早期康复护理模式应用于脑梗死患者的效果

Effect of early rehabilitation nursing model applied to patients with cerebral infarction

目的探讨脑梗死患者行早期康复护理干预对其神经、运功功能以及日常生活活动能力的影响。方法研究在我院脑科中心共收集50例脑梗死患者作为实验对象,所有患者均于2017年6月～2018年5月期间入院接受治疗,根据患者入院时间先后顺序进行分组,包括对照组(n=25)和观察组(n=25),两组患者分别实施常规护理和早期康复护理干预,记录比较两组患者对护理服务的满意度;并通过中国卒中量表(CSS)、Fugl-Meyer运动功能量表(FMA)改良Barthel指数(MBI)对两组患者护理后的神经功能、运动功能及日常生活活动能力进行评估并比较。结果观察组患者护理满意度显著高于对照组,数据差异有统计学意义(P <0.05);护理后,观察组患者CSS评分显著低于对照组,FMA评分及MBI评分均显著高于对照组,数据差异有统计学意义(P <0.05)。结论脑梗死患者行早期康复护理干预可有效改善患者受损的神经和运动功能,提升患者日常生活活动能力,有利于促进患者的康复,因此该种康复模式可以在各级医院进行普及推广。

Objective To explore the effect of early rehabilitation nursing intervention on neurological function, motor function and activities of daily living in patients with cerebral infarction. Methods A total of 50 patients with cerebral infarction at the Brain Center of our hospital were recruited as subjects. All patients were admitted to hospital from June 2017 to May 2018. They were grouped according to the time of admission, including the control group（n=25） and observation group（n=25）. Routine nursing and early rehabilitation nursing interventions were performed in two groups of patients. The satisfaction of care services between the two groups was recorded and compared. Neurological function, motor function and activities of daily living（ADL） after nursing were assessed and compared between the two groups by Chinese Stroke Seale（CSS）, Fugl-Meyer Motor Funetion Scale（FMA） and Modified Barthel Index（MBI）. Results The satisfaction rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant（P 〈 0.05）. After nursing, the CSS score of the observation group was significantly lower than that of the control group, and the FMA score and MBI score of the observation group were significantly higher than those of the control group, the data difference was statistically significant（P 〈 0.05）. Conclusion Early rehabilitation nursing intervention in patients with cerebral infarction can effectively improve the patient＇s damaged nerve and motor function, improve the ability of daily living activities of patients, and help to promote the recovery of patients, so the rehabilitation model can be popularized at all levels of hospitals.