脑梗死偏瘫患者早期康复护理的结果探析

Analysis of the Results of Early Rehabilitation Nursing for Hemiplegic Patients with Cerebral Infarction

目的研究将早期康复护理应用于脑梗死偏瘫患者中各项指标状况与护理效果。方法该次实验研究共有86例脑梗死偏瘫患者,主要是随机选取的该院2018年9月—2019年3月收治的患者。需要研究人员将该86例脑梗死偏瘫患者按照数字排列法分为对照组(43例)与观察组(43例),对照组脑梗死偏瘫患者运用常规护理方式,观察组脑梗死偏瘫患者在常规护理的基础上,根据患者实际病情状况进行早期康复护理(心理护理、肢体护理、运动护理以及饮食护理等),在实施研究需要临床护理人员做好记录工作,对比两组患者满意度、神经功能缺损评分、运动功能评分以及BI指数评分等。结果观察组患者神经功能缺损评分(10.24±2.14)分、运动功能评分(48.89±7.34)分、BI指数评分(62.49±4.48)分,而对照组脑梗死偏瘫患者的神经功能缺损评分是(16.89±2.15)分、运动功能评分(37.69±6.64)分、BI指数评分(45.17±4.22)分,其次观察组评分优于对照组患者,差异有统计学意义(t=14.380、7.420、17.608,P<0.05);观察组护理满意度95.34%高于对照组72.09%,差异有统计学意义(χ2=8.532,P<0.05)。结论针对脑梗死偏瘫患者运用早期康复护理模式,可以有效改善患者神经功能、运动功能,提升患者的生活质量,对患者疾病恢复具有积极作用,在临床中具有较高推广意义。

Objective To study the application of early rehabilitation nursing in patients with cerebral infarction and hemiplegia.Methods In this experimental study,a total of 86 patients with hemiplegia due to cerebral infarction,mainly randomly selected patients admitted in the hospital from September 2018 to March 2019.Researchers are required to divide the 86 cerebral infarction hemiplegia patients into a control group(43 cases)and an observation group(43 cases)according to the numerical arrangement method.The control group cerebral infarction hemiplegia patients need to use conventional nursing methods,while the observation group cerebral infarction hemiplegia patients on the basis of routine care,early rehabilitation care(psychological care,limb care,sports care,dietary care,etc.)should be carried out according to the actual condition of the patient,and clinical nurses need to make a record of the work in the implementation of the study,comparing the satisfaction,neurological deficit score,motor function score,and BI index score of the two groups of patients.Results Observation group patients with neurological deficit score(10.24±2.14)points,motor function score(48.89±7.34)points,BI index score(62.49±4.48)points,while control group cerebral infarction hemiplegia patients'neurological deficit score was(16.89±2.15)points,motor function score(37.69±6.64)points,BI index score(45.17±4.22)points,followed by the observation group score was better than the control group patients,the difference was statistically significant(t=14.380,7.420,17.608,P<0.05);The nursing satisfaction of the observation group was 95.34%higher than that of the control group 72.09%,the difference was statistically significant(χ2=8.532,P<0.05).Conclusion The use of early rehabilitation nursing model for patients with cerebral infarction hemiplegia can effectively improve the patient's nerve function and motor function,improve the patient's quality of life,have a positive effect on the patient's disease recovery,and have a high promotion significance in the clinic.