前瞻性护理干预对中风患者功能恢复及生活质量的影响

Efficacy of prospective nursing on functional recovery and the quality of life in patients with stroke

目的:探讨前瞻性护理干预对中风患者功能恢复及生活质量的影响。方法:将100例患者按随机数字表法均分为对照组和观察组。两组患者均予以脱水降压、营养神经等常规治疗;对照组给予常规护理,观察组给予前瞻性护理,分别比较两组患者治疗前后临床疗效、神经功能缺损程度、躯体功能、社会功能、心理状态的改善情况。结果:两组患者治疗前各项分值之间比较,差异无统计学意义。疗程结束后,两组患者的神经功能缺损程度积分较治疗前明显下降,躯体功能、社会功能、心理状态的积分较治疗前升高,而观察组患者的评分改善更明显(P<0.05)。结论:前瞻性护理可以显著提高中风急性期患者的临床疗效,改善焦虑、抑郁状态,提高患者的生活质量,值得临床推广应用。

Objective:To investigate the effect of prospective nursing on functional recovery and the quality of life in patients withstroke.Methods:100patients were randomly divided into the control group and the observation group.All patients received the dehydrationtherapy,the decreasing blood pressure,neurotrophi treatment and other basic treatment.On the basical treatment,the control group receivedthe conventional nursing and the observation group was treated by prospective nursing.The scores of clinical efficacy,neurological deficits,physical function,social function,mental state were observed.Results:There was no difference between two groups before treatment.Aftertreatment,the score of neurological deficit was lower than that before treatment;and the score of clinical efficacy,physical function,socialfunction,mental state were higher than those before treatment;these factors in the observation group were better than those in the controlgroup(P<0.05).Conclusion:Prospective nursing can improve clinical efficacy,reduce the anxiety and depression,improve their quality oflife,and is worthy of clinical application in patients with stroke.