早期康复护理指导对脑卒中偏瘫患者作用的临床研究

Clinical research on the effect of early rehabilitation nursing instruction on stroke patients with hemiplegia

目的探讨早期康复护理指导对脑卒中偏瘫患者的临床价值。方法选择2014年7月-2016年1月我院收治的90例脑卒中偏瘫患者,根据随机数字表法分为观察组与对照组,每组45例。对照组给予常规护理,观察组患者在常规护理的基础上给予早期康复护理。对比两组日常生活能力、运动功能、焦虑及抑郁心理,并比较两组治疗效果。结果康复护理干预后,观察组的ADL评分明显低于对照组,具有统计学差异（P〈0.05）;而观察组患者的Fugl-Meyer评分显著高于对照组,差异具有统计学意义（P〈0.05）。护理干预前,两组患者SAS、SDS评分无明显差别（P〉0.05）。早期护理干预前,两组患者均有焦虑、抑郁情绪,且无明显差异（P〉0.05）。早期康复护理干预后,两组患者焦虑、抑郁情况均有明显好转（P〈0.05）,且相对于对照组,观察组焦虑、抑郁情绪的改善程度更加明显,两组差异明显有统计学意义（P〈0.05）。出院前,对两组患者疗效进行比较,观察组总有效率（88.89%）明显高于对照组（71.11%）,差异具有统计学意义（χ2=4.379,P〈0.05）。结论早期康复训练,能够显著提高患者的运动功能、生活自理能力,改善患者不良心理,提高临床疗效,是脑卒中偏瘫患者功能恢复的重要手段,值得临床推广与应用。

Objective To explore the clinical value of early rehabilitation nursing in stroke patients with hemiplegia. Methods According to the random number table method, 90 cases of hemiplegia after stroke in our hospital from July 2014 to January 2016 were divided into the observation group and the control group 45 cases in each group. Patients in the control group were given routine nursing, and the observation group was given early rehabilitation nursing on the basis of routine nursing. The daily life ability, motor function, anxiety and depression were compared between two groups, and the treatment effects of the two groups were compared. Results After nursing intervention, the ADL score of observation group was significantly lower than that of the control group, with statistical difference（P 〈 0.05）, while the Fugl-Meyer score of the observation group was significantly higher than that of the control group, the difference was statistically significant（P 〈 0.05）. Before nursing intervention, there was no significant difference between the two groups on SAS and SDS（P 〉 0.05）. After nursing intervention, two groups of patients with anxiety and depression were significantly improved（P 〈 0.05）, and the observation group SAS score and SDS score were significantly lower than the control group, there were statistical significance（P 〈 0.05）. Before discharge, the effects of the two groups were compared. The total effective rate of the observation group（88.89%） was significantly higher than that of the control group（71.11%）, and the difference was significant with statistical significance（χ2=4.379,P 〈 0.05）. Conclusion Early rehabilitation training is an important means to restore the function of stroke patients, can significantly improve motor function and life self-care ability of patients, improve the bad mental patients, and improve clinical efficacy. It is worthy of clinical popularization and application.