超早期康复护理对脑卒中患者干预效果的研究

Effects of Very Early Rehabilitation Nursing Intervention on Stroke Patients

目的探讨超早期康复护理对脑卒中偏瘫患者的干预效果。方法将初次发病并伴有肢体功能障碍的脑卒中患者共106例,随机分为干预组和对照组,每组各53例。对照组给予神经内科常规治疗和护理,干预组在给予其神经内科常规的治疗和护理的同时给予超早期康复护理。采用简式Fugl-Meyer运动功能评定量表(FMA)和改良Berthel指数评分表(MBI)对患者进行评估。结果三个月后干预组患者的FMA和MBI得分均高于对照组(P<0.01);与干预前相比,干预组的FMA和MBI提高幅度明显高于对照组(P<0.01)。结论脑卒中发病后24小时内进行的超早期康复护理可明显改善患者的肢体运动功能、日常生活活动能力。

Objective： To evaluate the intervention effect of very early rehabilitation on stroke patients with hemiplegia. Methods ： Total 106 patients who were hospitalized for the first time with stroke accompanied by disabil- ities were assigned to the intervention group （ n = 53 ） and control group （ n = 53 ） randomly. Patients in both groups received the regular therapy and nursing care in neurology while the intervention group received a recovery care intervention in a very early stage. We collected the patients＇ information about body movements, activities of daily living hospitalized and three months after stroke respectively using the simplified Fugl - Meyer assessment （MFA） and Modified Barthel Index （MBI）. Results：Three month later, the FMA and MBI score in intervention group was higher than control group （P 〈0.01 ）. Compared with before intervention, increase the FMA and MBI of intervention group was obviously higher than that of control group （ P 〈 O. 01 ）. Conclusion ： Very early rehabilita- tion care on stroke patients with the medication treatment at the same time within 24 hours after stroke could signifi- cant improve patients＇ body movements, activities of daily living and quality of life.