脑卒中偏瘫患者早期康复护理干预效果观察

Effect observation of early rehabilitation nursing intervention on patients with hemiplegia after stroke

目的对脑卒中偏瘫患者接受早期康复护理的临床效果进行研究分析。方法 82例脑卒中偏瘫患者,随机分为对照组和观察组,各41例。对照组患者接受常规护理,观察组患者在常规护理基础上采用早期康复护理,比较分析两组的临床护理效果。结果护理前,两组的日常生活能力评分(ADL)比较差异无统计学意义(P>0.05);护理后,观察组ADL评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组的运动能力评分高于对照组,差异有统计学意义(P<0.05)。观察组出现1例肌肉萎缩,1例肌体肿胀,并发症发生率为4.88%;对照组出现3例关节活动受限,3例肌体肿胀,2例肌肉萎缩,并发症发生率为19.51%;观察组并发症发生率低于对照组,差异有统计学意义(χ2=4.100,P<0.05)。结论脑卒中偏瘫患者接受早期康复护理具有良好效果,患者的并发症发生率较低,临床可以推广使用。

Objective To study and analyze the clinical effect of early rehabilitation nursing on patients with hemiplegia after stroke.Methods A total of 82 patients with hemiplegia after stroke were randomly divided into control group and observation group,with 41 cases in each group.The control group received conventional nursing,and the observation group received early rehabilitation nursing on the basis of conventional nursing.The clinical nursing effect in two groups was compared and analyzed.Results Before nursing,both groups had no statistically significant difference in activities of daily life（ADL） score（P0.05）.After nursing,the observation group had higher ADL score than the control group,and the difference was statistically significant（P0.05）.After nursing,the observation group had higher motor ability score than the control group,and the difference was statistically significant（P0.05）.The observation group had 1 case of muscle atrophy,1 case of body swelling,with incidence of complications as 4.88%,while the control group had 3 cases of limited joint activity and 2 cases of muscle atrophy,with incidence of complications as 19.51%.The observation group had lower incidence of complications than the control group,and the difference was statistically significant（χ~2=4.100,P0.05）.Conclusion Application of early rehabilitation nursing provides better effect in patients with hemiplegia after stroke,and lower incidence of complications.It can be promoted and used in clinic.