超早期康复护理对脑卒中患者功能恢复的影响

Effect of super early rehabilitation care on patients with cerebral apoplexy

目的：探讨超早期康复护理对脑卒中患者日常生活能力恢复的影响。方法将120例脑卒中患者按随机数字表法分为对照组和观察组各60例，对照组给予常规护理，观察组在一般药物治疗护理基础上进行超早期综合康复治疗护理。采用自行设计的调查表评价患者对健康教育知识的掌握程度和对护理质量满意度，采用国际通用量表改良Barthel指数（ MBI ）、简化Fugl-Meyer运动功能评分量表（ FMA）评价患者的运动功能及日常生活能力。结果护理干预后观察组患者对脑卒中健康教育知识掌握情况、护理满意度分别为90．00％，95．00％，明显高于对照组的63．33％，81．67％，差异有统计学意义（χ2分别为10．253，9．677；P＜0．05）；随访4周后，观察组患者的FMA评分及MBI分别为（55．2＆#177;5．1），（62．9＆#177;9．8）分，显著高于对照组的（36．5＆#177;4．2），（42．3＆#177;10．6）分，差异有统计学意义（t分别为3．25，3．17；P＜0．05）。结论超早期综合康复护理可减少脑卒中患者的残疾发生，缩短病程，能明显改善脑卒中患者偏瘫肢体功能和日常生活活动能力，降低致残率。

Objective To discuss the effect of super early rehabilitation care on daily life ability for patients with cerebral apoplexy .Methods A total of 120 cases of stroke patients were randomly divided into the control group and the experimental group with 60 cases in each group .The control group was given routine nursing, and the experimental group was given super early rehabilitation care .Using self-designed questionnaire , patients’ knowledge of health education and satisfaction towards nursing quality were evaluated , by internationally accepted Modified Barthel Index （MBI） and simplified Fugl-Meyer Assessment（FMA） to evaluate the patient’s motion function and daily living skills .Results The comparison of the two groups in stroke health education knowledge and patient’s satisfaction has a significant difference （90.0%vs 63.33%;95.0%vs 81.67%;χ2 =10.253,9.677,respectively;P＆lt;0.05）;after four weeks, the patients in experimental group FMA score and MBI score were significantly higher than those in control group [（55.2 ＆#177;5.1） vs （36.5 ＆#177;4.2）;（62.9 ＆#177;9.8） vs （42.3 ＆#177;10.6）;t=3.25,3.17,respectively;P＆lt;0.05）].Conclusions Super early comprehensive rehabilitation nursing can reduce disability in patients with cerebral apoplexy , shorten the course of the disease , significantly improve stroke patients with hemiplegia limb function and ADL ability , and reduce morbidity .