Brunnstrom分期护理康复模式在脑梗死偏瘫患者中的应用

Application of Brunnstrom Staging Nursing Rehabilitation Model in Patients with Cerebral Infarction and Hemiplegia

目的:探讨脑梗死偏瘫患者选用Brunnstrom分期护理康复模式的价值。方法:纳入本院2019年10月-2020年12月110例脑梗死偏瘫患者研究,按1∶1比例分为对照组(n=55,常规护理)、观察组(n=55,Brunnstrom分期护理康复模式),统计两组康复效果、神经功能、生活质量。结果:(1)护理后,观察组上肢、下肢肌力评分、日常生活能力高于对照组,观察组焦虑评分(41.35±3.78)分、抑郁评分(42.25±3.76)分均低于对照组,差异有统计学意义(P<0.05)。(2)护理后,观察组NIHSS评分(7.61±1.14)分,低于对照组的(9.96±1.02)分,差异有统计学意义(P<0.05)。(3)观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:Brunnstrom分期护理在脑梗死偏瘫护理中效果确切,可改善其生活质量及神经功能,亦可提高其日常生活能力及肌力,值得借鉴。

Objective:To explore the value of choosing Brunnstrom staging nursing rehabilitation model for patients with cerebral infarction and hemiplegia.Method:A total of 110 patients with cerebral infarction and hemiplegia in our hospital from October 2019 to December 2020 were enrolled and divided into control group (n=55,conventional nursing) and observation group (n=55,Brunnstrom staging nursing rehabilitation model) according to the ratio of 1∶1.The rehabilitation effect,neurological function and quality of life of the two groups were counted.Result:(1) After nursing,the upper and lower limb muscle strength scores and daily living ability of the observation group were higher than those of the control group,while (41.35±3.78) points of anxiety score and (42.25±3.76) points of depression score were lower than those of the control group,the differences were statistically significant (P<0.05).(2) After nursing,the NIHSS score of observation group was (7.61±1.14) points,which was lower than (9.96±1.02) points of the control group,and the difference was statistically significant (P<0.05).(3) The quality of life scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant (P<0.05).Conclusion:Brunnstrom staging nursing has a definite effect in the nursing of cerebral infarction hemiplegia.It can improve the quality of life and neurological function,and can also improve the ability of daily living and muscle strength,which is worth learning from.