早期康复护理模式在脑卒中偏瘫患者中的应用

Application of Early Rehabilitation Nursing Mode in Stroke Patients with Hemiplegia

目的:探讨在脑卒中偏瘫患者护理中行早期康复护理模式的临床应用效果。方法:选取2013年1月-2014年1月本社卫中心辖区内居家康复中心82例脑卒中偏瘫患者为研究对象,随机分为对照组与治疗组,每组各41例患者。对照组给予常规护理,治疗组在对照组常规护理的基础上开展早期护理干预,对两组护理后的效果展开对比分析。结果:治疗组采用早期康复护理模式进行护理干预后其治疗总有效率为97.6%,明显高于仅采用常规护理模式进行护理干预对照组的80.5%,两组比较差异有统计学意义(P<0.05);治疗组患者的护理满意度为95.1%,明显高于仅采用常规护理模式进行护理干预对照组的75.6%,两组患者对护理的满意度比较差异有统计学意义(P<0.05)。本次研究中所选取的两组患者在开展护理干预前的简易肢体运动功能评分及生活质量评分比较差异均无统计学意义(P>0.05),采用不同护理模式进行护理干预后两组患者的简易肢体运动功能评分及生活质量均有所改善,但治疗组患者干预后的评分情况均明显优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:对脑卒中偏瘫患者行早期康复护理干预,能够有效改善患者瘫痪肢体的各项功能,降低脑卒中偏瘫患者的致残率,且可提高患者生活质量,有助于改善患者对护理服务的满意情况。

Objective： To explore the clinical application in the early rehabilitation nursing mode of stroke patients with hemiplegia.Method ： 82 stroke patients were selected in our home community health center from January 2013 to January 2014, they were divided into the control group and the treatment group, 41 cases in each group.The control group was given routine care, on the basis of that treatment group was given early nursing rehabilitation nursing mode, the nursing effect of the two groups were analyzed.Result： The treatment group was treated with early rehabilitation nursing model of care intervention after the treatment, the total effective rate was 97.6%, which was significantly higher than only conventional model of care nursing intervention in the control group. （ 80.5% ）, the difference was statistically significant （ P〈0.05 ） .The nursing satisfaction of treatment group was 95.1%, which was significantly higher than 75.6% of control group, the difference was statistically significant （ P〈0.05 ） .Before nursing intervention, compared the easy to carry out motor function score and quality of life score of two groups, the differences were no statistically significant （ P〉0.05 ） . After nursing intervention, the easy to carry out motor function score and quality of life score of two groups were improved, but the treatment group were significantly better than the control group, the differences were statistically significant （ P〈0.05 ） .Conclusion： Early rehabilitation nursing intervention can improve hemiplegic stroke patients＇ paralyzed limb function, reduce morbidity and improve quality of life, it helps to improve patients＇ satisfaction with nursing care.