早期护理干预在脑梗塞偏瘫失语患者中的应用及对生活质量的影响

Application of Early Nursing Intervention in Patients with Hemiplegic Aphasia Due to Cerebral Infarction and its Effect on Quality of Life

目的探究早期护理干预在脑梗塞偏瘫失语患者中的应用效果及对其生活质量的影响。方法择取2018年5月—2019年9月期间该院收治的脑梗塞偏瘫失语患者82例为研究对象,根据随机数字表法分为对照组41例和观察组41例。对照组开展常规护理,观察组开展早期护理干预,通过Barthel指数(BI指数)、Fugl-Meyer(FMA)运动功能量表、ABC评分量表、QOL-BREF量表评定两组患者护理前后日常生活能力、运动功能、语言功能以及生活质量。同时比较两组患者护理满意度。结果护理后观察组患者BI指数(70.25±2.65)分、FMA评分(78.85±3.25)分、ABC评分(65.48±3.27)分、生活质量评分(86.34±3.63)分优于对照组(61.48±2.47)分、(65.74±3.43)分、(53.75±3.21)分、(73.48±3.54)分,差异有统计学意义(t=15.501、17.765、16.391、16.240,P<0.05);观察组护理满意度95.12%高于对照组80.49%,差异有统计学意义(χ2=4.100,P<0.05)。结论在脑梗塞偏瘫失语患者的护理中开展早期护理干预对改善患者肢体运动功能和语言功能具有良好的效果,还可有效提升护理满意度和患者生活质量。

Objective To explore the effect of early nursing intervention in patients with hemiplegic aphasia due to cerebral infarction and its impact on quality of life.Methods A total of 82 patients with cerebral infarction and hemiplegia aphasia admitted to the hospital from May 2018 to September 2019 were selected as the research object.They were divided into a control group of 41 cases and an observation group of 41 cases according to the random number table method.The observation group carried out early nursing interventions,and evaluated the daily living ability and motor function of the two groups of patients before and after nursing through the Barthel index(BI index),Fugl-Meyer(FMA)motor function scale,ABC score scale,and QOL-BREF scale,language function and quality of life.At the same time,the nursing satisfaction of the two groups was compared.Results The BI index(70.25±2.65)points,FMA score(78.85±3.25)points,ABC score(65.48±3.27)points,quality of life score(86.34±3.63)points of the observation group after nursing were better than those of the control group(61.48±2.47)points,(65.74±3.43)points,(53.75±3.21)points,(73.48±3.54)points,the difference was statistically significant(t=15.501,17.765,16.391,16.240,P<0.05);the nursing satisfaction rate of the observation group 95.12%was higher than the control group 80.49%,the difference was statistically significant(χ2=4.100,P<0.05).Conclusion Carrying out early nursing intervention in the nursing of patients with cerebral infarction and hemiplegia aphasia has a good effect on improving the patient's limb motor function and language function,and can also effectively improve the nursing satisfaction and the patient's quality of life.Therefore.