系统性健康教育对偏瘫患者肌力及生活能力的影响

Effect of Nursing Interventions on the Myodynamia and ADLs of the Hemiplegia Patients

目的探讨护理干预对脑梗死偏瘫患者的肌力及生活自理能力的康复效果。方法将神经内科符合入选标准的58例脑梗死偏瘫住院患者,随机分为护理干预组(观察组)和传统护理组(对照组),对两种护理方法的效果进行比较。结果住院5周时,观察组上、下肢肌力与入院时及对照组比较,均有显著提高(P<0.05或P<0.01);观察组患者的生活自理能力及Barthel指数评分与对照组相比,也有明显改善(P<0.05),且显著优于入院时(P<0.01)。结论护理干预对脑梗死偏瘫患者的康复效果明显。

Objective To explore the rehabilitation effect of nursing interventions on the myodynamia and activities of daily livings （ADLs） of the patients with hemiplegia caused by cerebral infarction. Methods Fifty-eight hemiplegia inpatients caused by cerebral infarction were randomly divided into nursing intervention group （observation group） and traditional nursing group （control group）. The nursing effects of the two groups were compared. Results After 5-week treatment, the myodynamia of the upper extremities and lower extremities of the patients in the observation group were significantly higher than those in the control group, as well as compared with the baseline level when admission（ P 〈 0.05 or P 〈 0.01 ）. The Barthel index of ADLs in the observation group after 5-week treatment was also better than that in the control group （ P 〈 0.05 ）. The Barthel index of ADLs in the observation group after 5-week treatment was also better than the baseline level when admission （ P 〈 0.01 ）. Conclusion The rehabilitation effect of nursing interventions on the hemiplegia patients caused by cerebral infarction was obvious.