分期康复护理对脑梗死患者肢体运动功能及生活质量的影响

Effects of staging rehabilitation nursing on limb motor function and life quality in cerebral infarction patients

目的探讨分期康复护理在脑梗死患者病情康复中的应用效果。方法将2012年6月—2013年1月收治的60例脑梗死患者采用随机对照的方法分为观察组和对照组,对照组进行常规康复护理,观察组采用分期康复护理,比较2组的肢体运动功能以及生活质量。结果 2组患者入组时在运动功能评分方面差异无统计学意义(P>0.05)。随访时,观察组的上肢肌力评分和下肢肌力评分均显著高于对照组(P<0.05)。2组患者入组时在神经功能和生活能力方面差异无统计学意义(P>0.05)。随访时,观察组的神经缺损评分显著低于对照组,生活能力评分显著高于对照组(P<0.05)。观察组在精力、疼痛、睡眠、社交活动、躯体活动、情感6个方面的NHP生活质量评分显著低于对照组(P<0.05)。结论分期康复护理能够针对脑梗死的恢复特点进行护理,具有循序渐进的特点,可提高患者的运动功能和生活质量,是一种值得应用推广的护理方法。

Objective To investigate the effect of staging rehabilitation nursing in the rehabilitation of cerebral infarction patients. Methods 60 cases of cerebral infarction patients treated in our hospital from 2012 June to 2013 January were randomly divided into the observation group and the control group ,the control group was given conventional rehabilitation care,the observation group was adopted staging rehabilitation nursing, motor function of the limbs and life quality were compared between the two groups. Results There was no significant difference of two groups in the motor function score （ P 〉 0.05 ）. The upper limb strength score and lower limb muscle strength scores in the observation group were signifi- cantly higher than those in the control group, which was statistically significant （P 〈 O. 05 ）. There was no significant differ- ence of two groups in the nerve function and living ability （P 〉 O. 05 ）. During the follow-up, the nerve defect in observa- tion group was significantly lower than that in the control group, life ability score was significantly higher than that in the control group, there was statistical significance （P 〈 0.05 ）. NHP life quality score in six aspects group of energy, pain, sleep, social activities, physical activity and emotional in the observation group were significantly lower than those of the control group, there was statistical significance （ P 〈 0.05 ）. Conclusion Staging rehabilitation nursing can care for the recovery of cerebral infarction with the gradual characteristic, which can improve the patient＇ s motor function and life quality. It was worthy to be popular applied in nursing.