康复护理干预对脑梗死患者生活能力、神经功能的影响

Effect of Rehabilitation Nursing Intervention on Life Ability and Nerve Function of Patients with Cerebral Infarction

目的探讨康复护理干预对脑梗死患者生活能力、神经功能的影响。方法方便选取2018年1月—2019年1月该院收治的脑梗死患者80例,将其依据随机数字表法分成两组,对照组40例开展传统护理,观察组40例实施康复护理干预,用改良Barthel(MBI)指数评定两组生活能力,用美国国立卫生研究院卒中量表(NIHSS)评定两组神经功能,用生活质量量表(SF-36)评定两组生活质量。结果观察组NIHSS评分[(4.22±1.13)分]明显低于对照组[(7.53±2.12)分],差异有统计学意义(t=6.21,P<0.05),而MBI评分[(61.42±6.78)分]显著高于对照组[(49.66±5.36)分],差异有统计学意义(t=11.01,P<0.05)。观察组生理功能(55.93±9.12)分,情感功能(57.18±7.37)分,生理功能(57.80±7.51)分,躯体疼痛(56.95±7.62)分,社会功能(69.33±8.84)分,总体健康(32.16±9.86)分;对照组生理功能(38.27±7.63)分,情感功能(31.36±4.41)分,生理功能(42.48±6.60)分,躯体疼痛(43.86±5.34)分,社会功能(48.90±4.23)分,总体健康(24.88±7.43)分;观察组上述评分均显著高于对照组,差异有统计学意义(t=5.12、4.39、5.17、4.91、5.20、6.24,P<0.05)。结论针对脑梗死患者,通过开展康复护理干预,能提高其日常生活能力,改善神经功能缺损情况,临床应用价值突出。

Objective To explore the effects of rehabilitation nursing intervention on the living ability and nerve function of patients with cerebral infarction.MethodsWe selected 80 patients with cerebral infarction admitted to the hospital from January 2018 to January 2019 and divided them into two groups according to the random number table method.The control group carried out traditional nursing care for 40 cases,and the observation group carried out rehabilitation nursing intervention for 40 cases.The modified Barthel(MBI)index was used to assess the living ability of the two groups,the National Institutes of Health Stroke Scale(NIHSS)was used to assess the neurological function of the two groups,and the Quality of Life Scale(SF-36)was used to assess the quality of life of the two groups.Results The NIHSS score[(4.22±1.13)points]of the observation group was significantly lower than the control group[(7.53±2.12)points],the difference was statistically significant(t=6.21,P<0.05),while the MBI score[(61.42±6.78)points]was significantly higher than the control group[(49.66±5.36)points],the difference was statistically significant(t=11.01,P<0.05).In the observation group,physiological function(55.93±9.12)points,emotional function(57.18±7.37)points,physiological function(57.80±7.51)points,physical pain(56.95±7.62)points,social function(69.33±8.84)points,overall health(32.16±9.86)points;control group physiological function(38.27±7.63)points,emotional function(31.36±4.41)points,physiological function(42.48±6.60)points,body pain(43.86±5.34)points,social function(48.90±4.23)points,overall health(24.88±7.43)points;the above scores of the observation group were significantly higher than those of the control group,the difference was statistically significant(t=5.12,4.39,5.17,4.91,5.20,6.24,P<0.05).Conclusion For patients with cerebral infarction,rehabilitation nursing intervention can improve their ability of daily living and improve their neurological deficits.The clinical application value is outstanding.