出血性脑卒中术后早期康复护理的干预措施及疗效探讨

The Efficacy of Nursing Interventions of Early Rehabilitation on Patients of Hemorrhagic Stroke after Surgery

目的探讨分析对出血性脑卒中术后患者早期进行康复护理干预的疗效。方法选取2013年1月至2014年12月于我院神经外科行手术治疗的出血性脑卒中患者75例,根据随机分组方法分为观察组(38例),对照组(37例),对照组患者术后给予常规护理措施,观察组患者术后在常规护理的基础上给予全面的早期康复护理干预,对比两组患者临床护理效果。结果护理干预后两组患者各项指标均有所改善,但观察组患者运动能力(Fegl-Mevyer评分)、自理能力(改良Barthel指数)显著高于对照组(P<0.05)。观察患者护理干预总有效率为92.11%,显著高于对照组72.97%,两组之间对比差异有统计学意义(P<0.05)。结论对出血性脑卒中患者术后早期采取全面的康复护理干预,可使患者的肢体运动能力及日常活动及生活自理能力得到显著改善,提升患者术后生活质量,可应用性高,值得推广采纳。

Objective To investigate the efficacy of nursing interventions of early rehablhtation on patients of hemorrhagic stroke alter postoperative. Methods 75 cases of hemorrhagic stroke patients were selected from our hospital during January 2013 to December 2014. They were divided into observation group （38 cases） and control group （37 cases）. The control group received routine nursing, and the observation group given nursing intervention of early rehabilitation. We compared the care efficacy of two groups. Results After nursing intervention, the indicators of two groups of patients were improved. However, the Fegl-Mevyer score and Modified Barthel Index of observation group were higher than control group （P〈0.05）. The total effective rate of nursing intervention（92.11%） was higher than control group（72.97%） （P〈0.05）. Conclusion It can make notable progress in the limbs movement functions and life ability of patients of hemorrhagic stroke after surgery by taking early rehabilitation nursing. Also early rehabilitation nursing can improve the life quality of patients after surgery. It is worth promoting in clinical care.