在急性脑梗死患者中的应用[J].齐鲁护理杂志,2012,18(1):96-97.
[7]张亚琴.脑梗死偏瘫患者的早期康复护理的效果观察[J].中国当代医药,2012,19(24):137.
[8]张凤莉.脑梗死偏瘫患者早期综合康复护理临床效果观察[J].河南医学研究,2014,23(4):122-123.
[9]张红娟,李晓芹.急性脑梗塞伴偏瘫病人早期家庭治疗及护理干预的效果观察[J].中国初级卫生保健,2016,30(7):83-85.
[10]张艳芳.早期护理干预对脑梗死伴偏瘫患者并发症的预防效果分析[J].国际医药卫生导报,2015,21(22):3376-3378.
[11]孙耀霞,李艳军,郑冰杰.急性脑梗塞病人护理中全程优质护理的应用[J].中外医疗,2014,33(2):159-160.
[12]史丽圆,庄妍,孙远贞.阿替普酶静脉溶栓治疗急性脑梗死的护理[J].全科护理,2014,12(8):713-714.
[13]王宏梅.早期r-tp A溶栓治疗急性脑梗死的护理[J].护理实践与研究,2011,8(20):36-37.
[14]崔美莲,颜冬润,吴晓红.Solitaire AB型支架取栓术治疗急性脑梗死的护理观察[J].深圳中西医结合杂志,2016,26(4):165-166.
[15]汤月银,尹海霞.综合护理干预在急性脑梗死患者护理中的临床应用[J].深圳中西医结合杂志,2015,25(24):147-148.