康复护理干预对缺血性脑卒中恢复期患者神经和认知功能的改善作用

Improvement effect of rehabilitation nursing intervention on nerve and cognitive function of patients with cerebral arterial thrombosis during recovery period

目的探讨康复护理干预对缺血性脑卒中恢复期患者神经和认知功能的改善作用。方法选取缺血性脑卒中恢复期患者84例,将其分为康复护理组(n=42)和常规护理组(n=42)。两组均予以内科常规药物治疗,常规护理组和康复护理组分别予以常规护理干预及康复护理干预8周。观察并记录两组患者治疗前和干预8周后神经、肢体运动和认知功能的变化情况。结果干预8周后,两组CNS评分和FMA评分分别较治疗前明显下降或明显上升(P<0.05或P<0.01),且康复护理组变化幅度明显大于常规护理组(P<0.05);两组患者MMSE评分均较治疗前明显上升,CDR评分较治疗前明显下降(P<0.05或P<0.01),且康复护理组变化幅度明显大于常规护理组(P<0.05)。结论早期康复护理用于缺血性脑卒中恢复期患者可改善其神经及肢体运动功能,有利于神经和肢体运动的早日康复,并能改善其认知功能障碍,延缓其下降幅度,提高生活质量与预后。

Objective To discuss improvement effect of rehabilitation nursing intervention on nerve and cognitive function of patients with cerebral arterial thrombosis during recovery period. Methods A total of 84 cases of patients with cerebral arterial thrombosis during recovery period were selected, and divided into rehabilitation nursing group（n=42）and routine nursing group（n =42）. The patients in two groups were given same routine medical treatment of ordinary drugs of department of Medicine, and the patients in routine nursing group were given routine nursing intervention,while the patients in rehabilitation nursing group were given rehabilitation nursing intervention for course of treatment for 8 weeks. The changes of nerve, body movement and cognitive function of patients in two groups before and 8 weeks after intervention were observed and recorded as well. Results After 8 weeks＇ intervention, the CNS scores of patients in two groups obviously declined than before, while the FMA scores obviously rose than before（P〈0.05 or P〈0.01）, and the chang rate in routine nursing group was much lower than that in rehabilitation nursing（P〈0.05）. The MMSE scores of patients in two groups obviously rose than before, while the CDR scores obviously declined than before（P〈0.05 or P〈0.01）, and the change rate in routine nursing group was much lower than that in rehabilitation nursing group（P〈0.05）.Conclusion Rehabilitation nursing can obviously improve nerve and body movement function of patients with cerebral arterial thrombosis during recovery period, which can facilitate the recovery of nerve and body movement, improve the cognitive dysfunction, defer the declining of cognitive function and enhance the life quality and prognosis.