早期康复护理路径在脑卒中偏瘫患者中的临床应用

Clinical Application of Early Rehabilitation Nursing Path in Stroke Patients With Hemiplegia

目的探讨早期康复护理路径对脑卒中偏瘫患者运动功能、日常生活活动能力及神经功能缺损的效果评价。方法采用随机数字表法,选择2019年6-12月本院收治的80例脑卒中偏瘫患者为研究对象,随机分为观察组和对照组各40例。两组均进行一般护理治疗,对照组生命体征平稳和病情再无进展后的疾病恢复期,由康复治疗师遵医嘱进行康复指导;观察组对轻、中度患者发病24小时后和重度患者在生命体征平稳,按照早期康复护理路径进行康复干预。分别于康复介入第1天、第13天,应用简化Fugl-Meyer运动功能量表、改良Barthel指数量表及卒中量表(NIHSS)测评患者。结果干预前,两组患者的肢体运动功能、日常生活活动能力及神经功能缺损评分比较,差异无统计学意义(P>0.05);干预后,肢体运动功能和日常生活活动能力指标均较干预前有明显提高,神经功能缺损评分较干预前有明显下降,且三组指标改善情况显著优于对照组,差异具有统计学意义(P<0.05)。结论早期康复护理路径,有助于加快恢复患者的肢体运动功能和神经功能缺损,提高患者的日常生活活动能力,改善生活质量。

Objective To explore the effect evaluation of early rehabilitation nursing path on motor function,daily life activity ability and neurological function defect of stroke patients with hemiplegia.Methods A total of 80 stroke patients with hemiplegia admitted to our hospital from June to December 2019 were randomly divided into observation group and control group with 40 cases each.Both groups received general nursing treatment.In the control group,the convalescence period after stable vital signs and no further progression of the disease was guided by the rehabilitation therapist in accordance with the doctor's advice.The observation group had stable vital signs 24 hours after the onset of mild and moderate patients and severe patients,and rehabilitation intervention was conducted according to the early rehabilitation nursing path.The patients were evaluated by the simplified Fugl-Meyer Scale,the improved Barthel Index scale and the Stroke Scale(NIHSS)on the first and 13th day of rehabilitation intervention,respectively.Results Before intervention,there was no statistically significant difference in the scores of limb motor function,daily activity ability and neurological function defect between the two groups,the difference was not statistically significant(P>0.05).After the intervention,the indexes of limb motor function and daily life activity ability were significantly improved compared with those before the intervention,and the score of neurological function defect was significantly decreased compared with that before the intervention,and the improvement of indexes in the three groups was significantly better than that in the control group,with statistically significant differences(P<0.05).Conclusion Early rehabilitation nursing path is helpful to speed up the recovery of limb motor function and nerve function defect,improve the daily activity ability of patients and improve the quality of life.