脑卒中偏瘫患者的连续康复护理体会

Nursing experience of continuous rehabilitation nursing for stroke patients with hemiplegia

目的探讨脑卒中偏瘫患者的连续康复护理效果。方法选择本院收治的150例脑卒中偏瘫患者作为研究对象,采用随机数字表将其分为对照组与研究组,每组各75例。对照组住院期间给予常规护理干预,出院时进行出院指导;研究组在此基础上,在院期间与出院后给予连续康复护理干预。观察对比2组患者护理干预前与干预3个月后运动功能、日常生活活动能力、神经功能变化,以及干预后生活质量情况。结果研究组干预后Fugl-Meyer运动量表评分(FMA)与Barthel评分高于对照组(P<0.05)。研究组干预后神经功能缺损评分(NIHSS)评分低于对照组(P<0.05)。研究组干预后,精神健康、一般健康、社会功能、活力、生理功能、躯体疼痛、情感职能、生理职能评分均高于对照组(P<0.05)。结论脑卒中偏瘫患者采用连续康复护理可以有效促使肢体运动功能与神经功能恢复,提高日常生活活动能力,改善生活质量,适于临床应用。

Objective To explore effect of continuous rehabilitation nursing for stroke patients with hemiplegia. Methods A total of 150 stroke patients with hemiplegia in our hospital were randomly divided into control group and study group,with 75 patients in each group. The control group was given routine nursing intervention during hospitalization and discharge guidance,while the study group was given continuous rehabilitation nursing intervention during and after hospital stay.The motor function,activities of daily living and neurological function as well as quality of life before and after 3 months intervention were observed and compared between two groups. Results The scoresof Fugl-Meyer Assessment（ FMA） and Barthel in the study group were higher than that in the control group（ P〈0. 05）. The National Institutes of Health Stroke Scale（ NIHSS） score of the study group was lower than that of the control group（ P〈0. 05）. After intervention,the scores of mental health,general health,social function,vitality,physical function,physical pain,emotional function and physiological function of the study group were higher than that of the control group（ P〈0. 05）.Conclusion Continuous rehabilitation nursing can effectively promote recovery of limb motor function and neurological function,improve activities of daily living and improve quality of life in stroke patients. So it is suitable for clinical application.