护理干预对出院后脑出血偏瘫患者康复影响的研究

Effects of nursing intervention on discharged hemiplegic patients with cerebral hemorrhage

目的观察护理干预对脑出血偏瘫患者出院后肢体功能恢复及日常生活能力的影响。方法对2007年1月～2009年6月在我科住院治疗后出院的脑出血偏瘫患者80例,随机分为实验组和对照组,每组40例。2组住院期间均接受常规医疗护理,出院后,对照组按常规定期复查,实验组在此基础上,由责任护士以定期和电话访问的形式进行护理干预。干预前后,所有患者分别测评瘫痪肢体的运动功能及生活自理能力。结果护理干预后,2组患者的Brunnsrom分级和Barthel积分均有改善,但实验组患者的指标明显优于对照组,差异有统计学意义。结论护理干预可以促进脑出血偏瘫患者出院后肢体运动功能的改善,增强日常生活能力,降低致残率,提高患者生存质量。

Objective To observe the effect of nursing intervention on the function recovery of the paralytic limbs and the activity of daily living in discharged hemiplegic patients with cerebral hemorrhage. Methods A total of 80 discharged hemiplegic patients with cerebral hemorrhage from January 2007 to June 2009 were divided into an experiment group and a control group randomly. Both the groups received routine medical treatment and nursing care in hospital. After discharged, the patients in the control group received conventional return visit regularly, while the patients in the experiment group received the nursing intervention that carried out with the way of regular interview or telephone survey. The function recovery of the paralytic limbs and the activity of daily living were evaluated before and after the nursing intervention. Results There was an improvement of the Brunnsrom grades and Barthel points in both groups, but the indexes of the experiment group improved more obviously, and the differences were statically significant. Conclusions Nursing intervention can accelerate the function recovery of the paralytic limbs, enhance the activity of daily living, and improve the quality of life of the patients.