早期康复护理对急性缺血性脑卒中患者日常生活能力恢复效果的影响

The daily living skills recovery effect of the early rehabilitation nursing to the patients with the acute ischemic stroke

目的观察早期康复护理对急性缺血性脑卒中患者日常生活能力恢复效果的影响。方法选取120例我院收治的急性缺血性脑卒中患者为观察对象,按照入院顺序随机均分为观察组和对照组,观察组患者在治疗早期实施康复护理,对照组患者实施常规护理。比较两组患者日常生活能力的恢复情况。结果观察组和对照组患者治疗后FIM量表评分分别为98.2±16.8和73.2±14.9,均高于治疗前的56.2±14.6和56.0±14.2,差异有统计学意义(P<0.05);观察组患者治疗后FIM量表评分高于对照组,差异有统计学意义(P<0.05)。观察组和对照组患者治疗后Barthel指数评分分别为76.3±13.4和42.1±12.8,均高于治疗前的34.2±10.2和34.5±11.5,差异有统计学意义(P<0.05);观察组患者治疗后Barthel指数评分高于对照组,差异有统计学意义(P<0.05)。结论在急性缺血性脑卒中患者病情不再进展24～48h内实施康复护理,可明显改善患者的日常生活能力,值得临床推广。

Objective To observe the daily living skills recovery effect of the early rehabilitation nursing to the patients with the acute ischemic stroke. Methods 120 cases of patients with the acute ischemic stroke were selected as the observation ob- ject, and were randomly divided into the observation group and the control group according to the admission sequence. The obser- vation group patients were given the early rehabilitation nursing, the control group patients were given the routine nursing, then the daily living skills recovery effect of the two groups was compared. Results The after treatment FIM scale score of the observation group and the control group respectively were 98.2±16. 8 and 73. 2 ±14. 9, which were higher than that before treatment were 56. 2 ± 14. 6 and 56.0± 14. 2 ,the comparative difference were statistical significance （P 〈 0. 05 ） ;The after treatment FIM scale score of the observation group was higher than those of the control group, the difference was statistically significant （ P 〈 0. 05 ）. The after treatment Barthel index of the observation group and the control group respectively were 76. 3 ±13.4 and 42. 1 ±12. 8, which were higher than that before treatment were 34.2 ± 10. 2 and 34. 5± 11.5, the comparative difference were statistical signifi- cance （P 〈 0. 05 ） ; The after treatment FIM scale score of the observation group was higher than those of the control group, the difference was statistically significant （ P 〈 0. 05 ）. Conclusion The implementation of rehabilitation nursing for the patients with acute ischemic stroke in 24 -48 hours after no longer progress can obviously improve the daily living skills, which is worth of clini- cal promotion.