家属参与式个案康复训练在促进脑梗死偏瘫患者肢体康复中的应用效果

Application effect of case rehabilitation training with family participation in promoting limb rehabilitation of cerebral infarction and paralysis patients

目的探索家属参与式个案康复训练在促进脑梗死偏瘫患者肢体康复中的应用效果。方法 82例脑梗死偏瘫患者,根据护理方法不同分成观察组和对照组,各41例。对照组患者采用常规整体护理,观察组患者在对照组基础上采用家属参与式个案康复训练方法 ,比较两组患者的肌力、生活自理能力、并发症及满意度情况。结果护理后,观察组患者的肌力优于对照组患者,差异有统计学意义(P<0.05)。护理前两组患者的日常生活能力量表(ADL)评分比较,差异无统计学意义(P>0.05);护理后,两组患者ADL评分明显高于护理前,且观察组患者的评分高于对照组,差异有统计学意义(P<0.05)。观察组患者的满意度为100.00%,高于对照组的85.37%,差异有统计学意义(P<0.05)。观察组患者的并发症发生率为7.32%,低于对照组的24.39%,差异有统计学意义(P<0.05)。结论家属参与式个案康复训练用于脑梗死偏瘫患者中效果确切,有助于促进患者肢体功能的恢复,提高患者生活质量,值得推广应用。

Objective To explore the application effect of case rehabilitation training with family participation in promoting limb rehabilitation of cerebral infarction and paralysis patients. Methods A total of 82 cerebral infarction and paralysis patients were divided by different nursing methods into observation group and control group, with 41 cases in each group. The control group received conventional holistic nursing, and the observation group received case rehabilitation training with family participation on the basis of the control group. Comparison was made on muscle strength, self-care ability of daily living, complications and satisfaction degree in two groups. Results After nursing, the observation group had better muscle strength than the control group, and the difference had statistical significance（P〈0.05）. Both groups had no statistically significant difference in activity of daily living scale（ADL） score before nursing（P〉0.05）. After nursing, both groups had obviously higher ADL score than before nursing, and the observation group had higher points than the control group. Their difference had statistical significance（P〈0.05）. The observation group had higher satisfaction degree as 100.00% than 85.37% in the control group, and the difference had statistical significance（P〈0.05）. The observation group had lower incidence of complications as 7.32% than 24.39% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Case rehabilitation training with family participation shows affirmative effect in cerebral infarction and paralysis patients, which helps promote the recovery of limb function in patients and improve their quality of life. So it is worth popularization and application.