脑梗死患者接受康复护理的预后分析

Prognosis Analysis of Patients with Cerebral Infarction Receiving Rehabilitation Nursing

目的脑梗死患者接受康复护理的预后分析。方法纳入该院于2018年12月-2019年12月期间收治的80例脑梗死患者展开研究分析,结合患者入院日期的奇偶性以及40例单组区间条件分别归纳为对照组、试验组;对照组患者院内接受常规护理,试验组患者院内接受康复护理,比对分析两组患者的临床疗效、护理前后的肢体功能与日常活动能力评分、护理后的认知功能评分。结果试验组92.50%的治疗有效率明高于对照组的75.00%,差异有统计学意义(χ^2=4.501,P<0.05);护理前两组患者的肢体功能评分[试验组(24.44±2.27)分、对照组(24.63±2.35)分]、日常活动能力[(试验组(20.42±3.34)分、对照组(20.84±3.58)分]评分差异无统计学意义(t=0.368、0.543,P>0.05);护理后试验组的肢体功能评分(47.88±6.28)分、日常活动能力(64.58±8.29)分均高于对照组肢体功能评分(31.29±4.02)分、日常活动能力(53.66±5.87)分,差异有统计学意义(t=14.072、6.799,P<0.05);试验组护理后的认知功能评分:数字鉴别(19.16±1.89)分、双字词认知(14.76±5.47)分、汉字快速比较(15.09±2.18)分、数值工作记忆(11.87±2.03)分、心算(15.09±1.65)分也均高于对照组(17.13±1.64)分、(11.12±2.91)分、(12.34±1.58)分、(9.34±1.78)分、(12.12±1.37)分,差异有统计学意义(t=5.131、3.716、6.460、5.927、8.759,P<0.05)。结论脑梗死患者临床接受康复护理干预,可改善其临床治疗效果,有利于患者肢体功能、日常活动能力与认知功能的恢复,对其预后发展有较好的促进意义。

Objective To analyze the prognosis of patients with cerebral infarction receiving rehabilitation nursing.Methods 80 cases of cerebral infarction patients admitted to the hospital from December 2018 to December 2019 were included for research and analysis,combined with the parity of the patient's admission date and 40 cases of single-group interval conditions,were classified into the control group and the experimental group;patients in the control group received routine nursing in hospital,and patients in the experimental group received rehabilitation nursing in hospital.The clinical efficacy,limb function and daily activity scores before and after nursing,and cognitive function scores after nursing were compared and analyzed.Results The effective rate of 92.50%of the experimental group was obviously higher than that of the control group's 75.00%,and the difference was statistically significant(χ^2=4.501,P<0.05);the limb function scores of the two groups before nursing[experimental group(24.44±2.27)points,control group(24.63±2.35)points],daily activity ability[experimental group(20.42±3.34)points,control group(20.84±3.58)points],scores converged,the difference was not statistically significant(t=0.368,0.543,P>0.05);experimental group's limb function score after nursing(47.88±6.28)points and daily activity(64.58±8.29)points were higher than the control group’s limb function score(31.29±4.02)points and daily activity(53.66±5.87)points.The difference was statistically significant(t=14.072,6.799,P<0.05).Cognitive function scores of the experimental group after nursing:numerical discrimination(19.16±1.89)points,two-character word recognition(14.76±5.47)points,quick comparison of Chinese characters(15.09±2.18)points,numerical work memory(11.87±2.03)points and mental arithmetic(15.09±1.65)points were also higher than those of the control group(17.13±1.64)points,(11.12±2.91)points,(12.34±1.58)points,(9.34±1.78)points,(12.12±1.37)points,and the difference was statistically significant(t=5.131,3.716,6.460,5.927,8.759,P<0.05).Conclusion Rehabilitation nursing intervention for patients with cerebral infarction can improve the clinical treatment effect,which is conducive to the recovery of patients'limb function,daily activity ability and cognitive function,and has a good significance in promoting its prognosis.