脑梗塞护理中应用早期康复护理模式的临床效果及价值研究

Study on the Clinical Effect and Value of Applying Early Rehabilitation Nursing Model in the Nursing of Cerebral Infarction

目的探究早期康复护理模式应用于脑梗塞护理的临床疗效。方法将该院2018年4月-2020年4月期间收治的86例脑梗塞患者通过计算机表法分为观察组与参照组,两组分别纳入43例,给予参照组常规护理,给予观察组早期康复护理模式,对比两组患者Barthel评分、NIHSS评分、SF-36综合评分及护理满意度。结果护理后,观察组患者Barthel评分为(68.24±4.62)分高于参照组的(49.74±5.61)分,NIHSS评分为(7.26±1.08)分低于参照组(10.15±1.17)分,差异有统计学意义(P<0.05);观察组患者护理满意度为97.67%优于参照组的79.07%,差异有统计学意义(χ^(2)=7.242,P=0.007),观察组患者生活质量评分中生理机能评分为(89.7±7.4)分高于参照组的(82.5±8.2)分,健康状况评分为(91.6±8.1)分,高于参照组的(84.2±6.7)分,社会功能评分为(91.4±5.7)分高于参照组的(86.4±6.5)分,精神健康评分为(90.7±5.3)分,高于参照组的(86.6±6.8)分,睡眠质量评分为(90.8±3.5)分高于参照组的(85.2±2.7)分,差异有统计学意义(t=4.274,P<0.001;t=4.616,P<0.001;t=3.792,P<0.001;t=3.118,P=0.002;t=8.307,P<0.001)。结论早期康复护理模式应用于脑梗塞护理可有效改善患者神经功能,提高日常生活质量,提升护理满意度,值得应用推广。

Objective To explore the clinical effect of early rehabilitation nursing model applied to cerebral infarction nursing.Methods 86 patients with cerebral infarction admitted to the hospital from April 2018 to April 2020 were divided into observation group and reference group by computer table method.The two groups were enrolled in 43 cases,and the reference group was given routine care and observation group with early rehabilitation nursing model,and the Barthel score,NIHSS score,SF-36 comprehensive score and nursing satisfaction were compared between the two groups.Results After nursing,the Barthel score of the observation group was(68.24±4.62)points higher than the reference group(49.74±5.61)points,the NIHSS score was(7.26±1.08)points lower than the reference group(10.15±1.17)points,the difference was statistically significant(P<0.05),and the nursing satisfaction of the observation group was 97.67%,better than 79.07%of the reference group,the difference was statistically significant(χ^(2)=7.242,P=0.007),and the observation group’s quality of life score was(89.7±7.4)points higher than that of the reference group(82.5±8.2)points,and the health status score was(91.6±8.1)points,higher than the reference group(84.2±6.7)points,the social function score was(91.4±5.7)points higher than the reference group(86.4±6.5)points,and the mental health score was(90.7±5.3)points higher than the reference group’s(86.6±6.8)points,the sleep quality score of(90.8±3.5)points was higher than the reference group’s(85.2±2.7)points,the difference was statistically significant(t=4.274,P<0.001;t=4.616,P<0.001;t=3.792,P<0.001;t=3.118,P=0.002;t=8.307,P<0.001).Conclusion The early rehabilitation nursing model applied to cerebral infarction nursing can effectively improve the patient’s neurological function,improve the quality of daily life,and enhance nursing satisfaction.It is worthy of application and promotion.