早期康复护理在脑出血患者中的应用及对术后运动障碍患者功能的影响

Application of Early Rehabilitation Nursing in Patients with Cerebral Hemorrhage and Its Influence on the Function of Patients with Postoperative Movement Disorder

目的探讨早期康复护理在脑出血患者中的应用及对术后运动障碍患者功能的影响。方法方便选取该院自2016年3月—2018年12月收治的48例脑出血术后运动障碍患者作为观察对象,按照入院先后分为对照组、研究组,分别24例,对照组实施常规护理,研究组在对照组基础上实施早期康复护理,对比两组护理效果、术后上肢及下肢运动功能、日常生活能力(Barthel指数)、上肢及下肢肌力评分。结果研究组总有效率为91.67%,稍高于对照组的79.17%,但差异无统计学意义(χ^2=0.669,P>0.05),护理后研究组上肢运动功能评分(35.49±7.94)分、下肢运动功能评分(18.36±5.57)分,对照组上肢运动功能评分(30.28±7.65)分、下肢运动功能评分(13.97±5.23)分,实验组均显著高于对照组(t=2.315、2.814,P<0.05),护理后研究组日常生活能力评分(62.69±12.31)分,对照组日常生活能力评分(50.38±13.49)分,实验组显著高于对照(t=3.302,P<0.05)。结论早期康复护理应用于脑出血患者中可有效改善其术后运动障碍,提高运动功能及日常生活能力,最大程度恢复肢体功能,值得进行推广。

Objective To investigate the application of early rehabilitation nursing in patients with cerebral hemorrhage and its effect on the function of patients with postoperative movement disorders.Methods Convenient selected 48 patients with cerebral hemorrhage after operation from March 2016 to December 2018 were selected as observation subjects.According to the admission,they were divided into control group and study group,respectively,24 cases were performed,and the control group was given routine nursing.Early rehabilitation care was performed on the basis of the control group,and the nursing effect,postoperative upper and lower limb motor function,daily living ability(Barthel index),and upper limb and lower limb muscle strength scores were compared.Results The total effective rate of the study group was 91.67%,which was slightly higher than that of the control group(79.17%),but the difference was not statistically significant(χ^2=0.669,P>0.05).The upper limb motor function score(35.49±7.94)points and lower limb motor function of the study group after nursing scores were(18.36±5.57)points.The upper limb motor function scores(30.28±7.65)points and lower limb motor function scores(13.97±5.23)points were significantly higher in the experimental group than in the control group(t=2.315,2.814,P<0.05).After the nursing,the study group's daily living ability score(62.69±12.31)points,the control group's daily living ability score(50.38±13.49)points,the experimental group was significantly higher than the control(t=3.302,P<0.05).Conclusion Early rehabilitation nursing can effectively improve postoperative dyskinesia,improve motor function and daily living ability,and restore limb function to the greatest extent.It is worthy of promotion.