急性脑梗塞伴偏瘫病人早期家庭治疗及护理干预的效果观察

Observation on Hemiplegia Early Family Therapy and the Effect of Nursing Intervention on Patients with Acute Cerebral Infarction

目的 探讨家庭治疗及护理干预在急性脑梗塞伴偏瘫病人康复中的作用和临床效果。方法 选取急性脑梗塞（CT或者MRI确诊）后无严重意识障碍（GCS评分9~12分）的住院患者76例,随机分为两组,每组各38例。对照组采用常规治疗和护理,实验组在此基础上同时实施家庭治疗及护理。出院后3个月对两组患者的临床疗效、ADL评分和FMA评分进行比较。结果实验组病人的有效率为92.10%,对照组仅为52.89%,经比较两组差异有统计学意义（P〈0.05）。实验组患者住院时与出院后3个月ADL、FMA评分经比较差异有统计学意义（P〈0.05）,与对照组相比,均改善明显（P〈0.05）。结论 良好的家庭治疗及护理干预,容易满足病人的安全需求,增强了病人的意志力,能够使急性脑梗塞伴偏瘫病人的运动机能达到最大可能的恢复。

OBJECTIVE To discuss the family therapy and nursing intervention among patients with acute cerebral infarction with hemiplegia rehabilitation. METHODS After acute cerebral infarction（CT or MRI confirmed） and no serious disturbance of consciousness（GCS score 9 - 12） of 76 cases of hospitalized patients were randomly divided into two groups, each group of 38 cases, control group using conventional care, experimental group using conventional care, at the same time the implementation of family therapy and nursing, and compared with the control group patients in walking ability and gait quality, ability of daily life（ADL） in clinical effect comparison of recovery. RESULTS Patients in the walking ability and gait quality, ability of daily life（ADL） rehabilitation clinical effect were better than that in control group（P〈0.05）, the difference was statistically significant. CONCLUSION Good family treatment and nursing intervention could meet the demand of the patient＇s safety, enhance the patient＇s willpower, make the function of the movement of acute cerebral infarction patients with hemiplegia to restore as much as possible.