早期康复护理改善脑卒中患者运动功能和日常生活能力的研究

Study on Early Rehabilitation Nursing Intervention in Ameliorating Motor Function and Activities of Daily Living in Patients with Stroke

目的探讨早期康复护理对脑卒中患者运动功能和日常生活能力(ADL)的影响。方法以神经内科住院的脑卒中患者为研究对象,将符合入选条件的脑卒中患者按"不平衡指数最小的原则"分为干预组和对照组,每组各50例。两组患者均接受神经内科常规治疗和护理,在此基础上干预组由康复治疗师和康复护士给予以提高运动功能和ADL能力为目标的系统干预。康复护士以Orem自我护理理论为指导,康复治疗师按Brunnstrom分期对脑卒中患者进行系统干预,分别在入院时和6周后测量运动功能[采用Fugl-Meye(rFMA)评分]和ADL[采用Barthe(lBI)指数评分]。结果 6周后两组患者评分均有提高,干预组FMA评分(55.98±12.52)高于对照组(40.64±11.64),差异有显著性(P<0.01);干预组BI评分(75.00±13.63)高于对照组(45.20±11.82),差异有显著性(P<0.01)。结论早期康复护理可有效提高脑卒中患者的运动功能和ADL。

Objective To explore the effects of early rehabilitation nursing intervention on the motor function and activities of daily living （ADL） in patients with stroke. Methods Based on the principle of minimize the unbalanced coefficient, 100 of stroke patients who were conformed to the inclusion standards were selected from the department of neurology and were divided into intervention group （50 cases） and control group （50 cases）. All patients in both two groups were given routine medical therapy and nursing care, but the patients in intervention group were given systematic clinic intervention which aimed at improving motor function and ADL, under the direction of Brunstrom＇s stage guideline and Orem＇s self-care theory. Intervention team was consisted of the rehabilitation therapists and nurses. The scores of FMA and BI were collected at admission to hospital and the end of the 6th week treatment. Results The scores of two groups of patients were increased after 6 weeks treatment. The scores of FMA and BI in the intervention group were higher than those in the control group （55.98±12.52 vs. 40.64±11.64, 75.00±13.63 vs. 45.20±11.82, all P〈0.01）. Conclusion Early systematic rehabilitation nursing intervention on the stroke patients could effectively improve the motor function and ADL.