摘要
目的观察脑出血后实施优化康复护理的效果及其对神经功能的影响。方法脑出血患者58例,采用随机数字表法将其分为两组各29例,对照组实施常规护理,观察组在此基础上实施优化康复护理,采用脑卒中量表(NIHSS)和Barthel指数评定量表(BI)评价两组患者护理前后的神经功能状况和日常生活能力,比较治疗效果、并发症发生情况和护理满意度。结果护理后观察组患者NIHSS评分低于对照组,BI评分高于对照组(P <0.05)。观察组治疗有效率为93.10%,高于对照组的72.41%(P <0.05)。观察组并发症发生率为10.34%,低于对照组的34.48%(P <0.05)。观察组护理满意度为100.00%,高于对照组的79.31%(P <0.05)。结论对脑出血后患者实施优化康复护理能够有效改善患者神经功能缺损情况,增强患者日常生活能力,提高治疗效果,降低并发症发生率,为患者提供更加满意的护理服务。
Objective:To explore the effect of optimizing rehabilitation nursing after cerebral hemorrhage and its effect on nerve function. Methods:58 patients were divided into two groups by random number table method,29 cases in each group.The contral group were given routine nursing,while the Observation group were given optimized rehabilitation nursing on the basis of contral group. The stroke scale(NIHSS)scores and the scale for assessment of Barthel index(BI)were used to evaluate nerve functional status and daily life ability before and after patient care. The treatment effect,complications and nursing satisfaction were compared. Results:There was no significant difference in NIHSS score and BI score between the two groups(P > 0.05). After nursing,NIHSS score of the observation group was lower than that of the control group,while BI score was higher than that of the control group(P < 0.05). The effective rate of treatment in the observation group was(93.10%),higher than that in the control group(72.41%)(P < 0.05). The incidence of complications in the observation group(10.34%)was lower than that in the control group(34.48%)(P < 0.05). Nursing satisfaction in the observation group was(100.00%),higher than that in the control group(79.31%)(P < 0.05). Conclusion:The optimized rehabilitation nursing for patients with cerebral hemorrhage can effectively improve the neurological defects of patients,enhance their daily living ability,improve the treatment effect,reduce the incidence of complications,and provide more satisfactory nursing services for patients.
作者
陈超琼
顾超兰
Chen Caoqiong;Gu Chaolan(Chongqing Traditional Chinese Medical Hospital,Chongqing 400021,China)
出处
《中国中医急症》
2019年第12期2253-2256,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
重庆市集成示范计划项目(cstc2014jcsf10004)
关键词
脑出血
康复护理
神经功能
日常生活能力
并发症
满意度
Cerebral hemorrhage
Rehabilitation nursing
Neurological function
Ability to live daily
Complications
Satisfaction