探讨康复护理干预应用在高血压脑出血后遗症的临床有效性

Explore the Clinical Effectiveness of Rehabilitation Nursing Intervention in the Sequelae of Hypertensive Cerebral Hemorrhage

目的探讨康复护理干预应用在高血压脑出血后遗症的临床有效性。方法样本选取时间:2018年4月——2019年10月;样本构成:该院收治的高血压脑后出血后遗症患者72例;分组情况:根据入院时间分为两组(研究组与对照组)各36例。对照组选择常规护理,研究组选择康复护理干预。对比两种护理方法后遗症患者改善效果、生活质量、神经功能缺损评分。结果研究组总有效率(97.22%)高于对照组(77.78%)(χ^2=6.22,P<0.05)。研究组患者生理职能(84.12±25.41)分、社会功能(86.97±30.44)分、肢体活动(85.41±25.66)分、乐观情绪(86.99±24.05)分评分高于对照组(70.41±20.54)分、(75.36±19.55)分、(73.21±24.39)分、(73.64±23.01)分(P<0.05)。干预前,两组患者神经功能评分差异无统计学意义(P>0.05)。干预后,研究组患者神经功能缺损评分(10.25±3.47)分低于对照组(16.58±4.52)分(P<0.05)。结论康复护理对高血压脑出血后遗症临床症状改善显著,提高生活质量、减轻临床指标,促进康复,亟待在临床护理中推广应用。

Objective To investigate the clinical effectiveness of rehabilitation nursing intervention in the sequelae of hypertensive cerebral hemorrhage. Methods Sample selection time: from April 2018 to October 2019;Sample composition: 72 patients with sequelae of hypertensive cerebral hemorrhage treated in the hospital;grouping: divided into two groups according to the time of admission(research group and control group) 36 cases each. The control group chose routine nursing, and the research group chose rehabilitation nursing intervention. The improvement effects,quality of life, and neurological deficit scores of patients with sequelae of the two nursing methods were compared.Results The total effective rate in the study group(97.22%) was higher than that in the control group(77.78%)(χ^2=6.22,P <0.05). Patients in the study group had higher physiological functions(84.12 ±25.41)points, social functions(86.97±30.44)points, physical activity(85.41±25.66)points, and optimism(86.99±24.05)points than the control group(70.41±20.54)points,(75.36±19.55)points,(73.21±24.39)points,(73.64±23.01) points(P <0.05). Before the intervention,there was no statistically significantly difference in neurological score between the two groups(P >0.05). After the intervention, the neurological deficit score of the study group(10.25 ±3.47)points was lower than that of the control group(16.58±4.52)points(P<0.05). Conclusion Rehabilitation nursing significantly improves the clinical symptoms of hypertensive intracerebral hemorrhage sequelae, improves the quality of life, reduces clinical indicators, and promotes rehabilitation. It is urgent to promote its application in clinical nursing.