良肢位摆放在脑卒中偏瘫患者早期康复护理中的应用

Application of Limbs in Early Rehabilitation Nursing of Patients with Hemiplegia after Stroke

目的探讨良肢位摆放在脑卒中偏瘫患者早期康复护理中的应用。方法将2016年1月~2017年2月90例脑卒中偏瘫患者作为对象根据随机信封法分组,各45例。常规组在病情稳定后采取良肢位摆放,早期组在早期康复护理中采取良肢位摆放。比较两组脑卒中偏瘫康复效果;从开始康复锻炼到出院时间;干预前后患者神经功能缺损程度CNS评分、肢体功能FMA评分、生活自理能力ADL评分。干预前后患者生活质量QOL-100评分;压疮等并发症发生率。结果早期组脑卒中偏瘫康复效果高于常规组(P<0.05);早期组从开始康复锻炼到出院时间短于常规组(P<0.05);干预前两组神经功能缺损程度CNS评分、肢体功能FMA评分、生活自理能力ADL评分相近,差异无统计学意义;干预后早期组神经功能缺损程度CNS评分、肢体功能FMA评分、生活自理能力ADL评分优于常规组(P<0.05)。干预前两组生活质量QOL-100评分相近,差异无统计学意义;干预后早期组生活质量QOL-100评分优于常规组(P<0.05)。早期组压疮等并发症发生率低于常规组(P<0.05)。结论良肢位摆放在脑卒中偏瘫患者早期康复护理中的应用效果确切,优于病情稳定后进行良肢位摆放,早期应用良肢位摆放可更好恢复患者肢体功能,减轻神经功能缺损程度,提高其生活能力和生活质量,还可预防并发症的发生,缩短住院时间,减轻患者住院经济负担,具有良好的社会意义。

Objective To investigate the application of limb amblyopia in the early rehabilitation nursing of patients with hemiplegia after stroke. Methods From January 2016 to February 2017, 90 stroke patients with hemiplegia were divided into random envelopes according to the random envelope method, each with 45 cases. In the conventional group, the limbs were placed in the limbs in stable condition, and the limbs in the early stage were placed in the limbs in early rehabilitation care. Comparisons of hemiplegia rehabilitation outcomes between the two groups were performed. From rehabilitation exercise to discharge time, CNS score, FMA score and ADL score of self-care ability of patients before and after intervention were compared. Quality of life before and after QOL-100 score; pressure ulcer and other complications. Results The recovery effect of hemiplegia after stroke was higher in the early group than that in the conventional group(P<0.05). The recovery time from early rehabilitation to discharge in the early group was shorter than that in the conventional group(P<0.05) CNS score, FMA score of limb function and ADL score of life self-care ability were similar, but the difference was not statistically significant; CNS score, physical function FMA score and ADL score of self-care ability In the conventional group(P<0.05). The QOL-100 scores of the two groups before intervention were similar, but the difference was not statistically significant. The QOL-100 scores of quality of life in the early group after intervention were better than those in the conventional group(P<0.05). The incidence of complications such as pressure sores in the early stage was lower than that in the conventional group(P<0.05). Conclusion The application of limbs in stroke patients with hemiplegia in early rehabilitation nursing is better than that in limbs, which is better than the condition of stable limbs. Early application of limbs can better restore limb function and reduce nerve The degree of functional impairment, improve their living ability and quality of life, but also prevent the occurrence of complications, shorten the hospital stay, reduce the hospitalization of patients with economic burden, with good social significance.