早期综合康复护理对脑卒中患者短期预后的影响

Influence of early comprehensive rehabilitation nursing on short- term prognosis of stroke patients

目的:探讨综合康复护理对脑卒中患者进行短期预后的影响。方法:选取86例脑卒中患者随机等分为试验组和对照组,对照组实施常规护理及肠内营养,试验组在对照组基础上实施早期综合康复护理。疗程21 d,测定比较两组患者日常生活活动能力(BI评分)及营养指标(ALB,Hb,TG)。结果:干预后试验组的BI评分显著高于对照组;研究第1天两组的ALB,Hb,TG之间无统计学差异(P>0.05),至第10天两组各项指标较第1天均有所下降,至第21天,对照组各项指标继续下降,试验组呈回升趋势,且试验组的各项指标均高于对照组,差异有统计学意义(P<0.05)。结论:对脑卒中患者实施早期综合康复护理联合肠内营养支持可更好的促进患者日常生活活动能力的恢复,改善其营养状态,有助于良好预后。

Objective：To explore the influence of comprehensive rehabilitation nursing on short - term prognosis of stroke patients. Methods： Selected 86 stroke patients, and randomly divided them into experimental group and control group. The control group implemented routine nursing and enteral nutrition, and the experimental group implemented early comprehensive rehabilitation nursing on the basis of the control group, the treatment course lasted for 21 days, tested and compared daily living abilities （BI score） and nutrition indicators （ALB, Hb and TG） of patients in the two groups. Results： After the intervention, the BI score of the experimental group was significantly higher titan that of the control group;on the 1 st day, there was no statistical difference between the two groups＇ of ALB, Hb and TG （P 〉 0.05 ） ; on the 10th day, all indicators of the two groups decreased from those of the 1 st day; on the 21 st day, all indicators of the control group continued to decline, while those of the experimental group showed a rebounding trend, with all indicators higher than those of the control group. The difference was of statistical significance （ P 〈 0.05 ）. Conclusion： Implementing early comprehensive rehabilitation nursing and enteral nutrition on stroke patients can better propel the recovery of patients＇daily living abilities, improve their nutrition state and be beneficial for fine prognosis.