路径式早期康复护理对脑梗死患者神经功能的价值探讨

The Value of Pathary Early Rehabilitation Nursing for Neurological Function in Patients with Cerebral Infarction

目的探讨给予脑梗死患者行路径式早期康复护理的效果。方法方便选取该院2016年5月—2018年4月收治的91例脑梗死患者,随机分成研究组(46例)与对照组(45例),两组均给予患者对症治疗,期间给予对照组患者常规护理,给予研究组患者路径式早期康复护理,观察两组护理干预效果。结果护理3、6个月后,两组患者NIHSS神经功能缺损评分均下降,但研究组评分下降幅度明显大于对照组,如护理后6个月NIHSS评分为(15.57±3.36)分,这比对照组(20.17±3.68)的评分低(t=6.229,P<0.05);护理后研究组患者生理机能、躯体疼痛、社会功能、精神健康及情感智能评分均高于对照组护理后(P<0.05);研究组患者6个月内病情复发率为4.35%,显著低于对照组17.78%的复发率(χ~2=4.195,P<0.05)。结论针对脑梗死病患,在患者治疗期间给予路径式早期康复护理,可显著改善患者神经功能,提高患者生活质量及降低疾病复发率,值得推广。

Objective To investigate the effect of early-stage rehabilitation nursing for patients with cerebral infarction. Methods 91 patients with cerebral infarction admitted to our hospital from May 2016 to April 2018 were randomly divided into study group (46 cases) and control group (45 cases). The two groups were given symptomatic treatment. Patients in the study group were given path-based early rehabilitation care, and the effects of nursing intervention in the two groups were observed. Results After 3 months and 6 months of treatment, the NIHSS neurological deficit scores of the two groups were decreased, but the score of the study group was significantly greater than that of the control group. The NIHSS score was (15.57±3.36)points after 6 months of nursing. Compared with the control group (20.17±3.68)points, the scores were lower (t=6.229, P<0.05). After treatment, the physiology, physical pain, social function, mental health and emotional intelligence scores of the study group were higher than those of the control group (P<0.05);The recurrence rate of the patients in the study group was 4.35% within 6 months, which was significantly lower than the recurrence rate of 17.78% in the control group (χ2=4.195, P<0.05). Conclusion For patients with cerebral infarction, path-based early rehabilitation care during the treatment of patients can significantly improve the neurological function of patients, improve the quality of life of patients and reduce the recurrence rate of diseases. It is worth promoting.