强化护理干预对脑卒中后单侧空间忽略患者的影响

STUDY ON THE INTENSIVE NURSING INTERVENTION OF SAFETY PROTECTION AND ADL RESEARCH FOR PATIENTS WITH UNILATERAL SPATIAL NEGLECT AFTER STROKE

目的探讨强化护理干预对脑卒中后单侧空间忽略(USN)患者安全防护、日常生活能力(ADL)和改善预后的影响。方法选取住院治疗的脑卒中后致单侧空问忽略患者64例,随机分为观察组和对照组,每组32例。两组患者均采用常规康复治疗和护理,观察组患者同时加入针对USN的康复护理干预。12周治疗后观察两组患者的安全防护、ADL和USN患者严重程度。结果护理干预后观察组患者的ADL能力和USN严重程度与对照组比较有明显差异,且明显优于对照组(P<0.05)。结论强化护理干预能够有效降低脑卒中后致单侧空间忽略患者活动时意外损伤的发生,提高USN患者ADL能力和改善USN患者的预后,因此对USN患者不管是在住院期间还是回归社会确保安全有重要的作用和意义。

Objective To study the effect of the intensive nursing intervention on the safety protection, ADL and prognosis of patients with unilateral spatial neglect （USN） after stroke. Method Sixty - four patients with USN lived in the hospital were selected and randomized to observation group （n = 32 ） and control group （n = 32 ）. Both groups received routine rehabilitation therapy and nursing. Patients in observation group also received intensive nursing intervention which focused on USN. Observe the effect which included safety protection, ADL and USN severity of both groups after 12 weeks＇ treatment. Result There were significantly differences in ADL and USN severity between two groups after treatment and the improvement of which in the observation group were better than that in the control group （ P 〈 0. 05 ）. Conclusion Intensive nursing intervention which can effectively decrease the occurrence of damage and improve ADL and prognosis of patients with USN after stroke, plays an important role on the safety protection for USN patients no matter in the hospital or return to society.