早期肢体功能训练在脑梗死患者护理中的应用效果

Application effect of early limb function training in nursing of patients with cerebral infarction

目的探讨早期肢体功能训练在脑梗死(CVA)患者护理中的应用效果。方法选取2019年1~12月我院收治的90例CVA患者,按照随机数字表法分为对照组和观察组,每组各45例。对照组采用常规护理,观察组在对照组的基础上行早期肢体功能训练。对两组的日常生活能力、神经功能变化情况、护理服务的满意情况、机体平衡情况、躯干控制情况等进行比较。结果干预后,观察组的Fugl-Meyer平衡量表评分、Sheikh躯干控制量表评分及日常生活指数(Barthel)评分高于对照组(P<0.05);观察组的神经功能缺损情况(NIHSS)评分低于对照组,差异有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论开展早期肢体功能训练,有利于改善患者肢体功能及神经功能缺损程度,提高其日常生活能力,改善护患关系,可在临床推广使用。

Objective To explore the effect of early limb function training in the nursing of patients with cerebral infarction(CVA).Methods Ninety patients with CVA treated in our hospital from January to December 2019 were selected.They were divided into the observation group and the control group according to random number table method,45 cases in each group.The control group was given routine nursing,the observation group in the control group on the basis of was given early limb function training.The daily living ability,neurological changes,satisfaction with nursing services,body balance,and trunk control between the patients of two groups were compared.Results After the intervention,the Fugl-Meyer balance scale,Sheikh torso control scale,and Barthel index scores in the observation group were higher than those in the control group(P<0.05).The neurological deficit(NIHSS)score of the observation group was lower than that of the control group,and the difference between the groups was statistically significant(P<0.05).The total satisfaction of the patients in the observation group with the nursing service was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The early limb function training for patients with CVA is ideal,which is helpful to improve the degree of neurological deficits,improve the ability of daily living,improve the relationship between nurses and patients,and can be promoted and used.