脑梗死偏瘫失语患者实施早期护理干预的效果评价

Evaluation of the Effect of Early Nursing Intervention on Patients with Hemiplegia and Aphasia Due to Cerebral Infarction

目的评价对脑梗死偏瘫失语患者落实早期护理干预所取得的效果。方法将2018年1月至2019年6月,到我院开展治疗的60例脑梗死偏瘫失语患者随机分为观察组和对照组,同为30例。分别对两组患者利用早期护理和常规康复护理实施干预,对不同护理之后的治疗有效率、吞咽功能、肢体功能的改善情况等进行统计和评估。结果治疗后观察组[93.33%(28/30)]的总有效率明显比对照组[66.67%(20/30)]更高,差异有统计学意义(P<0.05);观察组[(1.25±0.39)]经洼田饮水试验评估吞咽功能等级明显比对照组[(3.45±1.05)]低,差异有统计学意义(P<0.05);观察组患者在上下肢FAM量表评分方面都明显比对照组表现更好,差异有统计学意义(P<0.05)。结论通过早期护理应用在脑梗死偏瘫失语患者的护理中可有效协助患者提高治疗有效率,改善患者的失语状态和机体状态,对促进患者的病情康复具有重要意义。

Objective To evaluate the effect of early intervention on patients with cerebral infarction and hemiplegia.Methods From January 2018 to June 2019,60 patients with cerebral infarction and hemiplegic aphasia who came to our hospital for treatment were randomly divided into observation group and control group,with the same number of 30 cases.The two groups of patients were intervened using early care and conventional rehabilitation care,and the treatment efficiency,swallowing function,and limb function improvement after different care were counted and evaluated.Results After treatment,the total effective rate of the observation group[93.33%(28/30)]was significantly higher than that of the control group[66.67%(20/30)],and the difference was statistically significant(P<0.05);the observation group[(1.25±0.39)]the level of swallowing function assessed by the Watian drinking water test was significantly lower than that of the control group[(3.45±1.05)],and the difference was statistically significant(P<0.05);the observation group had significant upper and lower limb FAM scale scores it performed better than the control group,and the difference was statistically significant(P<0.05).Conclusion The application of early nursing care can effectively assist the patient to improve the treatment efficiency and improve the patient's aphasia and body state in the nursing of aphasia patients with cerebral infarction.