早期康复干预对脑卒中患者运动功能的影响

Effect of Early Rehabilitation Intervention on Motor Function of Stroke Patients

目的探讨临床在为脑卒中患者选择干预方案时,选择早期康复干预对其运动功能的影响。方法研究对象选择我院2018年4月至2020年4月期间收治的120例脑卒中患者,以随机数字表法将其分为对照组(实施常规护理)和研究组(早期康复护理),每组60例。采用SF-36生活质量评定量表、Fugl-Meyer运动功能评定量表等测评工具对两组患者干预前后的生活质量水平、运动功能、认知功能进行评估,分析不同的护理模式对脑卒中患者运动功能的影响。结果干预前,两组患者在躯体健康、社会功能、心理健康、物质生活等指标的评估中分值相当,组间无明显差异(P>0.05),干预后,研究组患者的以上指标评估分值均优于对照组(均P<0.05)。干预前,两组患者Fugl-Meyer中上肢运动功能评分组间无明显差异(P>0.05);干预后,研究组患者的Fugl-Meyer中上肢运动功能评分明显优于对照组(P<0.05)。干预前,两组患者Fugl-Meyer中下肢运动功能评分组间无明显差异(P>0.05);干预后,研究组患者的Fugl-Meyer中下肢运动功能评分明显优于对照组(P<0.05)。干预前,两组患者Fugl-Meyer总评分组间无明显差异(P>0.05);干预后,研究组患者的Fugl-Meyer总评分明显优于对照组(P<0.05)。干预前研究组和对照组患者认知功能评分相比,组间对比差异没有统计学意义(P>0.05)干预后研究组认知功能评分明显高于对照组(P<0.05)。结论针对脑卒中患者实施早期康复护理干预较常规护理优势显著,可明显提升预后效果,改善患者的自身认知功能,同时在早期康复干预后,患者的上肢精细动作,以及下肢负重能力均能得到有效、尽快恢复,这对于临床的护理工作有积极地推动作用和指导意义,也全面改善患者的生活质量水平,促进患者更好恢复。

Objective To explore the influence of early rehabilitation intervention on the motor function of stroke patients in clinic.Methods One hundred and twenty patients with stroke treated in our hospital from April 2018 to April 2020 were included in the study,it was divided into control group and early rehabilitation group by random number table,60 cases each.Using SF-36 quality of life assessment scale,Fugl-Meyer exercise function assessment scale and other assessment tools to assess the quality of life,motor function,cognitive function before and after intervention,to analyze the effects of different nursing models on motor function of stroke patients.Results Before the intervention,the evaluation scores of physical health,social function,mental health,material life and other indicators in the two groups were similar,but there was no significant difference between the two groups(P>0.05).After the intervention,the evaluation scores of the above indicators in the study group were all better than those in the control group(P<0.05).Before the intervention,there was no significant difference between the two groups in Fugl-Meyer upper limb motor function score(P>0.05).After the intervention,the Fugl-Meyer score of upper limb motor function in the study group was significantly better than that in the control group(P<0.05).Before the intervention,there was no significant difference in Fugl-Meyer scores of lower limb motor function between the two groups(P>0.05).After the intervention,the Fugl-Meyer motor function scores of the patients in the study group were significantly better than those in the control group(P<0.05).Before the intervention,there was no significant difference in Fugl-Meyer total score between the two groups(P>0.05).After the intervention,the total score of Fu-Meyer in the study group was significantly better than that in the control group(P<0.05).There was no significant difference in cognitive function scores between the study group and the control group before the intervention(P>0.05).After the intervention,the cognitive function scores of the study group were significantly higher than those of the control group(P<0.05).Conclusion Early rehabilitation nursing intervention for stroke patients is superior to routine nursing,can obviously improve the prognosis,to improve patients'cognitive and motor functions,at the same time,after the early rehabilitation intervention,the patient's upper limb fine movements and lower limb weight-bearing ability can be effectively and quickly recovered,which has positive promotion and guiding significance for clinical nursing work,to improve the quality of life of patients,promote better recovery.