管床责任制结合早期康复护理对提高中青年脑卒中患者ADL的影响

Effect of Responsibility System Combined with Early Rehabilitation Nursing on Improving Activities of Daily Living of Patients after Stroke

目的探讨管床责任制结合早期康复护理对中青年偏瘫患者运动功能和日常生活能力(ADL)的影响。方法选择72例中青年脑卒中患者随机分为两组,观察组(38例)按神经内科常规药物治疗,入院后即由高级责任护士责制定康复护理计划,管床护士24 h负责制,对所管患者实施康复护理计划;对照组(34例)按神经内科常规药物治疗,常规护理。结果观察组的Brunnstrom运动功能评估,Fugl-Meyer运动项目积分和Barthel指数评分明显优于对照组(P<0.05)。结论管床负责制结合早期康复护理介入对脑卒中患者肢体功能的恢复及ADL的提高具有显著疗效。

Objective To study the effect of responsibility system combined with early rehabilitation nursing on improving Activities of daily living（ADL） of patients＇ activity function with hemiplegia.Methods Seventy-two stroke patients were selected and randomized to observation group （n=38） which received conventional drug treatment and responsibility system combined with early rehabilitation nursing that means making a rehabilitation plan by a senior nurse and carrying out by o bed management nurse while control group （n=34） received conventional drug treatment only.Results Assessment scores of observation group in Brunnstrom, Fugl-Meyer and Barthel were higher than that of the control group（P〈0.05）. Conclusion Responsibility system combined with early rehabilitation nursing had apparent curative effect on improving limb function and ADL of stroke patients.