分级康复护理工作模式在脑卒中患者康复中的应用

Application of graded rehabilitation nursing model in the rehabilitation of stroke patients

目的:探讨分级康复护理工作模式在脑卒中患者康复过程中的应用价值。方法:纳入2014年7月~2016年7月我院70例脑卒中患者作为研究对象,随机等分为观察组和对照组。观察组给予分级康复护理管理模式,对照组给予常规护理。比较两组干预前后日常生活活动能力和神经功能缺损情况,记录两组护理干预前后生活质量评分。结果:观察组干预后Barthel指数评分和NIHSS评分较干预前显著升高(P<0.05),且观察组干预后Barthel指数评分显著低于对照组,NIHSS评分显著低于对照组(P<0.05)。观察组干预后精力、语言、活动能力、情绪、自理能力、家庭和社会角色、思维情绪、上肢功能、视力、工作劳动及生活质量总评分等SS-QoL各维度评分均显著高于对照组(P<0.05),两组患者干预前后个性维度评分差异均无统计学意义(P>0.05)。结论:分级康复护理工作模式用于神经内科脑卒中患者能显著改善患者日常生活活动能力和神经功能缺损情况,提升患者生活质量。

Objective： To explore the application value of graded rehabilitation nursing model in the rehabilitation process of stroke patients. Methods： A total of 70 stroke patients in our hospital from July 2014 to July 2016 were selected as the research objects and randomly and equally divided into observation group and control group. The graded rehabilitation nursing model was adopted in the observation group,and the control group received the conventional nursing. The activities of daily living and neurological deficits were compared between the two groups before and after the intervention,and the quality of life scores before and after nursing intervention were recorded in the two groups. Results： After the intervention,the Barthel index score and NIHSS score in the observation group were significantly higher than those before the intervention（ P 〈 0. 05）,and the Barthel index score in the observation group was significantly lower than those in the control group,and the NIHSS score was significantly lower than that in the control group（ P 〈 0. 05）. After intervention,the scores in all dimensions of SS-QoL like energy,language,activity ability,emotion,self-care ability,family and social roles,emotional thinking,upper limb function,visual acuity,work and quality of life were significantly higher than those in the control group（ P 〈 0. 05）,and the difference in the score of personality dimension before and after intervention between the two groups was not statistically significant（ P 〉 0. 05）. Conclusion： The graded rehabilitation nursing model can significantly improve the activities of daily living and neurological impairment in patients with neurological stroke,and improve the life quality of patients.