早期双上肢康复护理干预对脑卒中后肌力及生活质量的影响

The influence of nursing intervention with early rehabilitation for upper limbs on post-stroke inotropic and life quality

目的探讨早期双上肢康复护理干预对脑卒中后肌力及生活质量的影响。方法将80例患者随机均分为两组,观察组40例实施早期双上肢康复护理干预,对照组40例实施常规护理,观察两组护理干预前后上肢肌力及护理干预后神经功能缺损(CNS)、上肢功能(FMA)以及日常生活活动能力(MBI)。结果干预后观察组患者肌力为0～1级的比例显著低于干预前(P<0.05),且低于对照组(P<0.05),同时2～3级和4～5级的比例显著高于干预前(P<0.05),且观察组肌力为4～5级的比例显著高于对照组(P<0.05),观察组干预后CNS显著低于对照组(P<0.05),FMA和MBI显著高于对照组(P<0.05)。结论早期护理康复功能锻炼对促进患者术后患肢肌力,提高患者生活质量效果显著,值得临床重视。

Objective To investigate the influence of nursing intervention with early rehabilitation for upper limbs on i post-stroke inotropic and life quality. Methods Eighty cases of patients were randomly divided into two groups, obser- vation group with 40 cases were used the nursing intervention of this study, and control group with 40 cases were used routine care, then the upper limb muscle strength and nursing intervention after neurological deficits, upper limb func- tion and activities of daily living were observed with the two groups before and after nursing. Results After the intervention, the observation group with strength for the class 0-1 ratio were lower than before （P 〈 0.05）, and it was also lower than that of control group （P 〈 0.05）, 2-3 and 4-5 rank ratio were higher than before （P 〈 0.05）, and the obser- vation group with strength for the rank of 4-5 ratio was more than that of control group （P 〈 0.05）, the CNS score was lower than that of control group （P 〈 0.05）, FMA and MBI score were higher than that of control group （P 〈 0.05）. Conclusion Early rehabilitation nursing with postoperative functional exercise on upper limb can strength the muscle strength and improve the life quality, so it is worth clinical value.