早期康复护理在颅脑外伤患者中的应用及对术后运动障碍患者功能的影响

The application of early rehabilitation nursing in patients with craniocerebral trauma and its influence on postoperative function of movement disorder patients

目的分析早期康复护理在颅脑外伤患者中的应用及对术后运动障碍患者功能的影响。方法选取我院2014-05—2015-05收治的120例颅脑外伤患者,采取随机数字表法分为常规护理组与康复护理组各60例,对比2组术后运动功能及日常生活能力。结果常规护理组与康复护理组护理前后Ⅰ级、Ⅱ级、Ⅳ级及Ⅴ级所占比例相比差异有统计学意义（分别为χ2=4.25、4.34、4.19、4.38,P〈0.05;χ2=4.76、4.90、5.23、14.93,P〈0.05）。常规护理组护理后与康复护理组护理后Ⅴ级所占比例相比差异有统计学意义（χ2=7.12,P〈0.05）。常规护理组与康复护理组护理前后日常生活能力评分相比差异有统计学意义（分别为t=3.45,P〈0.05;t=5.92,P〈0.05）。2组护理后日常生活能力评分相比差异有统计学意义（t=4.77,P〈0.05）。结论对于颅脑外伤的患者实施常规护理基础上加用早期康复护理可显著提高术后运动能力,改善日常生活质量,值得推广与应用。

Objective To analyze the application of early rehabilitation nursing and its influence on postoperative func‐tion of movement disorder patients when treated for the patients with craniocerebral trauma .Methods Totally 120 cases with craniocerebral trauma treated in our hospital from May 2014 to May 2014 were selected .All the patients were divided into rou‐tine nursing group and rehabilitation nursing group according to the random number table ,60 cases in each group .The postop‐erative movement function and daily life ability of two groups of patients were compared .Results The proportion of Ⅰ ,Ⅱ ,Ⅳ ,Ⅴ level before nursing had no statistically significant difference compared with the proportion after nursing of the routine nursing group（χ2 =4.25 ,P〈0.05 ;χ2 =4.34 ,P〈0.05 ;χ2 =4.19 ,P〈0.05 ;χ2 =4.38 ,P〈0.05） .The proportion of Ⅰ ,Ⅱ ,Ⅳ ,Ⅴ level before nursing had statistically significant difference compared with the proportion after nursing of the rehabilita‐tion nursing group（χ2 =4.76 ,P〈0.05 ;χ2 =4.90 ,P〈0.05 ;χ2 =5.23 ,P〈0.05 ;χ2 =14.93 ,P〈0.05） .The proportion of lev‐el Ⅴ of the two groups after nursing had statistically significant difference （χ2 =7.12 ,P〈0.05） .The daily life ability score of the routine nursing group before and after nursing had statistically significant difference （t=3.45 ,P〈0.05） .The daily life a‐bility score of the rehabilitation nursing group before and after nursing had statistically significant difference （t= 5.92 ,P〈0.05） .The daily life ability score of the two groups after nursing had statistically significant difference （t=4.77 ,P〈0.05） . Conclusion The application of early rehabilitation nursing in patients with craniocerebral trauma on the basis of conventional nursing care can significantly improve the postoperative exercise capacity ,and improve the quality of daily life ,which is worth of popularization and application .