基于全科理念Barthel指数评定量表的康复护理在年龄>60岁脑梗死后偏瘫患者中的应用

Application of Rehabilitation Nursing Based on General Practice Concept Barthel Index Rating Scale in Patients with Hemiplegia after Cerebral Infarction Aged>60 years

目的基于全科理念Barthel指数(BI)评定量表的康复护理在年龄>60岁脑梗死后偏瘫患者中的应用效果。方法选取本院接收的年龄>60岁脑梗死后偏瘫患者108例作为研究对象(2019年4月至2020年12月期间),依据随机数字表法分成观察组与对照组,各54例。对照组接受常规护理干预,观察组基于对照组接受基于全科理念BI评定量表的康复护理,统计对比两组干预前后脑卒中专用生活质量量表(SS-QOL)、日常生活能力量表(ADL)、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、Mishel疾病不确定感问卷(MUIS)评分。结果干预后观察组ADL评分少于对照组(P<0.05);干预后观察组SDS评分、SAS评分少于对照组(P<0.05);干预后观察组SS-QOL评分高于对照组(P<0.05);干预后观察组MUIS评分低于对照组(P<0.05)。结论基于全科理念BI评定量表的康复护理应用于年龄>60岁脑梗死后偏瘫患者临床护理中,可增强日常生活能力,改善心理状态,减轻疾病不确定感,提高生活质量。

Objective To evaluate the application effect of rehabilitation nursing based on the Barthel Index(BI)rating scale of general practice concept in patients with hemiplegia after cerebral infarction aged>60 years.Methods A total of 108 patients with post-cerebral infarction hemiplegia aged>60 years in our hospital were selected as the research subjects(from April 2019 to December 2020),and they were divided into the observation group and the control group according to the random number table method,with 54 cases in each group.The control group received routine nursing intervention,and the observation group received rehabilitation nursing based on the general practice concept BI rating scale based on the control group.The two groups were statistically compared and analyzed before and after the intervention.ADL),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Mishel Illness Uncertainty Questionnaire(MUIS)score.Results After the intervention,the ADL score of the observation group was lower than that of the control group(P<0.05);After the intervention,the SDS score and SAS score of the observation group were lower than those of the control group(P<0.05);After the intervention,the SS-QOL score of the observation group was higher than that of the control group(P<0.05);After the intervention,the MUIS score of the observation group was lower than that of the control group(P<0.05).Conclusion Rehabilitation nursing based on the BI rating scale of general practice concept applied in the clinical nursing of patients with post-cerebral infarction hemiplegia aged>60 years can enhance daily living ability,improve psychological state,reduce the uncertainty of the disease,and improve the quality of life.