临床及家庭早期护理干预对脑卒中患者瘫痪肢体功能恢复的影响

Early Clinical and Family Nursing Intervention on the Paralyzed Limb Function Recovery of Patients with Cerebral Apoplexy

目的探讨临床及家庭早期护理干预对脑卒中患者瘫痪肢体功能恢复的影响和具体的护理方法。方法将参与研究的30例患者随机分为对照组和康复组。对照组使用常规药物治疗和一般护理内容;康复组则使用常规药物治疗配合早期康复护理干预和出院后家庭康复护理。针对两组患者在入院时和进行康复训练12个月、随访6个月时的巴氏指数(BI)、FMA评分对患者的生活质量水平和肢体功能状态进行评价。结果两组在治疗12周以后的BI指数和FMA评分均优于治疗前,康复组治疗12周后和随访6个月时的BI指数和FMA评分优于对照组,P<0.05。结论临床和家庭早期护理干预对脑卒中患者瘫痪肢体功能恢复效果良好。

Objective To investigate the early clinical and family nursing intervention on the paralyzed limb function recovery of patients with cerebral apoplexy and specific nursing methods. Methods 30 cases were randomly divided into control group and rehabilitation group. Control group used conventional drug treatment and general nursing content; Rehabilitation group used conventional drug treatment with early rehabilitation nursing intervention and family rehabilitation nursing after discharge. Patients in hospital were followed up for 12 months,BI,FMA score for the patient＇s quality of life level and the state of limb function when 6 months were evaluated. Results The results of two groups after treatment for 12 weeks BI index and FMA score are better than that of before the treatment. In rehabilitation group,after 12 weeks after treatment and follow- up of 6 months,BI and FMA score is better than that of control group（ P〈0. 05）. Conclusion Clinical and early family nursing intervention has good effect on cerebral apoplexy patients＇ paralyzed limb function recovery.